Alzheimers, Dementia & Memory
Care Facilities in Washington

Having to locate suitable memory care homes that will house your parent or loved one can be taxing for many reasons. From the act of finding the home itself, to the emotional toll that seeing a family member in a compromised position can take on you. However, the process of finding one of these facilities that provide memory care shouldn’t be this hard.

In Washington, there are a great number of options to choose from and with the information in this article, you can have all that you need to find the right fit for the members of your family who need to reside there.

Memory Care Costs in Washington

The average cost of memory care in Washington state is approximately $6,800 per month. This figure may vary depending on the region, the type of facility, and the level of care required. Below is a table of memory care costs in the 10 largest cities in Washington:

In general, the cost of memory care in Washington tends to be on the higher end, particularly in major metropolitan areas like Seattle, Bellevue, and Tacoma. The higher costs reflect the demand for services and the quality of care available in these cities.

When comparing Washington's memory care costs to those of nearby states:

• Oregon: In cities like Portland, the cost of memory care averages around $6,200 per month, which is slightly lower than Washington's higher-end cities but still significant.
• Idaho: Cities like Boise offer memory care at an average rate of $4,800 per month, reflecting a more affordable pricing structure than Washington.
• California: Major cities such as Los Angeles see memory care costs averaging $8,200 per month, which is notably higher than in Washington.

Overall, Washington's memory care costs are higher than the national average, with urban centers pushing the prices further up.

Cost of Memory Care in Most and Least Expensive Zip Codes in Washington

Below is a table showcasing the 5 most expensive and 5 least expensive zip codes for memory care in Washington. The monthly costs are averages based on available data for each area.

The most expensive zip codes for memory care are concentrated in affluent areas like Bellevue, Medina, and Redmond, where demand for high-quality care facilities drives prices upward. On the other hand, less populated or lower-demand areas such as Spokane, Tacoma, and Yakima offer more affordable memory care options.

Comparison of Memory Care Costs to Other Types of Senior Living in Washington

In Washington, the cost of memory care is generally higher than other types of senior living due to the specialized care required for individuals with Alzheimer's, dementia, and other memory-related conditions. Below is a comparison table showing the average monthly costs for different types of senior living options in Washington:

Summary:

• Memory Care is typically the most expensive form of senior living in Washington due to the additional level of care and specialized services provided for those with memory loss.
• Assisted Living offers a more basic level of care and is generally more affordable, with costs averaging around $5,400 per month.
• Independent Living is the most cost-effective option, offering minimal assistance with daily tasks and typically costing around $3,800 per month.
• Skilled Nursing or Long-Term Care facilities are the most expensive, reflecting the intensive medical care provided, with costs averaging $9,200 per month.
• Continuing Care Retirement Communities (CCRC) offer a continuum of care from independent living to skilled nursing, with an average cost of $4,500 per month.

Can you use Medicare to pay for memory care in Washington?

In Washington state, as in the rest of the United States, Medicare provides limited coverage for memory care services. Memory care, which is specialized care for individuals with dementia or Alzheimer’s disease, is typically offered in skilled nursing facilities, assisted living communities, or memory care units. However, Medicare’s coverage for memory care in Washington is subject to several specific guidelines, so it is important to understand the scope and limitations of this coverage.

Medicare Coverage for Memory Care in Washington

Medicare generally does not pay for long-term memory care or custodial care (non-medical assistance with daily activities such as eating, bathing, or dressing). Memory care, in this context, usually falls into custodial care, which is not covered under Medicare.

However, there are exceptions and specific situations where Medicare might provide limited assistance:

1. Medicare Part A (Hospital Insurance): Medicare may cover short-term stays in a skilled nursing facility (SNF) if the patient has been hospitalized for at least three days for a condition related to dementia or other cognitive impairments. Medicare will pay for up to 100 days in a skilled nursing facility, but only if the stay is medically necessary and the patient requires skilled care. After the first 20 days, the patient will need to pay a daily copayment.

2. Medicare Part B (Medical Insurance): Medicare Part B helps cover outpatient services, including doctor visits, diagnostic tests, and treatments that might be necessary for managing the medical aspects of dementia. While Part B doesn’t cover the full range of memory care services, it can assist with medically necessary treatment and therapy related to memory loss.

3. Medicare Advantage Plans (Part C): If you are enrolled in a Medicare Advantage Plan, you might have additional coverage beyond Original Medicare. Some Advantage Plans offer extra benefits that could include coverage for home health care or other types of services that might be useful in managing dementia. However, memory care in a long-term care setting is generally not covered.

Alternative Funding Options for Memory Care in Washington

Because Medicare does not provide comprehensive coverage for long-term memory care, individuals in Washington may need to explore other financial assistance options. These options include:

1. Medicaid: Medicaid is a joint federal and state program that can help pay for memory care services in Washington if the person meets eligibility requirements. Medicaid in Washington, administered through the Washington State Health Care Authority (HCA), can cover long-term care in nursing homes and some home and community-based services (HCBS) waivers that can assist with memory care. To qualify, individuals generally need to have limited income and resources, and the care must be medically necessary.

2. Long-Term Care Insurance: Some individuals in Washington may have purchased long-term care insurance, which can help cover the cost of memory care. Policies vary widely, so it’s important to review your specific plan to understand the level of coverage for memory care services.

3. Veterans Benefits: Veterans in Washington who are eligible for VA benefits may also qualify for additional support for memory care. The U.S. Department of Veterans Affairs offers long-term care services, including memory care, for veterans with service-related conditions or other qualifying health conditions.

4. Private Pay: Many families in Washington pay for memory care out-of-pocket. While this can be costly, some families choose this option to access high-quality, specialized care in memory care units or facilities.

Memory Care Options in Washington

Washington state has a range of memory care facilities and services available. However, because Medicare generally does not cover memory care outside of certain conditions, many families in Washington choose to explore other options, such as Medicaid or private pay, to access the specialized care their loved ones need. Be sure to review the various facilities and programs in Washington to find one that fits the individual’s needs and financial situation.

Medicare in Washington can provide some coverage for short-term, medically necessary care related to memory loss, but it does not cover long-term memory care. For long-term care, individuals will need to explore other options like Medicaid, veterans' benefits, or private insurance. It is essential for families in Washington to understand the specifics of these programs to plan effectively for memory care costs.

Who are Washington Dementia & Alzheimer's Care Facilities For?

Washington dementia and Alzheimer's care homes are specially made facilities that aim to treat all of the various needs of patients who deal with the symptoms of a form of dementia. From the layout of the home to the specially trained staff that work there, every detail of these homes is designed to give the highest level of care to their patients.

These memory care facilities ' layouts are designed to be simple and easy to navigate so patients with severe memory loss will still be able to get around the facility on their own without becoming confused or frustrated.

If something does trigger a serious emotional reaction in a patient, the trained staff is prepared to handle it and will be able to calm them down and teach them how to cope with their heightened emotions.

Amenities Offered in Washington Memory Care Facilities

Washington Alzheimer's care facilities offer a wide variety of amenities to the residents who live on the premises. To provide a full range of care to all of their patients, these amenities include all forms of personal care like grooming, bathing, and feeding assistance as well as cleaning services for the room to take care of laundry for the bed linens and patients clothing. The cleaning services also include the sweeping and mopping of the room as well as taking care of the restroom so that it is clean for use.

Dementia care facilities also provide medical care in the form of routine physicals and check-ups, as well as emergency services in the event of an accident or fall. Patients also receive special care when it comes to their meal preparation and nutrition as many patients may have a restrictive diet due to allergies, medication interference, and physical limitations.

Alzheimer's care communities also offer psychological care for their residents who have trouble dealing with their emotions. Dementia and Alzheimer’s can cause many people to have severe memory loss and be unable to use their critical thinking abilities. Patients may become angry and have outbursts due to their inability to communicate their exact feelings, which could cause their emotions to become even more heightened. So, having access to therapy sessions and mental health specialists can help them control their emotions better and deal with their symptoms in a healthier way.

Memory Care Admission Requirements in Washington

Memory care facilities in Washington are designed to create a safe and supportive environment where residents can receive personalized care and assistance with daily activities. The admission requirements for memory care in Washington are governed by state regulations and vary depending on the facility. However, there are common criteria that most memory care centers will follow when determining eligibility for admission.

1. Medical Diagnosis

A primary requirement for admission into a memory care facility in Washington is a formal diagnosis of a memory impairment disorder. This could be Alzheimer's disease, dementia, or another cognitive disorder that impacts the individual's ability to perform daily activities. A licensed physician, typically a neurologist or geriatrician, must provide documentation of the diagnosis.

2. Functional and Cognitive Assessment

Memory care facilities in Washington require a comprehensive assessment to evaluate a person's cognitive abilities and overall functional capacity. This assessment is typically done by a licensed nurse or healthcare provider. The facility will assess:

• Cognitive Function: The ability to remember, make decisions, and engage in communication.
• Physical Health: Any physical impairments that may require assistance with mobility, eating, or personal care.
• Behavioral Issues: Facilities also consider whether the individual exhibits behaviors that could pose safety risks, such as wandering, aggression, or severe anxiety.

The assessment helps determine the level of care needed and ensures the facility can meet the individual’s needs.

3. Safety and Security Needs

Memory care units in Washington must ensure the safety of residents, especially as many individuals with cognitive impairments may have difficulty navigating their environment or might engage in unsafe behaviors. Facilities must have:

• Secured entrances and exits to prevent wandering.
• Supervision and monitoring to prevent accidents, falls, or other risks associated with memory impairments.

For admission, the person must not be at such a high risk of wandering or causing harm to themselves or others that the facility cannot ensure their safety.

4. Behavioral and Psychological Concerns

Memory care facilities in Washington typically have the capacity to address a variety of behavioral and psychological concerns, such as aggression, paranoia, or depression, which can be common in individuals with dementia. However, some facilities may not be equipped to handle severe psychiatric disorders, such as those requiring 24-hour psychiatric supervision. In these cases, the person may need to receive additional psychiatric care outside of the memory care unit.

5. Medical Care and Medication Management

Facilities will assess the level of medical care required by the individual, including the need for medication management. Individuals who require complex medical treatments, such as intravenous medication or intensive physical therapy, may not be appropriate for admission to a memory care unit unless the facility can provide such services. Washington regulations require facilities to offer adequate supervision and support for residents’ medication management, ensuring medications are taken correctly and on time.

6. Financial Requirements

Memory care in Washington is often expensive, and financial requirements are an important part of the admission process. Many facilities require proof of financial stability or eligibility for funding through Medicaid or other financial assistance programs. The costs of memory care can be covered by private pay, long-term care insurance, or Medicaid, but there are specific Medicaid eligibility requirements to qualify for state assistance.

• Private Pay: Some individuals may pay out-of-pocket for care, which can be costly depending on the facility’s level of services.
• Medicaid: Washington’s Medicaid program, known as Apple Health, covers memory care services for eligible individuals. However, individuals must meet certain financial and medical eligibility requirements.

7. State Regulations and Licensing

All memory care facilities in Washington must be licensed and regulated by the state. The Washington State Department of Social and Health Services (DSHS) oversees these facilities to ensure they meet specific standards for safety, care, and staff qualifications. Before admission, it is important to verify that a facility is licensed and compliant with state regulations regarding staffing, quality of care, and resident rights.

8. Personal Preferences and Family Involvement

In addition to medical and safety considerations, memory care facilities often consider the preferences and desires of the individual and their family. These can include:

• Location preferences based on proximity to family members.
• Spiritual or cultural preferences related to care practices.
• Socialization needs for community involvement or activity preferences.

Family members are usually encouraged to participate in the admission process, ensuring the chosen facility can meet the emotional, social, and psychological needs of the person entering memory care.

Memory Care in Washington Vs Assisted Living and Nursing Homes

Although there are a number of different residential homes that patients can live, not all of these facilities offer the same type of care. Places like assisted living homes offer patients who are in a transitional phase to live in a place that has the staff that can care for them as they age and their physical and mental limitations increase.

Nursing homes are meant for those who are no longer able to live on their own, and who need full-time care. However, this care typically involves only medical care and the home doesn't provide the psychological care that is included in memory care communities. 

Although these other facilities may have some similarities, they do not offer all of the amenities that dementia care homes do.

Questions to ask Washington memory care facilities

Choosing a memory care facility for a loved one is a critical decision, and asking the right questions can help ensure they receive the best care possible. Below are important questions to ask when considering memory care facilities in Washington:

1. What is the staff-to-resident ratio?

Inquire about the ratio of caregivers to residents at the facility, as it directly impacts the level of attention each resident will receive. A lower ratio typically means more individualized care, which is essential for those with memory-related conditions.

2. What is the staff’s training and experience?

Ask about the qualifications and training of the staff members, particularly in caring for individuals with Alzheimer’s, dementia, or other cognitive impairments. Ensure that staff are trained in memory care-specific methods, crisis management, and emergency protocols.

3. What activities and therapies are available for residents?

A good memory care facility will offer structured activities designed to engage residents and help maintain their cognitive function. Ask about daily schedules, including social, physical, and mental exercises, and any therapies such as music or art therapy that might be offered to stimulate memory and improve quality of life.

4. How do you handle behavioral and emotional challenges?

Dementia and Alzheimer’s can lead to unpredictable behaviors, so it’s important to know how the facility manages these situations. Ask about their strategies for addressing issues like aggression, anxiety, or wandering, and whether they use non-pharmaceutical approaches or medication as a last resort.

5. What are the visitation policies?

Understand the visitation policies and hours. Some facilities have flexible visiting hours, while others may have restrictions based on the resident’s health or other factors. Make sure the rules align with your family’s schedule and needs.

6. How is medication managed?

Inquire about the medication management system in place. It’s crucial to ensure that medications are administered properly, especially since memory care residents often require multiple prescriptions. Ask if staff conducts regular medication reviews and if there are procedures for medication errors.

7. What security measures are in place?

Safety is a primary concern in memory care, particularly because some residents may attempt to wander. Ask about security measures such as locked doors, alarms, and monitoring systems to prevent elopement, while ensuring that residents feel at home.

8. What is the facility’s approach to dementia care?

Memory care facilities often follow specific philosophies or models of care, such as person-centered care or the Montessori method. Ask about the facility’s approach to care, how they maintain dignity and independence for residents, and how they involve family members in care decisions.

9. What are the facility’s fees and payment options?

Understand the pricing structure and whether fees are based on the level of care needed or a flat rate. Additionally, ask about payment options, including insurance, Medicaid, or private pay, and whether there are any additional charges for specialized services.

10. How do you handle end-of-life care?

It’s essential to discuss how the facility approaches palliative and hospice care, in case your loved one’s condition worsens. Ask about their experience with end-of-life care and whether they have partnerships with local hospice providers.

11. What is the facility's policy on family involvement?

Find out how the facility encourages family involvement in care. Many families appreciate being part of care planning meetings and having regular updates on their loved one’s health and well-being. Ask how the facility communicates with families and if they provide opportunities for participation in activities or events.

12. Can you provide references or reviews?

Ask if the facility can provide references from current or past residents and their families. Reviews and testimonials can give you insight into the experiences of others and help you assess the quality of care.

13. What is the facility's approach to nutrition and meals?

A well-balanced diet is crucial for memory care residents. Ask about meal planning, nutritional assessments, and any dietary accommodations (such as for diabetes or swallowing difficulties). Inquire whether meals are prepared on-site and whether they offer a variety of choices.

14. What happens if my loved one's condition worsens?

It's important to understand how the facility handles changes in health status. Ask about their ability to provide more advanced care if your loved one’s condition deteriorates and whether they can accommodate transitioning to a higher level of care if needed.

15. What is the facility’s reputation in the community?

Research the reputation of the memory care facility within the community and with local healthcare providers. This can give you an indication of the quality of care provided and the facility’s standing in terms of trust and reliability.

Memory Care Regulations in Washington

Memory care facilities in Washington are subject to specific state regulations aimed at ensuring the safety, well-being, and proper care of residents, particularly those with Alzheimer’s disease, dementia, or other cognitive impairments. These regulations cover a wide range of topics, from staffing and training to facility design and resident care plans.

Licensing and Certification

In Washington, memory care facilities must be licensed by the Washington State Department of Social and Health Services (DSHS). Facilities that offer memory care services are typically licensed as Assisted Living Facilities (ALFs) or Adult Family Homes (AFHs), depending on their size and structure. The state distinguishes these from general assisted living facilities based on their ability to provide specialized services tailored to individuals with cognitive impairments.

To operate legally, memory care facilities must meet specific licensing criteria, which includes ensuring that they have the necessary staff, training programs, and equipment to care for residents with memory issues. The DSHS also conducts regular inspections to ensure facilities comply with state regulations.

Staffing Requirements

Staffing is a crucial element in memory care regulations in Washington. Facilities are required to employ an adequate number of trained staff to meet the needs of residents, with particular attention given to residents with memory-related conditions.

• Direct care staff must be trained in dementia care, including techniques for managing challenging behaviors, promoting engagement, and ensuring safety. The training includes de-escalation strategies, understanding how to communicate effectively with individuals with memory loss, and providing personal care in a dignified manner.
• Supervision is also key. Memory care facilities must ensure that residents receive proper supervision at all times, including 24-hour oversight in most cases. This is especially important given that individuals with memory impairments may be prone to wandering, getting lost, or experiencing distress.
• In addition to direct care staff, facilities must also employ management staff who ensure compliance with health and safety regulations, as well as oversee quality of care and resident well-being.

Physical Environment

Washington’s memory care regulations require that facilities be designed in a way that is safe and conducive to the needs of residents with memory loss. The physical environment plays a vital role in the care and safety of residents, and there are several key standards regarding facility layout:

• Secure environments: Memory care units must have secure perimeters to prevent residents from wandering off the premises. This may include locked doors or exit systems, alarm systems, or fenced-in outdoor areas.
• Clear signage and orientation cues: The design of the facility should help residents orient themselves. This can include using clear, large signs, color-coded hallways, and familiar landmarks within the building to help residents navigate.
• Safety features: Facilities must be equipped with features to prevent falls, such as handrails, non-slip flooring, and bathrooms designed for accessibility.

Care Plans and Individualized Services

Memory care facilities in Washington are required to develop and implement individualized care plans for each resident. These plans are based on an initial assessment of the resident’s medical, psychological, and cognitive needs. Care plans should be reviewed regularly and updated as necessary to reflect changes in the resident's condition.

Facilities must also ensure that residents receive appropriate levels of assistance with daily activities such as eating, bathing, dressing, and personal hygiene. Additionally, specialized services, such as physical therapy, occupational therapy, and social engagement activities, may be incorporated into care plans to support the residents’ cognitive and physical well-being.

Medication Management

Washington regulations for memory care facilities stipulate that the administration of medications must be done under strict guidelines to ensure resident safety. Staff members must be trained in proper medication management, including correct storage, handling, and administration procedures. This includes protocols for preventing medication errors and ensuring that residents are receiving the appropriate medications as prescribed by their healthcare providers.

For individuals with memory impairments, managing medications can be especially challenging, so facilities must have systems in place to monitor medication adherence and mitigate the risk of overdose, underdose, or misuse.

Resident Rights and Family Involvement

Washington memory care regulations emphasize the importance of resident rights and family involvement. Residents in memory care facilities retain their rights to privacy, dignity, and personal decision-making, as far as their cognitive conditions allow. Additionally, they have the right to be informed about their care and treatment options.

Family members are encouraged to participate in the care planning process and to be involved in any decisions affecting the resident’s well-being. Facilities must provide families with access to information and maintain open lines of communication to ensure that the care being provided aligns with the resident’s preferences.

Inspections and Compliance

Memory care facilities in Washington are subject to regular inspections by the Department of Social and Health Services. These inspections assess compliance with state regulations, including the adequacy of staff training, facility safety, resident care, and overall quality of services provided. If violations are found, facilities may face corrective actions, fines, or even suspension of their license to operate.

Additionally, facilities must maintain documentation of resident care and regularly report incidents, including falls or health changes, to relevant authorities to ensure accountability and transparency.

How to Cover Costs of Dementia & Alzheimer's Care in Washington

Having to watch a family member leave their home and move into a memory care facility can be hard on their loved ones, so having to deal with the financial issues that come along with paying for dementia care communities can be a tough burden to bear when you are already stressed out. With the average monthly cost of care being as high as $6,800, it is understandable that you may feel overwhelmed. 

In Washington, there are ways to lessen that burden through the help of the Medicaid program. Medicaid is a coverage program that gives patients who qualify for the financial assistance they need to fully cover the cost of a memory care home. This program aims to keep those who need help in the home of their choice so that they can receive the care that they need. This coverage does not have enrollment caps, which means that any patient who qualifies will receive care regardless of how many people need it.

If your loved one doesn’t qualify for this program, there are other avenues they can take to get the help they need. Another form of help that they can receive is through Medicaid waivers. These offer an amount for certain types of care, like personal care services, or home health aides. These aim to lessen the financial burden on those who are paying out of pocket for their care so that they are not put in a bad financial position. However, these waivers do have enrollment caps, which means that once the highest amount allows is reached then no one else will receive care.

Searching for Alzheimer's care homes in Washington can be a long process, but with the information that you’ve been given in this article, you will be able to cut down the time it takes to find the right fit for your parent or loved one. It might not ever be an easy thing to do, but knowing as much as possible can help ease the burden a little.