Western Washington
What Long-Term Care Actually Costs in Seattle
Care costs in the Puget Sound region run 20–35% higher than the national average. Knowing the numbers is the first step to planning around them.
Seattle & Eastside
Seattle, Bellevue, Redmond, and Kirkland regularly top Western Washington cost rankings—especially for memory care and skilled nursing.
In-Home Isn't Cheap
44 hours per week of in-home care in King County commonly runs $90K–$115K a year, before overnight or 24/7 coverage.
Facility Costs Rise ~5%/yr
Assisted living and nursing costs have climbed roughly 4–6% per year. Plans without inflation protection lose ground fast.
2025–2026 Annual Cost Ranges (Puget Sound)
| Care Setting | Low | High |
|---|---|---|
| In-Home Care (44 hrs/wk) | $85,000 | $115,000 |
| Adult Family Home | $72,000 | $110,000 |
| Assisted Living | $78,000 | $120,000 |
| Memory Care | $95,000 | $150,000 |
| Private Nursing Home Room | $135,000 | $170,000+ |
Ranges reflect King, Snohomish, Pierce, and Kitsap county surveys; individual providers vary.
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