Choosing assisted living in Bellevue is rarely a calm, unhurried decision. Below is the grounded, Bellevue-specific picture: real licensed providers, 2026 pricing, and the steps families here take. We currently track 11 DSHS-licensed assisted living facilities serving Bellevue from Washington DSHS records.
What's below: the licensed providers, 2026 Bellevue cost ranges, the local hospital and neighborhood context, what to ask on a tour, and how to act fast if a hospital discharge is looming. Prefer to talk it through? Get matched with a free local advisor — no fees, ever.
What assisted living means — and who it's for
Assisted living fits an older adult who needs daily help — bathing, dressing, medication reminders, meals — but does not require round-the-clock skilled nursing. It's the most common first move when living alone stops being safe.
How Washington regulates it: In Washington, assisted living is licensed by DSHS (ALTSA / Residential Care Services) under RCW 18.20 and WAC 388-78A. A facility's license can include endorsements — such as Specialized Dementia Care — that let residents stay as needs increase. Always verify the exact license and endorsements; they determine how long your parent can remain as care needs grow.
In Bellevue specifically, that means weighing the licensed options against Bellevue's cost range and your family's timeline. The right choice balances care level, budget, location near Overlake Medical Center, and how quickly you need a spot.
Bellevue assisted living: by the numbers
11 DSHS-licensed assisted living facilities on file in Bellevue; about 970 total licensed beds; averaging 88 beds per community; the largest at 140 beds; 2 accepting Apple Health (Medicaid). These counts come from current Washington DSHS licensing data, not estimates.
Licensed assisted living providers in Bellevue
Selected by licensed bed capacity. From the state's DSHS ALTSA / Residential Care Services records (2026). Always confirm the current license and bed count at fortress.wa.gov/dshs/adsaapps/lookup first.
Accepts Apple Health (Medicaid): 2
| Provider | City | Licensed beds | DSHS license # |
|---|---|---|---|
| The Watermark at Bellevue | Bellevue | 140 beds | 2626 |
| Aegis Living Bellevue Overlake | Bellevue | 122 beds | 2567 |
| Sunrise of Redmond | Bellevue | 120 beds | 2464 |
| The Park at Belle Harbour | Bellevue | 100 beds | 2703 |
| SUNRISE OF BELLEVUE | Bellevue | 90 beds | 2163 |
| PATRIOTS GLEN | Bellevue | 82 beds | 2121 |
| Aegis of Bellevue | Bellevue | 77 beds | 2491 |
| THE GARDENS AT TOWN SQUARE | Bellevue | 75 beds | 1604 |
| The Bellettini | Bellevue | 60 beds | 2782 |
| Silverado - Bellevue | Bellevue | 56 beds | 2573 |
| EVERGREEN COURT | Bellevue | 48 beds | 1502 |
Senior care in Bellevue, King County
Bellevue is the Eastside's affluent center, a city of about 150,000 across Lake Washington from Seattle, with high household incomes, a large share of long-tenured homeowners over 65, and the headquarters of regional operator Aegis Living. Anchored by Overlake Medical Center, Bellevue is the metro's premium Eastside market — the highest-cost city in the region, with upscale assisted living, secured memory care, and a dense network of well-appointed adult family homes.
Nearby hospitals: Overlake Medical Center, Swedish Issaquah (nearby), EvergreenHealth Kirkland (nearby), Virginia Mason Bellevue (clinic). Being near a hospital helps with post-rehab follow-up, sudden memory-care needs, and routine specialist care, so Bellevue families weigh drive time to these closely.
Areas families ask about: Downtown Bellevue, Crossroads, Factoria, Somerset, Newport Hills, West Bellevue.
What assisted living costs in Bellevue (2026)
Bellevue pricing runs $6,500–$9,100/month, above the metro average for the Greater Seattle metro — a reflection of local real-estate and the mix of small adult family homes versus larger communities.
- Assisted living (standard): $6,500–$9,100/month
- Memory care: $8,150–$10,700/month
- Adult family home: $5,400–$8,400/month
- In-home care: $43–$60/hour
In Bellevue, the levers on price are room type (shared saves the most), facility size (small adult family homes run cheaper), an honest care-level assessment, and benefit programs like VA Aid & Attendance and Washington Apple Health (COPES).
How we vet Bellevue providers
- Verified active DSHS licensure and enforcement status
- Recent survey and complaint history reviewed
- Candid references from families who live it daily
- Itemized monthly cost shared before any tour
- In-person walkthrough notes from our local team
Questions to ask on a tour
- How fast can staff respond to a call button at night?
- What would trigger a move to a higher care level?
- What's the true all-in monthly cost for our parent's needs?
- How are falls and med changes communicated to family?
- How long have caregivers worked here on average?
What's included — and what costs extra
Usually included: housing, three meals daily, 24/7 awake staff, housekeeping, laundry, scheduled transportation, social and wellness programming, and a basic care plan. Typically extra: medication management above a basic tier, two-person transfers, incontinence care, on-site hospice coordination, and one-on-one aide hours. Insist on an itemized monthly quote from Bellevue providers so hidden add-ons don't surprise you later.
How fast you can move in Bellevue
In Bellevue, a non-urgent move typically takes one to two weeks end to end. After a hospital stay near Overlake Medical Center, families often need placement within a few days — line up paperwork early. A free local advisor can tell you which Bellevue providers have current openings.
Worth knowing in Bellevue: the strongest assisted living options aren't always the ones with the biggest marketing budgets. We weigh license standing, staffing, and family feedback over advertising, which is how families here avoid a polished tour that hides a thin overnight staff.