Aegis of Madison

Last verified: October 2026 against the Washington DSHS provider lookup.

If you are looking at Aegis of Madison in Seattle, start with the state record: DSHS assisted living license #2241, 110 licensed beds, operating status, renewed through February 2027. Everything on this page comes from that record plus local context.

Is Aegis of Madison licensed by Washington DSHS?

Yes. Aegis of Madison holds Washington DSHS assisted living license #2241, in operating status, for 110 beds, renewed through February 2027. You can confirm it yourself on the DSHS provider lookup.

What do Aegis of Madison's DSHS inspection and enforcement records show?

The DSHS file lists 2 routine inspection reports, the most recent dated July 2026. Washington inspects licensed assisted living at least every 18 months, so a recent date is normal; what matters is what each report cites.

It also lists 7 complaint or incident investigation reports (most recent March 2026). An investigation means DSHS checked a reported concern; the report states whether a violation was found.

The State Fire Marshal's most recent fire inspection on file is dated March 2026.

Does Aegis of Madison offer memory care?

Yes — Aegis of Madison is Memory Care Certified on its DSHS record. Washington certifies assisted living memory care under chapter 388-78A WAC (permanent rules effective August 15, 2026, implementing E2SSB 5337), so the flag means the state has reviewed the memory care side, not just the base license.

In Seattle, 25 of 54 licensed assisted living facilities carry a memory care certification or dementia contract. The full list is in our memory care directory.

Does Aegis of Madison accept Apple Health (Medicaid)?

No. The DSHS record shows Aegis of Madison cannot accept Apple Health (Medicaid), so it is private pay; long-term-care insurance, VA benefits and the WA Cares Fund can still help.

If Medicaid may be needed later, ask now what happens when private funds run out; a resident can be asked to move. 19 of 54 Seattle assisted living facilities do hold a DSHS Medicaid contract. Eligibility itself runs through a DSHS Home and Community Services assessment — see Apple Health long-term care and the COPES waiver.

Where is Aegis of Madison, and what is nearby in Seattle?

Aegis of Madison is at 2200 E Madison St in Seattle (King County). Seattle is King County's urban core and Washington's largest city, with roughly 750,000 residents inside a metro of about 4 million and a growing 65+ population clustered in West Seattle, Ballard, Wedgwood, and the north-end neighborhoods near Northwest Hospital.

Other licensed assisted living in the area: Park Place (156 beds), Cogir Queen Anne (130 beds), Murano Senior Living (130 beds), Providence Mount St. Vincent (122 beds), Northgate Plaza (120 beds), Greenlake Emerald City (119 beds).

What does assisted living cost near Aegis of Madison?

Assisted living in the Seattle area typically runs $6,050–$8,500/month in 2026, and memory care about $7,600–$9,950/month. We do not publish a price for Aegis of Madison: rates depend on apartment size and the care level in your parent's assessment, and they change. Ask for an itemized rate sheet.

Ways families close the gap include VA Aid & Attendance, long-term-care insurance, the WA Cares Fund, and Apple Health for those who qualify — Aging and Disability Services (Seattle-King County) can walk you through local options.

How does Aegis of Madison compare with other assisted living near Seattle?

By licensed beds, Aegis of Madison ranks #22 of 153 assisted living facilities in King County. Across the county, 44% of licensed assisted living facilities have at least one enforcement letter on their DSHS file, so having letters is not unusual on its own — read what they say.

The table puts it next to nearby licensed communities using the same DSHS fields, so you can shortlist on the record before you spend a Saturday touring.

How should you evaluate Aegis of Madison before choosing it?

The record tells you what the state has looked at; a visit tells you how the place runs day to day. Ask for the overnight staff-to-resident ratio, caregiver turnover over the past year, and how long the administrator and head nurse have been in their roles. Ask which care needs would force a move-out, and get the all-in monthly price for your parent's actual care level, not the base rate.

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. Whether Aegis of Madison fits depends on your parent's needs, budget, and how the community answers the questions below.

What should you ask on a tour of Aegis of Madison?

Bring these questions and write down the answers — they make two or three communities easy to compare side by side.

• 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 did the most recent DSHS inspection find, and what changed afterward?
• Is the community Memory Care Certified, and which apartments does that cover?

How does Washington regulate assisted living like Aegis of Madison?

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.

Residents' rights, discharge notices and care planning (the negotiated service agreement) are set by WAC 388-78A. Complaints go to DSHS Residential Care Services; the Long-Term Care Ombudsman advocates for residents for free.

How can Seattle Senior Advisor help with Aegis of Madison?

We're a free, local advisory service — families never pay us. We can compare Aegis of Madison with other licensed Seattle-area options on price, care level and availability, help you read its DSHS reports, and stay reachable through the move. Communities pay us only if you choose one and move in, and we'll tell you about good options that don't pay us.

The Washington safety net behind your decision

Washington licenses and inspects senior care through DSHS (ALTSA / Residential Care Services) (look up any provider at fortress.wa.gov/dshs/adsaapps/lookup), funds in-home and community services through the regional Area Agency on Aging — Aging and Disability Services in King County, Homage in Snohomish, and Pierce ADR — and covers long-term care for those who qualify through Apple Health (Medicaid) and the COPES waiver. The Ombudsman and DSHS Adult Protective Services safeguard residents. These are the same programs we help families navigate for free.