Madison House

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

Madison House is one of 7 DSHS-licensed assisted living facilities in Kirkland. Its license (#2436) covers 100 beds and is renewed through January 2027; the state's report file for it is public and linked below.

Is Madison House licensed by Washington DSHS?

Yes. Madison House holds Washington DSHS assisted living license #2436, in operating status, for 100 beds, renewed through January 2027. You can confirm it yourself on the DSHS provider lookup.

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

The DSHS file lists 2 routine inspection reports, the most recent dated October 2025. Washington inspects licensed assisted living at least every 18 months, so a recent date is normal; what matters is what each report cites.

No complaint investigation reports are posted on the current DSHS file.

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

Does Madison House offer memory care?

Not according to the state record. Madison House is licensed for assisted living but is not Memory Care Certified and holds no Specialized Dementia Care contract, so plan on a move if dementia later requires a secured setting.

In Kirkland, 4 of 7 licensed assisted living facilities carry a memory care certification or dementia contract. The full list is in our memory care directory.

Does Madison House accept Apple Health (Medicaid)?

No. The DSHS record shows Madison House 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. 1 of 7 Kirkland 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 Madison House, and what is nearby in Kirkland?

Madison House is at 12215 NE 128th St in Kirkland (King County). Kirkland is an affluent waterfront Eastside city of about 95,000 on Lake Washington, with a walkable downtown, an established older population near Juanita and Houghton, and the large EvergreenHealth medical campus at Totem Lake.

Other licensed assisted living in the area: Aegis Living Kirkland Waterfront (103 beds), Cogir of Kirkland (85 beds), Jefferson House Memory Care Community (80 beds), Aegis Lodge of Kirkland (78 beds), Aegis Living Kirkland (45 beds), Merrill Gardens at Kirkland (40 beds).

What does assisted living cost near Madison House?

Assisted living in the Kirkland area typically runs $6,200–$8,750/month in 2026, and memory care about $7,800–$10,250/month. We do not publish a price for Madison House: 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 Madison House compare with other assisted living near Kirkland?

By licensed beds, Madison House ranks #32 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 Madison House 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 Madison House fits depends on your parent's needs, budget, and how the community answers the questions below.

What should you ask on a tour of Madison House?

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?
• Who builds the negotiated service agreement, and how often is it reviewed?

How does Washington regulate assisted living like Madison House?

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 Madison House?

We're a free, local advisory service — families never pay us. We can compare Madison House with other licensed Kirkland-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.

Washington programs worth knowing about

In Washington, senior-care facilities are licensed and inspected by the Department of Social and Health Services (DSHS) through ALTSA / Residential Care Services — verify any license and inspection history free at fortress.wa.gov/dshs/adsaapps/lookup. Service funding flows through the local Area Agency on Aging; the Seattle metro's are Aging and Disability Services (ADS) for King County, Homage Senior Services for Snohomish, and Aging & Disability Resources of Pierce County. Long-term-care help runs through Apple Health (Medicaid) and the COPES waiver, and the Long-Term Care Ombudsman plus DSHS Adult Protective Services protect residents. Our advisors help families use all of these at no cost.