2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

Senior Care & Assisted Living Costs in Spokane, WA

2026 monthly care rates for Spokane (Spokane County), local Census affordability metrics, and 13 CMS-certified care facilities.

Assisted Living🏠
$5,450/mo
$65,400/yr
-12% vs U.S. avg
Memory Care🧠
$6,650/mo
$79,800/yr
-12% vs U.S. avg
In-Home Care🤝
$30.77/hr
$5,870/mo (44h/wk)
-12% vs U.S. avg
Nursing Home (Semi)🏥
$8,420/mo
Private: $9,490/mo
-12% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$5,450/mo
Memory Care$6,650/mo
Home Care$30.77/hr
Nursing Semi$8,420/mo
Nursing Priv$9,490/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $345k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Spokane, WA

40.9 hrs/wk Break-even threshold

At Spokane, WA's average caregiver rate of $30.77/hr, hiring in-home care equals the $5,450/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$2,667/mo

Saves $2,783/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$5,866 vs. $5,450/mo

Full-time home care costs $416/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$10,666/mo

Assisted Living saves $5,216/mo; Memory Care averages $6,650/mo.

Spokane vs. Washington & U.S. Averages

Monthly Assisted Living cost comparison adjusted for Spokane County economic indicators.

Spokane, WA$5,450/mo
Washington State Average$7,370/mo
U.S. National Median$6,200/mo

Spokane County Economic Context (U.S. Census)

Official ACS 5-Year benchmarks used to model local care affordability (see methodology).

Median Household Income $73,513/yr ($6,126/mo)
Median Home Value $370,500
Median Gross Rent $1,200/mo
Washington Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in Spokane, WA

Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.

Regency At Northpointe
1224 East Westview Court, Spokane, WA 99218 • 5094658800
120 Certified Beds For profit - Corporation CCN: 505369
5/5 CMS Rating
South Hill Rehabilitation And Care Center
17 East 8Th Avenue, Spokane, WA 99202 • 5094745678
113 Certified Beds For profit - Limited Liability company CCN: 505414
5/5 CMS Rating
Spokane Veterans Home
222 East Fifth, Spokane, WA 99202 • 5093445770
100 Certified Beds Government - State CCN: 505509
5/5 CMS Rating
Sunshine Health & Rehab
10410 East Ninth Avenue, Spokane, WA 99206 • 5099263547
37 Certified Beds For profit - Individual CCN: 505411
5/5 CMS Rating
Royal Park Health And Rehabilitation
7411 North Nevada, Spokane, WA 99208 • 5094892273
164 Certified Beds For profit - Limited Liability company CCN: 505379
3/5 CMS Rating
Avalon Care Center At Northpointe
9827 North Nevada, Spokane, WA 99218 • 5094687000
119 Certified Beds For profit - Corporation CCN: 505496
3/5 CMS Rating
Emerson Health & Rehabilitation
N 1812 Wall Street, Spokane, WA 99205 • 5093286030
99 Certified Beds For profit - Corporation CCN: 505441
3/5 CMS Rating
Alderwood Manor
3600 East Hartson Avenue, Spokane, WA 99202 • 5095352071
85 Certified Beds For profit - Partnership CCN: 505257
3/5 CMS Rating
Sullivan Park Care Center
14820 East Fourth, Spokane, WA 99216 • 5099221644
125 Certified Beds For profit - Corporation CCN: 505383
2/5 CMS Rating
Aurora Valley Care
414 S University Rd, Spokane, WA 99206 • 5099244650
124 Certified Beds For profit - Limited Liability company CCN: 505114
2/5 CMS Rating
Rockwood South Hill
East 2903 25Th Avenue, Spokane, WA 99223 • 5095366650
45 Certified Beds Non profit - Corporation CCN: 505033
2/5 CMS Rating
Spokane Health & Rehabilitation
North 6025 Assembly, Spokane, WA 99205 • 5093268282
125 Certified Beds For profit - Limited Liability company CCN: 505322
1/5 CMS Rating
Spokane Falls Care
6021 North Lidgerwood, Spokane, WA 99207 • 5094893323
100 Certified Beds For profit - Limited Liability company CCN: 505024
1/5 CMS Rating

Frequently Asked Questions About Senior Care in Spokane

The estimated median cost of assisted living in Spokane, WA is $5,450 per month ($65,400 per year), adjusted for Spokane County housing and income data.
A semi-private room in a skilled nursing facility in Spokane averages $8,420 per month, while a private room averages $9,490 per month.
In-home caregiver services in Spokane, WA average $30.77 per hour, or roughly $5,870 per month for 44 hours of weekly care.
For 2026, the standard monthly income cap for Medicaid nursing home and HCBS waiver eligibility in Washington is $2,901 per individual applicant.

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