About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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10 Best Assisted Living Facilities in Preston, WA

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Assisted living costs in Preston average about $5,462 per month. To find the best assisted living options for your needs and budget, browse through 34 communities in Preston. Our detailed directory has 152 reviews, photos, and lists of available services, amenities, and activities. Assisted living is ideal for seniors who need help with activities of daily living, such as bathing and eating, and prefer a social setting to pursue their interests. These communities offer a variety of dining options, as well as housekeeping services to eliminate daily stresses.

As you explore assisted living near you, you may also want to consider assisted living options in areas like You may also consider nearby communities such as Seattle, Bellevue and Federal Way.

Preston Assisted Living Facilities | 152 Reviews

Showing 30 communities
Last Updated: 11/25/25
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Photo of Cascades Adult Family Home
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This is a great place! The facility is very clean and the staff do what they can to cater to my father's needs and requests. Every time I go to see him, he looks just great! I have no complaints about this...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Cascades Adult Family Home is run by a Registered Nurse (RN) that has over 20 years of senior care experience.Cascades Adult Family Home is located in a beautiful and safe location with a view of Lake Sammamish and the Cascade Mountains. Cascades Adult Family Home offers a family-like environment...
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Photo of Ideal Adult Family Home, LPN
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Ideal Care Homes offer a five star Assisted Living and Nursing care in a residential neighborhood.  These adjacent homes were built and designed from ground up as a warm, relaxing and homey residence for long or short term custodial and nursing care.  We are a unique blend of...
Photo of Grace Alzheimer's AFH
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They have really done an amazing job here, we love them so much. My loved one is very well taken care of, the home itself is beautiful, and the people who work here are amazing. They really have become part...
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
Grace Alzheimer's AFH is a residential care home in the progressive city of Bellevue, Washington, in King County. Bellevue has many activities that delight and entertain persons of all ages and interests. From cultural to physical, there is something for everyone in Bellevue. There are many parks...
Photo of Elder Village Renton Highlands Adult Family Home
1010 Photos available
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
See details
Photo of Conmar AFH
Provides: Memory Care, Residential Care Home
Care types provided by this community
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Care Homes: Residential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.
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Cost of assisted living in Preston, WA

The average cost of senior living in Preston is $5,462 per month. Cheaper nearby regions include Kent, WA with an average of $5,294 per month.

Assisted living costs in Preston, WA, vs. nearby cities

Preston, WA
$5,462/mo
$5,400/mo

Assisted living costs in Preston, WA, vs. state and national averages

Preston, WA
$5,462/mo
U.S. national average
$4,708/mo

Assisted living costs in Preston, WA, vs. other senior living options

Assisted Living
$5,462/mo
$5,476/mo

Assisted living costs in Preston, WA, by floor plan type

Semi-Private
$7,277/mo
Private
$7,944/mo
Studio
$7,071/mo
1 Bedroom
$7,382/mo
2 Bedroom
$7,190/mo

Senior living costs in Preston vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Preston, WA
Column state: Washington
Column national: U.S.
Community typePreston, WAWashingtonU.S.
Assisted Living$5,462/mo$5,292/mo$4,708/mo
Memory Care$5,476/mo$5,141/mo$4,941/mo
Independent Living$4,434/mo$4,148/mo$4,157/mo
Assisted Living
Preston, WA:$5,462/mo
Washington:$5,292/mo
U.S.:$4,708/mo
Memory Care
Preston, WA:$5,476/mo
Washington:$5,141/mo
U.S.:$4,941/mo
Independent Living
Preston, WA:$4,434/mo
Washington:$4,148/mo
U.S.:$4,157/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in Preston, WA, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Preston and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

Preston, WAWA stateNational

Assisted living cost trends in Preston, WA

The table below shows how monthly assisted living costs in Preston have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Preston, WA$7,321/mo$9,179/mo-20.2%
Washington$5,394/mo$4,844/mo+11.4%
National$5,062/mo$4,710/mo+7.5%
Preston, WA
2024 average cost:$7,321/mo
2023 average cost:$9,179/mo
Percent change:-20.2%
Washington
2024 average cost:$5,394/mo
2023 average cost:$4,844/mo
Percent change:+11.4%
National
2024 average cost:$5,062/mo
2023 average cost:$4,710/mo
Percent change:+7.5%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Preston, WA

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Preston.

What families are saying about assisted living in Preston

Recent reviews for assisted living in Preston

Aegis at Marymoor in Redmond

4.5
I have not had a lot of experience with facilities but visited 5. Aegis at Marymoor seemed small and homey. The staff are all very friendly and interested in the residents. They try to customize activities when possible. I don’t have any concerns and my wife with dementia considers it her home ...
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Murano Senior Living in Seattle, WA

5.0
The staff there are really great, and turnover has been relatively low, which means the people who care for mom on a daily basis are very familiar with her needs. Also, she has friendly people dropping in to check on her frequently throughout the day. In addition to three meals a day, someone ...
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Aegis of Greenwood in Seattle, WA

5.0
The staff in the memory care unit was as caring as any staff could be,. They took my dad on trips as long as he was able. But don't think that you can leave all the care of your loved one up to any staff. Visit your loved one often. Also all memory care places are more than willing to let you ...
Read more

Preston review score based on 26 family reviews

8.6
Review score29 facilities26 reviewsWrite a review
This proprietary review score is based on 26 reviews of 29 Preston assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Preston review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Preston review score compared against nearby cities

8.6
Preston, WA29 facilities
8.5
Snoqualmie, WA12 facilities
8.1
Issaquah, WA212 facilities

Review subcategories for Preston assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 26 reviews of 29 Preston assisted living communities. This chart helps you compare Preston resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Preston, WA averageNational average
Cleanliness
4.3
4.1
Friendliness
4.3
4.2
Care services
4.2
3.8
Staff
4.3
4.1
Meals & dining
4.2
3.7
Activities
3.9
3.7
Value for cost*
4.2
3.8
0.01.02.03.04.05.0
*Learn more about cost details

Preston assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Preston assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Preston, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Preston assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Preston that offer these care services compared to the percentage of partners that offer them nationally.
Preston, WANational
Full medication management
Full medication management
75.9%
52.4%
Doctor on call
Doctor on call
65.5%
33.7%
24-Hour awake staff
24-Hour awake staff
82.8%
96.1%
Diabetic care
Diabetic care
100%
97.6%
*Visiting health care professionals
*Visiting health care professionals
82.8%
56.7%
Home care agency on-site
Home care agency on-site
20.7%
30%
Non-ambulatory care
Non-ambulatory care
89.7%
96.7%
Respite or short term stays
Respite or short term stays
72.4%
47.6%
Hospice available on-site
Hospice available on-site
86.2%
52.4%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Preston assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Preston Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Preston, WANational
Dementia behaviors care
Dementia behaviors care
86.2%
51.3%
Specialized memory care training for staff
Specialized memory care training for staff
41.4%
32.5%
Secured community and/or wander guard
Secured community and/or wander guard
69%
41%
Memory care only community
Memory care only community
24.1%
13.7%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Preston assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Preston partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Preston, WANational
Nutritionist / dietician
Nutritionist / dietician
20.7%
27.2%
Low / no sodium
Low / no sodium
51.7%
40.9%
No sugar
No sugar
44.8%
37.5%
Vegetarian
Vegetarian
72.4%
36.1%
Pureed meals
Pureed meals
48.3%
17.2%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Preston assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Preston communities that offer dining options to their discerning residents compared to our partners nationally.
Preston, WANational
Professional chef
Professional chef
17.2%
31.4%
Restaurant style dining
Restaurant style dining
24.1%
42.3%
Room service
Room service
44.8%
36.7%
Anytime dining
Anytime dining
41.4%
18%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Preston assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Preston offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Preston, WANational
Activity director
Activity director
24.1%
46.3%
Pet-focused programs
Pet-focused programs
24.1%
31%
Community service programs
Community service programs
27.6%
30.4%
Devotional activities on-site
Devotional activities on-site
65.5%
49.5%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
48.3%
49.3%
Outings / off-site activities
Outings / off-site activities
69%
52.3%
Piano or organ
Piano or organ
31%
41.3%
Arts and crafts center
Arts and crafts center
27.6%
35.4%
Educational speakers / life long learning
Educational speakers / life long learning
20.7%
38.1%
Clubs / games / karaoke
Clubs / games / karaoke
48.3%
46.7%
Live performances
Live performances
37.9%
46.9%
Dances
Dances
20.7%
30.5%
Fitness center
Fitness center
6.9%
24.5%
Fitness classes
Fitness classes
44.8%
46%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Preston

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Washington assisted living regulations will help you understand how assisted living communities in Preston protect seniors.
Learn about Washington assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Golden Age Senior Care LLC, Aegis Living Issaquah and Divine Home Health Adult Family Home are the top-rated assisted living facilities near Preston, Washington. See full list of communities.
There are 34 assisted living facilities near Preston, Washington. See the full list.
The best assisted living facilities near you in Preston, Washington are Brookdale West Seattle, Cogir of Kent and Merrill Gardens at Tukwila. These assisted living communities received the highest rankings based on verified family reviews.
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