For Bellevue families, alzheimer's care comes down to a handful of practical questions — who's licensed nearby, what it costs in 2026, and how fast a spot can open. We answer those here. 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 alzheimer's care means — and who it's for
Alzheimer's care suits a person whose memory loss affects safety and daily function and who benefits from a secured setting, predictable routines, and staff trained specifically in dementia behaviors.
How Washington regulates it: Alzheimer's and dementia care in Washington is regulated as a Specialized Dementia Care specialty within DSHS-licensed assisted living or adult family homes (RCW 18.20 / RCW 70.128). Homes advertising Alzheimer's care must meet defined staff training, secured-egress, and care-plan standards. Ask to see the home's specific dementia care policy.
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 alzheimer's care: 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). Memory care in Washington is a Specialized Dementia Care specialty delivered inside DSHS-licensed assisted living facilities (and adult family homes) that meet additional staffing, training, and secured-unit rules — it is not a separate license. Every figure here is drawn from live Washington DSHS licensing records rather than guesswork.
Licensed alzheimer's care providers in Bellevue
Providers flagged for Specialized Dementia Care (secured/dementia-trained units). 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 alzheimer's care costs in Bellevue (2026)
Bellevue pricing runs $8,150–$10,700/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
Ways Bellevue families reduce the monthly figure: sharing a room, picking an intimate adult family home, avoiding bundled care tiers they don't need yet, and using veterans' Aid & Attendance or Washington's Apple Health long-term-care waiver when they qualify.
How we vet Bellevue providers
- Current Washington DSHS licensure confirmed against the state ALTSA/RCS provider lookup
- Inspection and complaint history checked through Residential Care Services records
- Direct conversations with current resident families where possible
- Clear, itemized pricing before any tour — no surprise fees
- Firsthand advisor walkthroughs, not just brochures
Questions to ask on a tour
- How many caregivers are on at night per resident?
- Which conditions can you not care for here?
- What's included in the base rate, and what's billed separately?
- What happens if our parent's needs increase next year?
- How long have your director and head nurse been here?
What's included — and what costs extra
Usually included: a secured setting, all meals and care, dementia-trained staffing, structured routines, and family support. Typically extra: advanced-stage care add-ons, two-person transfers, and one-on-one supervision. Ask any Bellevue provider for an itemized rate sheet so you can compare apples to apples.
How fast you can move in Bellevue
Most Bellevue moves come together in 7–14 days once the health assessment, finances, and a physician's order are in hand; a hospital discharge can compress that to 24–72 hours when a bed is open. A free local advisor can tell you which Bellevue providers have current openings.
For Bellevue families specifically, timing matters as much as choice. Lining up alzheimer's care before a fall or a hospital discharge forces the issue means you choose calmly instead of taking the first open bed. If you're early, that's an advantage — use it.