If your family is weighing memory care in Bellevue, this page pulls together what actually matters locally — who the licensed providers are, what they cost in 2026, and how to move when time is tight. 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 memory care means — and who it's for
Memory care is for someone with Alzheimer's or another dementia who wanders, gets disoriented, or needs a secured, structured environment with dementia-trained staff. Families usually move here when safety at home or in standard assisted living slips.
How Washington regulates it: Washington does not issue a separate "memory care" license. Secured dementia care is a Specialized Dementia Care specialty delivered inside DSHS-licensed assisted living facilities (RCW 18.20, WAC 388-78A) or adult family homes that meet additional staffing, security, and dementia-training rules. Confirm the secured-unit staffing ratio and staff dementia-training hours.
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 memory 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. These numbers reflect actual DSHS-licensed providers on file, not modeled averages.
Licensed memory care providers in Bellevue
Providers flagged for Specialized Dementia Care (secured/dementia-trained units). Source: Washington DSHS / ALTSA Residential Care Services, current 2026. Always confirm a current license at fortress.wa.gov/dshs/adsaapps/lookup before signing.
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 memory 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
In Bellevue, the levers on price are room type (shared saves the most), facility size (small adult family homes run cheaper), an honest care-level assessment, and benefit programs like VA Aid & Attendance and Washington Apple Health (COPES).
How we vet Bellevue providers
- Active Washington DSHS license verified on the state ALTSA provider lookup, with no open enforcement action
- Last two RCS inspection cycles reviewed for citations and complaints
- Real family references — not curated testimonials
- Transparent monthly pricing (a provider who won't disclose cost is one we won't refer)
- An in-person visit by a local advisor within the last 12 months
Questions to ask on a tour
- What is the staff-to-resident ratio overnight?
- What care changes would force a move-out?
- What is the all-in monthly cost for this care level — every line item?
- How do you handle a sudden change in needs, like a fall?
- What is your current resident average length of stay?
What's included — and what costs extra
Usually included: a secured residence, all meals, 24/7 dementia-trained staff, structured daily activities, housekeeping, laundry, and behavioral support. Typically extra: higher acuity care, two-person transfers, hospice coordination, and private-duty aide time. 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 memory 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.