This is a Tacoma-first guide to memory care: not national averages, but the providers licensed to operate here, current 2026 costs, and the local context that shapes a good decision. We currently track 24 DSHS-licensed assisted living facilities serving Tacoma from Washington DSHS records.
What's below: the licensed providers, 2026 Tacoma 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 Tacoma specifically, that means weighing the licensed options against Tacoma's cost range and your family's timeline. The right choice balances care level, budget, location near MultiCare Tacoma General Hospital, and how quickly you need a spot.
Tacoma memory care: by the numbers
24 DSHS-licensed assisted living facilities on file in Tacoma; about 1,782 total licensed beds; averaging 74 beds per community; the largest at 145 beds; 4 offering Specialized Dementia Care; 18 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 are real, current DSHS license counts for the area — not national estimates.
Licensed memory care providers in Tacoma
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.
Memory care (Specialized Dementia Care): 4 · Accepts Apple Health (Medicaid): 18
| Provider | City | Licensed beds | DSHS license # |
|---|---|---|---|
| Peoples Senior Living LLC | Tacoma | 145 beds | 2661 |
| Spring Ridge Retirement, LLC | Tacoma | 75 beds | 2160 |
| Cascade Park Gardens, L.L.C. | Tacoma | 63 beds | 2605 |
| PIONEER PLACE ALZHEIMER RESIDENCE OF TACOMA | Tacoma | 60 beds | 1293 |
Senior care in Tacoma, Pierce County
Tacoma is the Pierce County seat and the region's third-largest city, with about 220,000 residents on Commencement Bay, an affordable and revitalizing housing market, and the deepest adult-family-home network in the metro. Anchored by MultiCare Tacoma General and St. Joseph Medical Center, Tacoma is the metro's most affordable major market — and has the single largest concentration of licensed adult family homes in the region, a real value angle for families.
Nearby hospitals: MultiCare Tacoma General Hospital, St. Joseph Medical Center (Virginia Mason Franciscan Health), MultiCare Allenmore Hospital. Being near a hospital helps with post-rehab follow-up, sudden memory-care needs, and routine specialist care, so Tacoma families weigh drive time to these closely.
Areas families ask about: North Tacoma, Stadium District, Proctor, Hilltop, South Tacoma, Old Town.
What memory care costs in Tacoma (2026)
Tacoma pricing runs $6,250–$8,200/month, below 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): $4,950–$7,000/month
- Memory care: $6,250–$8,200/month
- Adult family home: $4,150–$6,450/month
- In-home care: $33–$46/hour
In Tacoma, 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 Tacoma 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. Insist on an itemized monthly quote from Tacoma providers so hidden add-ons don't surprise you later.
How fast you can move in Tacoma
Plan on roughly 7–14 days for a Tacoma placement: assessment, deposit, physician's order, then move-in. Memory-care and post-hospital moves can happen same-day to 72 hours when a secured bed opens. A free local advisor can tell you which Tacoma providers have current openings.
One more Tacoma-specific note: availability shifts week to week, and the community that's full today may have an opening next month. A local advisor tracks current Tacoma openings so you're never relying on a stale online listing — particularly important for memory care, where the right secured or higher-acuity bed can be scarce.