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Madrona Assisted Living, LLC

8800 Madison Avenue, Bainbridge Island, WA 98110

21 reviews
Add review
5 star
66%
4 star
10%
3 star
5%
2 star
0%
1 star
19%
See all reviews
For more information about senior living options:
(866) 374-4058
Madrona Assisted Living, LLC
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Daughter
-
Family/friend
4.5
10 years of caring experience with Bainbridge Senior Living
My mother was a resident with Bainbridge Senior Living for nearly 10 years, 7 at Madison Avenue and 3 years in the Memory Care unit at Madrona House. The staff are wonderful and caring individuals at both facilities and, overall, I was very pleased and my mother was loved and well cared

About the facility
Madrona Assisted Living, LLC

Madrona Assisted Living, LLC in Bainbridge Island, WA is one of senior living communities in the area. To find the right community for your needs and budget, connect with one of A Place For Mom’s local senior living advisors for free, expert advice.

Senior living options offered

Assisted Living

Memory Care

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Madrona Assisted Living, LLC
Madrona Assisted Living, LLC

8800 Madison Avenue, Bainbridge Island, WA 98110

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Review score not available
9.3
Review score
53 reviews
9.3
Review score
53 reviews
5 star
58%
4 star
28%
3 star
8%
2 star
0%
1 star
6%
9.2
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20 reviews
9.2
Review score
20 reviews
5 star
45%
4 star
40%
3 star
10%
2 star
5%
1 star
0%
9.1
Review score
37 reviews
9.1
Review score
37 reviews
5 star
62%
4 star
27%
3 star
8%
2 star
3%
1 star
0%
Studio
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Studio
Starting at $X,XXX/mo
Studio
Starting at $X,XXX/mo
Studio
Starting at $X,XXX/mo
1 bedroom
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1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
2 bedrooms
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2 bedrooms
Starting at $X,XXX/mo
2 bedrooms
Starting at $X,XXX/mo
2 bedrooms
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Active promotion

No

Active promotion

Rate Lock

Freezes your rent price for a specified length of time.

Fee Discount

Reduces entrance fees required upon move in

Active promotion

No

Active promotion

Room Discount

Lowers your rent by a dollar amount or percentage.

Pet friendly

Yes

Pet friendly

Yes

Pet friendly

Yes

Pet friendly

Yes

Care types offered

2

Assisted Living, Memory Care

Care types offered

2

Assisted Living, Independent Living

Care types offered

2

Assisted Living, Memory Care

Care types offered

1

Assisted Living

Reviews

for Madrona Assisted Living, LLC

21 reviews
5 star
66%
4 star
10%
3 star
5%
2 star
0%
1 star
19%
0
Review score0 reviews0 communities
Write a review
A Place for Mom has scored Madrona Assisted Living, LLC with 0 out of 10 using our proprietary review score based on 1 review in the last 2 years. Over all time, Madrona Assisted Living, LLC has 21 reviews with an average "overall experience" of 3.9 out of 5.
Overall Rating
3.9
Cleanliness
4.1
Friendliness
4.2
Care Services
3.9
Staff
Meals & Dining
Activities
4.0
Value for Cost
3.8
A Place for Mom has scored Madrona Assisted Living, LLC with 0 out of 10 using our proprietary review score based on 1 review in the last 2 years. Over all time, Madrona Assisted Living, LLC has 21 reviews with an average "overall experience" of 3.9 out of 5.
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Overall Experience
Date Submitted
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Care Received
Verified Review
A Place For Mom has verified the person writing the review and their connection to the community.
1-20 of 21 reviews
Anonymous - Toured community
Memory Care
April 26, 2023
4.0
Verified Review
Pretty nice
I toured Madrona Assisted Living and the facility was pretty nice. The staff was nice, as far as I could tell. I will say, they did have a really high move in fee. But they did call me back and offer to discount the fee for me.
anonymous - Resident/client
Memory Care
August 18, 2019
5.0
Great facility, staff.
Wonderful, caring staff, inviting facility, it's a pleasure to go visit your relatives there.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Gregory E Keyes, M.D. - Industry reviewer
Memory Care
August 10, 2019
5.0
A local doctor's perspective
As a physician on Bainbridge Island I have worked closely with the staff at Madrona House since it's opening. The staff is caring and attentive. The facility is clean and attractive with attention to making the experience for loved ones inviting and attractive. The dementia floors are the nicest I have seen in the area of my practice. Dementia care has special challenges that require adjustment in care that are difficult. I have had confidence that the nursing and administrational staff have always approached those challenges in a kind and intelligent manner with the resident's best interest as their prime directive. I would not hesitate to have a family member reside there if the situation were to arise.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Daughter - Family/friend
Memory Care
July 21, 2019
4.5
10 years of caring experience with Bainbridge Senior Living
My mother was a resident with Bainbridge Senior Living for nearly 10 years, 7 at Madison Avenue and 3 years in the Memory Care unit at Madrona House. The staff are wonderful and caring individuals at both facilities and, overall, I was very pleased and my mother was loved and well cared for. As with all senior living facilities, there were occasional rough times when they were understaffed with experienced personnel - but management was always open, listened to the families, and took corrective actions when needed. The respect and dignity staff showed my mother and me during her final weeks and days was truly wonderful and comforting.
Cleanliness
4.5
Friendliness
5
Value for Cost
4
Care Services
4.5
Activities
3.5
Danna Brumley - Family/friend
Memory Care
April 18, 2019
5.0
Madrona House--My Mom is thriving in this caring community!
My Mother has been a resident at Madrona House on Bainbridge Island for nearly a year. As she is suffering from Alzheimer's disease, she is in need of 24 hr care. My father had done all he could for 6 years, but it was too much for his 80+ years! Though these transitions are always very difficult, the staff at Madrona was incredibly kind and did all they could to help us through it. Their sincere sympathy and caring attitudes went such a long way in assuaging the inevitable guilt and self-doubt that accompanies making the decision to move your loved one into a care facility. The best part is that my Mom is thriving! She is eating better and healthier and the staff were thoughtful (and experienced) enough to suggest she be served finger foods or have her food cut up so she could feed herself (as she is no longer able to hold utensils). She gets exercise, she has friends and she adores the daily music and many other options provided by the wonderful Activities Directors. Finally, I must commend the Madrona Staff for their deep commitment to constantly improve their quality of care and also for helping the residents' families adjust to this huge change by holding monthly social gatherings, meetings with helpful speakers and topics and providing much needed resources for this new phase of life. I feel exceedingly grateful to have Madrona House in our community. If you can no longer care for your loved one at home, there's another kind of family that can provide the care in a professional way, but just as important; in a compassionate way.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Beth Guy - Family/friend
Memory Care
April 8, 2019
5.0
The staff at Madrona house has the kindest staff and the best food. If you have a loved one who needs care, Madrona House is a great option.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
H Bierly - Family/friend
Memory Care
March 12, 2019
5.0
5 star Madrona house
The staff at Madrona has been so wonderful for both of my parents starting in assisted living& now in memory care. Kind, caring and very involved in keeping me in the loop.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
anonymous - Family/friend
Memory Care
March 12, 2019
5.0
Madrona House
I love Madrona House! The staff are genuinely kind and caring. They are tuned into your loved one and their needs and always great you with a smile.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Linda Wohlsen, Certified Care Manager - Industry reviewer
Memory Care
March 12, 2019
5.0
Madrona House
I work as a private care manager in the area and so I have been in and out of assisted living and memory care facilities for many years. I have had clients at the Madrona since they opened five years ago. They have a number of long-term care staff who have consistently cared for my clients with loving and skillful attention. They often let me know about my client's care proactively so that I can work in concert with them and other providers. My interaction with nursing, administration and maintenance has been excellent, especially this past year, as our goal is to work as a team for the betterment of the residents. I feel that I can bring any information forward and have them review, give me their honest opinion, and then make appropriate changes, as need be. The staff work very hard to make changes and accommodations as quickly as possible. If someone you know needs assisted living or memory care, I would recommend contacting them to see if the Madrona House might be a good match.
Cleanliness
4.5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
4.5
Johanna Vanderlee - Family/friend
Memory Care
November 30, 2018
5.0
We love Madrona House
Our father has been living at Madrona House for over a year and it's been a great place for him physically, mentally, and emotionally. The well-trained, warm, and helpful staff at Madrona House gets to know your elder and makes them a part of the friendly community there. Numerous beautiful and cozy spaces for family and friends are available for the frequent musical performances, art classes, and exercise groups at Madrona. The weekly menus are amazing, thanks to Chef [name removed] and his skilled kitchen staff. Most importantly, our father really likes living at Madrona House!
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Mark and Lynn Freeman - Family/friend
Memory Care
June 22, 2018
5.0
Madrona House is a loving and caring assisted living home located on Bainbridge Island, Washington.....
Madrona House is a loving and caring assisted living home located on Bainbridge Island, Washington. If you are looking for a warm and comfortable environment for an elderly loved one, this is the place. From the minute you walk in the door to the smiles of the staff at the front desk to the caregivers who treat the residence with love and respect, you will find a very caring environment. Following a stroke my mother became a resident here. The entire staff was very helpful accommodating her new needs and helping her adjust to the many changes in her life, making her transition smooth. Care givers checked on her often in her first weeks, giving the family peace of mind. She looked forward to seeing them every day. Madrona House is not only beautiful, it is warm and inviting not only to its residents but to guests as well. Let’s talk about the food… a culinary trained chief oversees the preparation of three excellent meals a day offering some of the best cuisine, right up there with fine dining restaurants. They also offer holiday dining for family at Thanksgiving, Christmas, Easter, Mother’s Day and Father’s Day. What I believe separates this facility from others is the care and compassion provided by the caregivers, nurses and other staff members (some you never see). I am in total appreciation of their dedication, and genuine willingness to make sure our loved ones are safe and happy. I believe these caregivers and nurses are Angels watching over our loved ones.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
anonymous
Memory Care
August 24, 2017
0.5
Bad Customer Service
I called to get information on a resident who resides there today. Casey picked up the phone and greeted me which was great; however she was short and quick. At the end I thanked her for her time and she hung up on me. As a professional to professional, I expected a higher quality from your staffs.
Cleanliness
0.5
Friendliness
0.5
Value for Cost
0.5
Care Services
0.5
Activities
0.5
anonymous - Family/friend
Memory Care
July 9, 2017
1.0
Great staff...POOR management
The Madrona House has poor management with a very unaccommodating DNS. This building is almost always short staffed and it seems to be getting worse. This place is NOT worth the money we pay for PRIVATE pay care. We love the caregivers and med techs because they seem to be the only people who really know what's going on. I DO NOT recommend moving your loved ones here until new management comes on board. [Removed] have made our experience with this company an awful one.
Cleanliness
1.5
Friendliness
3.5
Value for Cost
0.5
Care Services
1
Activities
2
Alexa Rosenthal - Family/friend
Memory Care
June 6, 2017
5.0
Committed and Caring Staff
Both my parents live at the Madrona House on Bainbridge Island. My father lives in Assisted Living and my mother lives in Memory Care. I moved my parents from the east coast. This was a very big decision and we have no regrets. The staff is caring and committed to each and every resident. My parents feel safe and well cared for. Communication with staff and management is productive, effective and positive. I am thankful to have my parents living so close to me in a facility that respects my parents and supports me and my whole family in a process that is not always easy.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
anonymous - Family/friend
Memory Care
April 13, 2017
0.5
Should be considered a nursing home. The DIrector of nursing seems stressed and overwhelmed and doesn't seem to know what goes on regarding her patients.
Cleanliness
0.5
Friendliness
0.5
Value for Cost
0.5
Care Services
0.5
Activities
0.5
Norman Johnson - Family/friend
Memory Care
June 5, 2015
5.0
My mom received excellent care.
My mom was 94 when she had a fall at home after the flu left her weak and unable to get around on her own. At that point she required around the clock care which was more that we could provide in our own home. We were so thankful to find The Madrona House where trained staff is there around the clock 7 days a week. Their kind employees cared for her just like she was their own mom and were mindful of her special food needs. They helped her with all the things that she was no longer able to do for herself. Mom enjoyed getting to know all of the nurses, CNAs, and housekeeping staff who came to her room to check on her, took her for walks in her wheel chair, and brought her to the dining room for meals. The amazing staff made my mom feel special and treated as a person. We couldn't be more satisfied with the excellent care she received at The Madrona House.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Diane Shorett - Family/friend
Memory Care
June 2, 2015
5.0
Mom
After my mother had a stroke and later broke her leg in three places, she needed 24 hour care, as even after her summer in the nursing home she still had a boot and later a brace, and had short-term memory loss. Madrona house memory care has been great, with very helpful, friendly staff and many activities and a very personal feel, also great food and the fourth floor has a lot of sunshine and nice views, and the facility is close to town and gives beautiful bus rides in the wheelchair accessible bus. Our price is higher than many units as we are renting a bedroom and a sitting room and my Mom has had a higher level of care than some others. She lived in Madison Avenue House for the three years prior to this in assisted living and it was another great experience for her in a difficult time, after my father passed away and leaving a rental house and having to give up her car and independence due to her stroke.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Joyce Johnson, RN - Family/friend
Memory Care
June 1, 2015
5.0
Five Stars for Madrona House and its Memory Care Unit
I am a registered nurse working at a Regional Medical Center, in Kitsap County, with 11 years experience. I have been a hospice respite volunteer and worked as an assistant manager in an adult family home on Bainbridge Island, prior to becoming a nurse. My 94 year-old mother lived with me in our home until December 2013 when her dementia progressed to a point when she needed 24 hour care support while I worked and on those nights prior, when I needed to sleep. I brought in private and agency help as long as I could but but that became very expensive and stressful when care providers had to cancel with short notice. My first step was to place mom in a "daycare" environment at a [name of different community] that had a locked dementia unit, on days that I worked, picking her up each evening after I got off work. I packed her lunch/dinner each day as she had particular tastes. This arrangement was stressful to her, though the staff was very caring. She required lorazepam 1-2 times every day she attended: there was little organized activity, most of the caregivers spoke English as a second language, and she didn't know what to do with herself. She would have enjoyed TV but they kept the volume very low so as to not aggitate some of the residents. I next placed her in a new adult family home on [name of different community], believing the smaller venue would be a better fit. Having enjoyed working at one prior to nursing school, I had a good understanding of staffing needs fluxing with varying levels of care needs of 1-6 residents. One of the caregivers had worked as a private pay caregiver for mom in the past which was a huge plus, as mom adored her. After three weeks, I realized some of her care needs were not being met, particularly in the area of toileting, as she was not one to announce her needs and managed herself as best she could. The staff, at the time, had 1 or 2 total care residents which made it harder to coordinate, minimally, hourly rounding (routinely done in the hospital setting). Madrona House had only been open a couple of months when I rather frantically decided I had to move mom again, just a couple days after Christmas, 2013. I called and received a tour the next morning. Oh, my gosh! It was (and still is!) a wonderfully warm and inviting environment, with very engaged CNAs and nurses, under the direction, on the Memory Unit, of Sol Johnson, a gifted RN whom I have known for over 15 years, having known her to be a well-respected and valued (by staff and residents) Director of Nursing at Martha & Mary's, when I was a nursing student, privy to staff conversations. Mitzi, the Managing Director, a lifetime Islander, was (and is) wonderful to work with: engaging with professional behaviors, compassionate and passionate about meeting the needs, holistically, of all of the residents, from those living independently to mom's group of memory care residents. Her office is always open, I find her frequently up on the units interacting with the residents, addressing each by name with warmth and respect. Mom had only a very few doses of lorazepam in the beginning week of her transition to Madrona House on Jan 2rd, 2013. Even though I felt confident that this was the perfect fit for mom, I kept my professional eyes and ears open for several months, going at odd times of day, different days of the week, calling to speak directly to her, visiting at meal times, randomly joining in her resident activities. I visited 3-4 days every week, still do at least twice each week, and feel extremely good about every aspect of her care. And SHE likes her home. At 94, she enjoys the family style seating at mealtime, participates in all activities that involve singing, music, and exercising of any kind. You should see their monthly activity calendar detailing every activity planned. It is amazing! (twice weekly Yoga, weekly Tai Chi Qi Gong, weekly Physical Therapist led exercising, walking club, exercising with Debbie). The Life Enrichment Coordinator, Janice [last name removed], is one of the most positive, engergetic women I have ever had the pleasure to know. She is right "in the moment" with all of the residents, almost charismatic in her ability to getting residents engaged in incredible list of activities presented each day. I cannot speak highly enough of the quality of care mom receives at Madrona House. I am extremely grateful to have made that connection. The 24/7 CNAs working there are all quality people, truly dedicated to assisting these residents with all of their daily/nightly activities, always cheerful and warm.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
anonymous - Family/friend
Memory Care
May 16, 2015
2.5
Poorly designed facility, inadequately staffed
The physical design of the facility is poor. The floors are long and narrow and the third and fourth floors are separated by a fire door and the nurses' station, laundry, and utility closet. The fire door is heavy, and sooner or later a resident will be injured. Caregivers cannot see the residents' rooms in the east facing section from the west facing section, yet quite often only two CNAs are on duty on the entire floor. Since some of the residents require the assistance of two people for showering, toileting, and morning and bedtime routines, one end of the hall is left without a staff person on hand for extended periods. If a resident has a fall, it's conceivable that they could lie on the floor for at least 45 minutes before they are discovered. The caregivers are exceptional, but there aren't enough of them. Managemet doesn't want to hear about these concerns. Employees are often asked to work double shifts, because people commonly call in sick. In my opinion, safety has been compromised by the unfortunate design of the building as well as the owner's resistance to hiring adequate staff.
Cleanliness
5
Friendliness
5
Value for Cost
1
Care Services
2
Activities
4
anonymous - Industry reviewer
Memory Care
January 15, 2015
0.5
Expensive Poor food choices on menu Staff members seem unhappy to be working for this facility, and management is money hungry.
Cleanliness
1.5
Friendliness
0.5
Value for Cost
1
Care Services
0.5
Activities
1
Viewing 1-20 out of 21 reviews

Amenities
at Madrona Assisted Living, LLC

Healthcare Services

  • Diabetic Care
  • Staffing & Ancillary Services
  • Memory Care
  • Incontinence Care
  • Medication Management
  • Non-Ambulatory Care

Meals & Dining

  • Low / No Sodium
  • Guest Meals
  • International Cuisine
  • Vegetarian
  • Anytime Dining
  • Meals Provided
  • Kosher
  • Gluten-free
  • Room Service

Room Amenities

  • Bath Tubs
  • Wheelchair Accessible Showers
  • Air Conditioned
  • Wi-Fi/high-speed internet
  • Respite or Short Term Stays Offered
  • Kitchenette
  • Ground Floor Units
  • Handicap Accessible
  • Cable or Satellite TV

Community Amenities

Transportation & parking

  • Complimentary Transportation
  • Transportation at Cost
  • Resident Parking Available
  • Uncovered Parking
  • Property Convenient to Public Transit

Pets

  • Cats Allowed
  • Dogs Allowed

Common areas

  • Beauty Salon
  • Central Fireplace
  • Library
  • Meeting Room
  • Outside Patio
  • TV Lounge
  • Indoor Common Areas
  • Barber Shop
  • Outdoor Common Areas

Recreational areas

  • Piano or Organ
  • Raised Garden Beds

Services

  • Grocery Shopping and Errands
  • Laundry Service / Drycleaning
  • Housekeeping
  • Beautician

Languages spoken

  • English

Activities

  • Yoga / Chair Yoga
  • Wii Bowling
  • Catholic Services
  • Birthday Parties
  • Brain fitness / Dakim
  • Activities Off-site
  • Trivia Games
  • Devotional Activities On-Site
  • Art Classes
  • Reminiscence Programs
  • Visiting Chaplain or Priest
  • Live Musical Performances
  • BBQs or Picnics
  • Gardening Club
  • Activities On-site
  • Pet-focused Programs
  • Cooking Classes
  • Holiday Parties

Neighborhoods
around Madrona Assisted Living, LLC

See what the neighborhood has to offer and what’s nearby:
Madrona Assisted Living, LLC in google map

Frequently Asked Questions
about Madrona Assisted Living, LLC

Madrona Assisted Living, LLC offers 1 Bedroom and 2 Bedrooms. Learn more.

Call (206) 317-6000 to reach a resident at Madrona Assisted Living, LLC.

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47%
4 star
38%
3 star
5%
2 star
5%
1 star
5%
Studio, 1bd, Semi-Private
Since 1984, Laurel Glen has been serving the families and individuals of Bremerton, Silverdale, Poulsbo and Port Orchard with the finest Independent/Assisted Living and Memory Care community in the region.Every one of our residents is treated with the utmost respect and dignity. We want them to...
Photo of Horizon House

Horizon House

900 University St, Seattle, WA 98101
Starting at $X,XXX+ monthly
5 star
0%
4 star
100%
3 star
0%
2 star
0%
1 star
0%
Studio, 1bd, 2bd, Semi-Private
Horizon House - Live Creatively Horizon House is a vibrant continuing care retirement community located in the heart of downtown Seattle since 1961. Our beautiful campus is home to almost 600 seniors who thrive in place at every age and stage. For those who are seeking an active lifestyle, we...
Photo of Bay Pointe Retirement and Marine Courte

Bay Pointe Retirement and Marine Courte

966 Oyster Bay Ct, Bremerton, WA 98312
Starting at $X,XXX+ monthly
8.8
Review score
38 reviews
8.8
Review score
38 reviews
5 star
55%
4 star
42%
3 star
0%
2 star
0%
1 star
3%
Studio, 1bd, 2bd, Semi-Private
Located on picturesque Oyster Bay in Bremerton, WA, Bay Pointe Retirement Community has offered a gracious and ideal location for seniors for 20 years. The community is nestled in a waterfront neighborhood 2 miles from local shops and eateries, 1/2-mile Hwy 3 and about 2 miles from the Naval...
Aegis of Greenwood outdoor common area

Aegis of Greenwood

10000 Holman Rd NW, Seattle, WA 98177
Starting at $X,XXX+ monthly
8.0
Review score
2 reviews
8.0
Review score
2 reviews
5 star
50%
4 star
50%
3 star
0%
2 star
0%
1 star
0%
Studio, 1bd, 2bd, Semi-Private
Aegis Living Greenwood, located in the heart of Northwest Seattle. Each element of our new assisted living and memory care community’s design has been carefully curated to help you live your best. The welcoming stone fireplace encourages residents to gather around to enjoy each other’s company....
Photo of Queen Anne Manor

Queen Anne Manor

100 Crockett St, Seattle, WA 98109
Starting at $X,XXX+ monthly
6.5
Review score
34 reviews
6.5
Review score
34 reviews
5 star
50%
4 star
44%
3 star
6%
2 star
0%
1 star
0%
Studio, 1bd, Semi-Private
Welcome to Queen Anne Manor Senior Living, one of the most beautiful and historic buildings in the Queen Anne neighborhood. You’ll find Queen Anne Manor located in the upscale upper Queen Anne neighborhood 1 block from Queen Anne Drive with convenient shopping and dining.ASSISTED LIVINGHere at...

The features and amenities that are displayed on this page contain marketing information provided by the community. A Place for Mom has not confirmed the completeness of the provided information, and cannot guarantee its accuracy.

To conduct a complete investigation, seniors and their families should:

  • Tour any listed location to confirm the accuracy of the community description
  • Confirm that the community offers services that are required for the senior’s specific needs and budget
  • Check additional licensing and state audit information

If you become aware of any information that should be updated or noted, please contact A Place for Mom. A Place for Mom uses the term “assisted living” to indicate that the community provides some level of assistance with daily living activities. It does not indicate that the facility meets official state requirements for level of care.

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