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 2024 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 2024 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 2024 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
VERIFIED PARTNER

Pacifica Senior Living Ellensburg

818 E Mountainview Ave, Ellensburg, WA 98926

9.2
Review score
96 reviews
Add review
9.2
Review score
96 reviews
5 star
92%
4 star
4%
3 star
0%
2 star
3%
1 star
1%
See all reviews
8.9
Review score
9543 reviews
99 facilities
For pricing & availability:
(866) 374-4058
Pacifica Senior Living Ellensburg
Pacifica Senior Living Ellensburg
3030 Photos available
33 Floor plans available
Pacifica Senior Living Ellensburg in google map
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Toni C
-
Family/friend
5.0
Pacifica is like family
Placing our mother in memory care was a very difficult, emotional decision. We were no longer able to keep her safe at home and chose Pacifica as her new home. The caregivers are caring, attentive and have really become an extended family for us. It’s reassuring to know our mom is safe, h

About the facility
Pacifica Senior Living Ellensburg

Ideally situated amidst churches, medical facilities, restaurants, and supermarkets, Pacifica Senior Living Ellensburg offers a wonderful location for retirement. This award-winning community enables its residents to live a life of leisure and freedom. With independent living, assisted living, memory care, and respite care services, residents have the ability to age in place as their care needs change.

At Pacifica Senior Living Ellensburg, the possibilities are endless. Residents may spend time participating in scheduled activities, unwinding with a classic film in the movie theater, grabbing a snack in the retro-themed diner, or attending on-site devotional services. Amenities also include raised garden beds, community fireplace lounges, a library, and an interior courtyard where residents can relax under the shady gazebo.

While residents are out making new friends and memories, the professional staff minimizes daily stressors through offering top-notch services. Whether it's housekeeping, laundry, or meal accommodations, residents are covered. Additionally, the care team offers assistance with personal care needs, cognitive stimulation, and more.

Prospective residents may choose from private, comfortable studios and one-bedroom apartments filled with natural light. The community also encourages residents to bring their pets and personal belongings to truly help them feel at home.

State licensing information

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Senior living options offered

Assisted Living

Memory Care

Independent Living

Pricing
for Pacifica Senior Living Ellensburg

Total monthly costs depend on room type, select services, and the level of care needed.

Base fees by room type

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Studio
Starting at $XXXX/mo
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1 Bedroom
Starting at $XXXX/mo
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2 Bedrooms
Starting at $XXXX/mo
*Prices quoted are monthly rental charges and are provided by the communities themselves. Actual prices may differ due to one-time fees, timing and care services required. Speak with your Senior Living Advisor to learn more.

Tours
at Pacifica Senior Living Ellensburg

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Pacifica Senior Living Ellensburg
Pacifica Senior Living Ellensburg

818 E Mountainview Ave, Ellensburg, WA 98926

Bonaventure of East Wenatchee community exterior
Bonaventure of East Wenatchee

50 29th Street Northwest, East Wenatchee, WA 98802

Avamere at Englewood Heights
Avamere at Englewood Heights

3710 Kern Rd, Yakima, WA 98902

Avamere at Wenatchee community exterior
Avamere at Wenatchee

1550 Cherry St, Wenatchee, WA 98801

9.2
Review score
96 reviews
9.2
Review score
96 reviews
5 star
92%
4 star
4%
3 star
0%
2 star
3%
1 star
1%
9.1
Review score
23 reviews
9.1
Review score
23 reviews
5 star
48%
4 star
35%
3 star
4%
2 star
4%
1 star
9%
9.0
Review score
15 reviews
9.0
Review score
15 reviews
5 star
47%
4 star
46%
3 star
7%
2 star
0%
1 star
0%
8.9
Review score
51 reviews
8.9
Review score
51 reviews
5 star
58%
4 star
24%
3 star
6%
2 star
2%
1 star
10%
Studio
Starting at $X,XXX/mo
Studio
Starting at $X,XXX/mo
Studio
Starting at $X,XXX/mo
Studio
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
1 bedroom
Starting at $X,XXX/mo
2 bedrooms
Starting at $X,XXX/mo
2 bedrooms
Starting at $X,XXX/mo
2 bedrooms
Starting at $X,XXX/mo
2 bedrooms
Starting at $X,XXX/mo

Active promotion

No

Active promotion

No

Active promotion

No

Active promotion

No

Pet friendly

Yes

Pet friendly

Yes

Pet friendly

Yes

Pet friendly

Yes

Care types offered

3

Assisted Living, Memory Care, Independent Living

Care types offered

3

Assisted Living, Memory Care, Independent Living

Care types offered

2

Assisted Living, Memory Care

Care types offered

2

Assisted Living, Independent Living

Reviews

for Pacifica Senior Living Ellensburg

9.2Review score96 reviews
9.2
Review score
96 reviews
5 star
92%
4 star
4%
3 star
0%
2 star
3%
1 star
1%
Pacifica Senior Living
8.9
Review score9543 reviews99 communities
Write a review
A Place for Mom has scored Pacifica Senior Living Ellensburg with 9.2 out of 10 using our proprietary review score based on 9 reviews in the last 2 years. Over all time, Pacifica Senior Living Ellensburg has 96 reviews with an average "overall experience" of 4.8 out of 5.
Overall Rating
4.8
Cleanliness
4.8
Friendliness
4.9
Care Services
4.9
Staff
4.9
Meals & Dining
4.4
Activities
4.8
Value for Cost
4.8
A Place for Mom has scored Pacifica Senior Living Ellensburg with 9.2 out of 10 using our proprietary review score based on 9 reviews in the last 2 years. Over all time, Pacifica Senior Living Ellensburg has 96 reviews with an average "overall experience" of 4.8 out of 5.
Parent company
Best of Senior Living 2023
Pacifica Senior Living
8.9
Review score9543 reviews99 communities
Logo for Pacifica Senior Living
Filters
Overall Experience
Date Submitted
Reviewer
Care Received
Verified Review
A Place For Mom has verified the person writing the review and their connection to the community.
1-20 of 96 reviews
Toni C - Family/friend
Memory Care
February 5, 2024
5.0
Pacifica is like family
Placing our mother in memory care was a very difficult, emotional decision. We were no longer able to keep her safe at home and chose Pacifica as her new home. The caregivers are caring, attentive and have really become an extended family for us. It’s reassuring to know our mom is safe, happy and close enough for us to visit every day. The facility is always clean and well kept. We’re so relieved to have found Pacifica.
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
5
Response from Pacifica Senior Living Ellensburg
February 8, 2024
Hi Toni C, thank you for leaving this detailed review about your experience with our community! We always strive to provide top quality service and are pleased to hear that you enjoyed your experience here at Pacifica Senior Living Ellensburg. Thank you again, we hope that you have a great day!
Anonymous - Family/friend
Assisted Living
January 18, 2024
5.0
Verified Review
Highly Recommended
The staff has been very helpful and supportive throughout the process. Great communication and they treat the residents like family. The building is well kept and very clean. The meals are good and they provide large portions. The activity director is amazing. There seems to be some sort of activity or entertainment going on every time we visit. I highly recommend this home for anyone looking for a nice place for elderly loved ones.
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
5
Response from Pacifica Senior Living Ellensburg
January 22, 2024
Hi, thank you for leaving this detailed review about your experience with our community! We always strive to provide top quality service and are pleased to hear that you enjoyed your experience here at Pacifica Senior Living Ellensburg. Thank you again, we hope that you have a great day!
Shan S - Family/friend
Memory Care
November 15, 2023
5.0
Working with Pacifica
My contact person was with [name removed] she was tireless worked past 5 and on the weekends very professional and helpful. Can’t say enough good things about her there might even have been a hug and a tear from me. Pacifica was very clean the people there were very active with tons of planned activities and just walking groups great place
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
4
Activities
5
Value for Cost
5
Response from Pacifica Senior Living Ellensburg
November 17, 2023
Hi Shan S, we are so glad our team could exceed all of your expectations. Thank you for taking the time to leave this positive review for our community! We look forward to seeing you again at Pacifica Senior Living Ellensburg.
Karen - Family/friend
Memory Care
May 9, 2023
5.0
Caring and Understanding
Having a loved one in need of memory care is hard enough. Pacifica made the move in process easy! [name removed]and [name removed]. were amazing in handling a quick and painless transition for my mom from home to Pacifica. The entire team has helped us adapt to this new situation and we could not be happier than we are that we chose here for her next chapter. Thank You Pacifica!
Cleanliness
5
Friendliness
4
Care Services
5
Staff
5
Meals & Dining
3
Activities
3
Value for Cost
4
Response from Pacifica Senior Living Ellensburg
May 15, 2023
Hi Karen, thank you for sharing this positive review about your experience with our community! Here at Pacifica Senior Living Ellensburg, we always strive for top-quality service and are glad we could provide it for you.
Anonymous - Family/friend
Assisted Living
May 1, 2023
2.0
Verified Review
safe and clean - needs improvement on transportation and follow through
Pacifica is not that great, but is the best Ellensburg has to offer. My dad's laundry is picked up inconsistently and he will end up missing clothes and being given clothes that are not his. There are very few snacks and not much variety in meals or snacks. This is not what was advertised when we did our tour. I have checked out other places in WA and AZ and they offer more for less. Pay employees better so they don't have such a high turnover
Cleanliness
2
Meals & Dining
2
Activities
1
Value for Cost
2
Response from Pacifica Senior Living Ellensburg
May 9, 2023
Due to privacy laws, we are not able to comment on a current or former resident’s care. However, the team here at Pacifica Ellensburg are committed to provide our residents care that is both safe and enjoyable so that they can be free to live their best lives. Our laundry system is carefully handled by staff individually and is never mixed with other residents, so If ever we were to receive a complaint it could be fixed easily. Fortunately, this system has had few issues. The food service/menu options are currently being revamped by our chef and culinary team, so your dad can look forward to new menu items and improved variety. If your family has any specific improvement suggestions, we recommend that you speak directly to our interim executive director so she can assist in every way that she can.
Darlene - Family/friend
Memory Care
October 7, 2022
5.0
Verified Review
They are very engaging and such a loving staff! It seems very clean and the food always smells amazing! I have sampled it a couple of times and it was delicious! They do have great activities and even take the memory care out on field trips!
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
4
Response from Pacifica Senior Living Ellensburg
February 13, 2023
Thank you for your 5-star review!
KM - Family/friend
Assisted Living
July 25, 2022
5.0
Verified Review
An Amazing Place
The staff communicate well. They care for my parents really well and respect their wishes. They don't push them into doing things they're not comfortable doing. They really understand ageing and dementia and how to work with that. My parents tell me they love the food. The menu changes, and they have choices. It tastes very good. The staff comes and gets them when it's time to eat, and they have a choice between two different dinging rooms, one main larger one and another smaller one for their specific area. And if they're not feeling well, they can have meals brought to them.
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
5
Response from Pacifica Senior Living Ellensburg
August 27, 2022
Hi, thank you for taking the time to leave a positive review about your experience at our community. We hope you have a great day!
anonymous - Toured community
Assisted Living
May 12, 2022
2.0
Verified Review
Our Experience
The tour was okay, and I liked it well enough to select them. So we got all her furniture moved in, which was quite an ordeal. But then they denied her at the last minute saying she didn't have enough money.
Response from Pacifica Senior Living Ellensburg
June 15, 2022
Thank you for taking the time to leave us a review about your experience at our community! We appreciate you giving us the chance to improve by providing us with this feedback. Thank you again for the review!
Beverly M - Family/friend
Memory Care
May 6, 2022
5.0
Grateful
Sister lived there with Mom, until Mom passed in [date removed]. The entire staff has surpassed our every hope with each new challenge presented by ours sisters cognitive decline. Now it’s time she moves to the Memory Care wing and we could not be more grateful. The facility, the food, the care are the best, but the love and care shown by the staff is the most appreciated. Pacificia Assisted Living is not only a wonderful residence, but the mental relief knowing your loved one could not be in better hands is immeasurable. Thanks especially to [names removed] and everyone.
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
5
Response from Pacifica Senior Living Ellensburg
May 11, 2022
Beverly, your satisfaction is our top priority. Thank you for taking the time to leave us this positive review about your experience with our community! Take care!
Susan R - Resident/client
Assisted Living
November 29, 2021
5.0
My Review
[Name removed] has been awesome. So caring and has helped me so so so much. What a dear!!
Response from Pacifica Senior Living Ellensburg
December 3, 2021
Susan R, we're happy you found our staff to be so supportive during your experience here at Pacifica Senior Living Ellensburg.
anonymous - Family/friend
Assisted Living
September 13, 2021
5.0
my review
Today I came in and saw my loved one sitting with some real sweet friends in the lobby. Makes me so happy to see her happy with friends.
Response from Pacifica Senior Living Ellensburg
October 27, 2021
Anonymous, we really appreciate your positive review!
Mallika - Family/friend
Memory Care
February 26, 2021
4.0
Verified Review
We are very happy with it
The care giver team is fantastic, they are very good and communicative and they make sure to being in touch with us at all times. They also set up regular face times so we can see our loved one.
Cleanliness
5
Friendliness
5
Care Services
4
Staff
5
Meals & Dining
5
Value for Cost
4
Response from Pacifica Senior Living Ellensburg
October 31, 2021
Hi Mallika! We're so happy we were able to help you out!
Steven - Family/friend
Assisted Living
February 16, 2021
5.0
Verified Review
Hidden Gem In the Middle of Washington
It was very accommodating and friendly. Everyone was willing to accommodate changes my loved one is going through. The staff were very easy to work with, patient and kind.
Care Services
5
Staff
4
Value for Cost
5
Response from Pacifica Senior Living Ellensburg
October 31, 2021
Steven, your wonderful feedback and rating mean a lot to us.
Kristy Spencer - Family/friend
Assisted Living
January 21, 2021
5.0
Verified Review
Review of Pacifica Senior Living Ellensburg
We are so impressed by the care staff and changes we are seeing in management! We have been telling everyone we know how great living at Pacifica is!
Cleanliness
5
Friendliness
5
Care Services
5
Staff
5
Meals & Dining
5
Activities
5
Value for Cost
5
Response from Pacifica Senior Living Ellensburg
January 25, 2021
Kristy Spencer, thank you for your kind review; we are happy to pass along your comments to the team here at Pacifica Senior Living Ellensburg!
Danielle Bricker - Family/friend
Memory Care
December 15, 2020
5.0
They truly care....
We recently moved my mom into Pacifica and the team has been amazing. Especially during COVID. With certain activities limited, they are going out of their way to keep residents engaged and spirits up. My mother, like many I’m sure, had some very specific needs and [name removed] and the rest of the team have accommodated and helped her immensely. Thank you for the price of mind, Pacifica!
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Ellensburg
February 14, 2021
Hello, thank you for your positive review, we are grateful to see that you feel this way! We strive to provide excellent care and service to our residents and their families at Pacifica Senior Living Ellensburg. Thank you again, we hope you have a wonderful day!
Stephaine M - Family/friend
Memory Care
December 10, 2020
5.0
Verified Review
i dont think you'll find better.
This was a good facility for mom. The communication from the staff was really great and my mom was happy there. They went above and beyond to make sure she was taken care of. I would definitely recommend this facility to others.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Ellensburg
October 27, 2021
Hello, thank you for leaving us such a wonderful review. We are thrilled that you enjoyed your experience here; our staff will definitely be happy to read what you wrote. We put resident experience and satisfaction as our priority, and your review reaffirms the hard work we put in every day. Thank you again for your kind words and we look forward to seeing you again.
anonymous - Resident/client
Memory Care
October 5, 2020
5.0
Verified Review
Review of Pacifica Senior Living Ellensburg
As a resident, i feel blessed to live somewhere that is keeping us safe during these times.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Ellensburg
November 24, 2020
Hello, thank you for your positive review, we are grateful to see that you feel this way! We strive to provide excellent care and service to our residents and their families at Pacifica Senior Living Ellensburg. Thank you again, we hope you have a wonderful day!
anonymous - Family/friend
Memory Care
October 5, 2020
5.0
Verified Review
Review of Pacifica Senior Living Ellensburg
My mother was a resident at Pacifica Senior Living Ellensburg September 2019 through December 2019. As an RN who had worked with the geriatric population I was very concerned on finding the correct care for my mother. I found the staff from clerical, housekeeping, kitchen, caregivers, through nursing, and administration to be optimum. While maintaining professional parameters they provided a family caring environment.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Ellensburg
November 24, 2020
Thank you for your positive review, we appreciate your feedback! We always strive to provide top quality service and care to every resident and their families. We are so are pleased to hear that you enjoyed your experience here at Pacifica Senior Living Ellensburg. Thank you again, we hope that you have a wonderful day.
anonymous - Family/friend
Memory Care
October 5, 2020
5.0
Verified Review
Review of Pacifica Senior Living Ellensburg
My sisters and I greatly appreciated the responsiveness, flexibility and compassion of Pacifica staff in accommodating our mom's long distance move into the facility and her subsequent care. Despite my mom passing shortly thereafter, I will always remember the genuine kindness shown to my mom and the family by the various care and administrative staff at Pacifica and KVH Hospice during that difficult time.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Ellensburg
November 24, 2020
Hi Anonymous, thank you very much for taking the time to leave us this positive review for our team at Pacifica Senior Living Ellensburg. We appreciate it & so do our other reviewers at Senior Advisor. We hope to see you again soon!
anonymous - Family/friend
Memory Care
October 5, 2020
5.0
Verified Review
Review of Pacifica Senior Living Ellensburg
Staff are amazing, compassionate, and helpful. [Name removed] is fantastic, [name removed] is experienced, helpful, and takes the time to listen to concerns and offer solutions.
Cleanliness
5
Friendliness
5
Value for Cost
5
Care Services
5
Activities
5
Response from Pacifica Senior Living Ellensburg
November 24, 2020
Hello, thank you for leaving us such a wonderful review. We are thrilled that you enjoyed your experience here; our staff will definitely be happy to read what you wrote. We put resident experience and satisfaction as our priority, and your review reaffirms the hard work we put in every day. Thank you again for your kind words and we look forward to seeing you again.
Viewing 1-20 out of 96 reviews

Amenities
at Pacifica Senior Living Ellensburg

Healthcare Services

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

Meals & Dining

  • Room Service
  • Special Dining Programs
  • International Cuisine
  • Guest Meals
  • Restaurant Style Dining
  • Vegetarian
  • Low / No Sodium
  • Meals Provided

Room Amenities

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

Community Amenities

On-site dining options

  • Private Dining Room

Transportation & parking

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

Pets

  • Dogs Allowed
  • Cats Allowed
  • Weight Limit (lbs)

Common areas

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

Recreational areas

  • Arts and Crafts Center
  • Jacuzzi
  • Raised Garden Beds
  • Piano or Organ
  • Game Room
  • Movie or Theater Room

Services

  • Beautician
  • Housekeeping
  • Laundry Service / Drycleaning

Languages spoken

  • English
  • Spanish

Activities

  • Live Musical Performances
  • Birthday Parties
  • Trivia Games
  • Reminiscence Programs
  • Art Classes
  • Devotional Activities Offsite
  • Holiday Parties
  • Catholic Services
  • Devotional Activities On-Site
  • Intergenerational Programs
  • Montessori Programs
  • Wine Tasting
  • Live Dance or Theater Performances
  • Gardening Club
  • Community Service Programs
  • Activities On-site
  • Educational Speakers / Life Long Learning
  • Happy Hour
  • Day Trips and Outings
  • BBQs or Picnics
  • Tai Chi
  • Live Well Programs
  • Stretching Classes
  • Yoga / Chair Yoga
  • Visiting Chaplain or Priest
  • Mormon/LDS Services
  • Activities Off-site
  • Brain fitness / Dakim

Neighborhoods
around Pacifica Senior Living Ellensburg

See what the neighborhood has to offer and what’s nearby:
Pacifica Senior Living Ellensburg in google map

Frequently Asked Questions
about Pacifica Senior Living Ellensburg

Pacifica Senior Living Ellensburg offers Studio and 1 Bedroom. Learn more.

A Place for Mom has scored Pacifica Senior Living Ellensburg 9.2 out of 10 using our proprietary review score.

 

We assign review scores to give a more reliable view into senior living communities and home care agencies. Our review scores prioritize reviews that are recent — the past 24 months — because we know families need current information when choosing senior care.

 

Those with many recent, positive reviews receive a high review score, while providers with few recent reviews — regardless of how positive — receive a lower review score. Communities with no recent reviews will not have a review score, even if older reviews are positive. The maximum A Place for Mom review score a community can receive is 10 points.

Call (509) 925-1220 to reach a resident at Pacifica Senior Living Ellensburg.

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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