Assisted Living Facilities in Washington
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Welcome to the vibrant world of assisted living in Washington! As our population continues to age, the demand for quality care and support for seniors has never been more crucial. Nestled in the majestic Pacific Northwest, Washington boasts breathtaking landscapes, bustling cities, and a rich cultural heritage. This article aims to shed light on the significance of assisted living in Washington, exploring how factors such as population, geography, and other key elements shape the demand for these services across the state.
Washington is home to a diverse population, encompassing both urban centers and rural communities. With an estimated population of over seven million residents, Evergreen State is teeming with individuals from different walks of life. Within this populace, a substantial portion consists of older adults who may require varying levels of assistance with daily activities. Assisted living facilities play a vital role in providing the necessary care and support, ensuring seniors can live fulfilling lives while maintaining their independence.
Geography also plays a significant role in shaping the demand for assisted living in Washington. The state's diverse topography, ranging from the coastal regions to the Cascade Mountains and the arid eastern plains, poses unique challenges in accessing healthcare services. Many seniors reside in rural areas, where the availability of healthcare facilities may be limited. Assisted living communities act as lifelines for these individuals, bridging the gap between access to care and maintaining a high quality of life.
Furthermore, Washington's dedication to fostering a thriving environment for its aging population has contributed to the growing demand for assisted living services. The state government has implemented various initiatives and policies to enhance the overall well-being of seniors, recognizing their invaluable contributions to society. These efforts, combined with the state's commitment to innovation and person-centered care, have positioned Washington as a hub for exemplary assisted living options.
In conclusion, assisted living in Washington serves as a crucial support system for older adults across the state. With its diverse population, varied geography, and proactive approach to senior care, Washington continues to champion the well-being and independence of its aging residents. In the following sections, we will explore the different types of assisted living facilities available, key considerations when choosing one, and the array of services and amenities that make Washington an exceptional place for seniors to thrive. So, let's embark on this informative journey, discovering the world of assisted living in the Evergreen State!
Washington Assisted Living - Cost:
When it comes to senior living expenses, Washington ranks on the higher end of the spectrum. Comparable to California and the pricey northeastern states, the cost of assisted living in Washington requires careful financial planning. On average, an assisted living unit in Washington will set you back a little over $4,000 per month, which is approximately $300 more than the national average. This means that compared to the Midwest or the South, you'll be paying several thousand dollars more each month.
However, many individuals find the cost of assisted living in Washington to be a small price to pay for the exceptional benefits it offers. From supreme healthcare coverage to the presence of exceptional staff and beautifully furnished residential care institutions, Washington provides a high standard of care for its seniors.
If you're seeking assisted living in Washington and budget is a consideration, there are more affordable options available. Cities such as Longview, Ellensburg, Kelso, Grandview, and College Place offer senior living communities with relatively lower costs.
It's worth noting that Washington provides numerous financial assistance programs to help offset the higher-than-average costs. Programs like COPES (Community Options Program Entry System) and Medicaid Personal offer assistance to residents in need of financial support. Notably, the Medicaid Personal Care option allows residents to choose their senior living provider, offering more flexibility compared to other types of financial aid. Additionally, the New Freedom Program and Community First Choice Program assist with room and board expenses related to assisted living costs.
While the cost of assisted living in Washington may be higher than the national average, the state's commitment to providing financial assistance options and the exceptional care offered by its facilities make it an attractive choice for seniors seeking quality senior living services.
Types of Assisted Living in Washington:
Washington offers a range of options when it comes to assisted living, providing seniors with diverse choices to suit their individual needs and preferences. Here are the primary types of assisted living available in the state:
- Adult Family Homes: Adult Family Homes (AFHs) are residential homes that provide care for a small group of residents. These homes offer a more intimate and family-like setting, typically accommodating 2-6 residents. AFHs provide assistance with daily living activities, including meals, medication management, personal care, and supervision, while fostering a cozy and personalized environment.
- Assisted Living Facilities: Assisted Living Facilities (ALFs) are larger communities that offer a wide range of services and amenities. ALFs provide private or shared living units along with common areas for socialization, dining, and recreational activities. Residents receive assistance with activities of daily living, such as bathing, dressing, and medication management. ALFs often offer additional services like housekeeping, transportation, and organized social events to promote an engaging and supportive community.
- Retirement Communities/Independent Living Facilities: Retirement communities or independent living facilities cater to active and self-sufficient seniors who seek a maintenance-free lifestyle. These communities provide private apartments or cottages and offer amenities such as fitness centers, dining options, and recreational activities. While they do not typically offer personal care services, residents can access supportive services on an as-needed basis.
- Continuing Care Retirement Communities: Continuing Care Retirement Communities (CCRCs) are comprehensive senior living communities that provide a continuum of care. CCRCs offer independent living options, as well as assisted living and skilled nursing care, all within the same community. This allows residents to age in place and transition to higher levels of care if and when needed, providing peace of mind and long-term stability.
Each type of assisted living in Washington has its own unique features, and seniors can choose based on their specific needs, lifestyle preferences, and budget. It is important to visit and research different facilities, considering factors such as location, services offered, staff qualifications, and resident testimonials, to ensure a well-informed decision that aligns with individual requirements.
Whether you prefer the intimate setting of an Adult Family Home, the community atmosphere of an Assisted Living Facility, the independent lifestyle of a Retirement Community, or the comprehensive care of a Continuing Care Retirement Community, Washington offers a variety of options to support and enhance the lives of its senior residents.
Licensing of Assisted Living Facilities in Washington:
In Washington, the licensing and regulation of assisted living facilities (ALFs) are overseen by the Department of Social and Health Services (DSHS). The state has specific guidelines and requirements in place to ensure the safety, well-being, and quality of care provided to residents in assisted living settings. Here's an overview of the licensing process and key considerations:
- Department of Social and Health Services (DSHS): The DSHS is responsible for licensing and monitoring ALFs in Washington. They establish and enforce regulations to safeguard the health and welfare of residents, as well as to maintain standards of care.
- Licensure Categories: Washington classifies ALFs into different categories based on the type of care and services they provide. The two main categories are ALFs for Medicaid members and Residential Care Services (RCS) Licensed Assisted Living Facilities. These categories help distinguish the types of care and funding options available to residents.
- ALFs for Medicaid Members: These facilities provide care for residents who are eligible for Medicaid-funded services. They must meet additional requirements and standards to participate in the Medicaid program. The specific regulations for ALFs serving Medicaid members are outlined by the DSHS.
- Residential Care Services (RCS) Licensed Assisted Living Facilities: These facilities are licensed by the RCS within the DSHS. They offer assisted living services to residents who may not be eligible for Medicaid-funded care. RCS-licensed ALFs must adhere to regulations set forth by the state to ensure the safety and well-being of their residents.
- Licensing Process: To obtain a license, ALFs must submit an application to the DSHS, along with the required documentation and fees. The application process includes a comprehensive review of the facility's policies, procedures, staffing qualifications, safety measures, and resident care plans. Inspections and surveys are conducted to assess compliance with regulations and ensure that the facility meets all necessary standards.
- Ongoing Monitoring and Compliance: Once licensed, ALFs in Washington undergo regular inspections and monitoring by the DSHS to ensure ongoing compliance with regulations. These inspections evaluate factors such as residential care, staff training, medication management, safety protocols, and overall facility operations. Any deficiencies or non-compliance issues identified during inspections must be addressed by the facility within a specified timeframe.
By implementing a robust licensing and regulatory framework, Washington strives to uphold high standards of care and protect the well-being of assisted living residents. It is important for individuals and families considering an assisted living facility to verify the licensing status and compliance history of any prospective facility to make informed decisions regarding their loved one's care.
Financial Assistance for Assisted Living in Washington:
Washington recognizes the importance of making assisted living services accessible to individuals who may require financial support. The state offers various programs and initiatives to help seniors cover the costs associated with assisted living. Here are some key financial assistance options available in Washington:
- COPES (Community Options Program Entry System): COPES is a Medicaid-funded program that assists eligible individuals in paying for long-term care services, including assisted living. It provides financial support to help cover the costs of room and board, personal care services, and other necessary assistance.
- Medicaid Personal Care: Medicaid Personal Care is another Medicaid-funded program that can help offset the high monthly costs of assisted living for residents in need. It allows individuals to choose their preferred assisted living provider rather than being restricted to specific facilities.
- New Freedom Program: The New Freedom Program is a state-funded program that offers financial assistance for individuals with disabilities. While it does not directly cover the cost of assisted living, it can help with expenses related to transportation and other services, which can indirectly alleviate the financial burden of residing in an assisted living facility.
- Community First Choice Program: The Community First Choice Program is a Medicaid-funded program designed to support individuals in receiving long-term care services in their preferred community settings, including assisted living. It offers financial assistance for room and board expenses associated with assisted living.
In addition to these specific programs, Washington residents may also explore other avenues for financial assistance. It is recommended to contact local Area Agencies on Aging (AAAs) or Aging and Disability Resource Centers (ADRCs) to inquire about additional resources, grants, or programs that may be available in their respective communities.
When considering financial assistance options, it is important to note that while Washington's assisted living costs may be higher than the national average, the availability of these programs can help alleviate some of the financial burdens associated with assisted living care.
It is advisable to consult with a knowledgeable professional, such as a social worker or financial advisor, to navigate the application process for these programs and determine the eligibility criteria. They can provide guidance and assistance in accessing the financial support needed to make assisted living in Washington more affordable and accessible.
Does Medicaid pay for assisted living in Washington?
Medicaid can play a significant role in covering the costs of assisted living in Washington for eligible individuals. While Medicaid itself does not directly pay for room and board in assisted living facilities, it offers programs that can assist with other services and expenses associated with assisted living care. Here's an overview of how Medicaid can support assisted living costs in Washington:
- Medicaid Personal Care: Washington's Medicaid Personal Care program provides financial assistance for personal care services for eligible individuals who require assistance with activities of daily living. While it does not directly cover the cost of room and board in assisted living facilities, it can help offset the expenses associated with personal care services provided within the facility.
- COPES (Community Options Program Entry System): COPES is a Medicaid-funded program that helps eligible individuals with long-term care needs, including those in assisted living. COPES can assist in covering the costs of personal care services, room and board, and other necessary assistance for Medicaid-eligible residents in assisted living facilities.
It's important to note that not all assisted living facilities in Washington accept Medicaid. Facilities that accept Medicaid residents may have a limited number of available slots or specific requirements. Therefore, it is crucial to verify whether a particular facility accepts Medicaid and meets the individual's care needs.
To determine eligibility for Medicaid programs in Washington, including assistance for assisted living, individuals must meet certain income and asset criteria. Eligibility is assessed through a comprehensive application process, which may include income verification, medical evaluations, and other documentation.
Navigating the Medicaid application process can be complex, and it is advisable to seek assistance from a knowledgeable professional, such as a social worker or Medicaid specialist, who can provide guidance and support throughout the process.
Overall, while Medicaid in Washington may not directly pay for the room and board costs in assisted living facilities, its programs, such as Medicaid Personal Care and COPES, can contribute to covering personal care services and other associated expenses, making assisted living more affordable for eligible individuals.
Choosing an Assisted Living Facility in Washington:
When it comes to selecting an assisted living facility in Washington, there are several key factors to consider to ensure that the chosen facility meets the needs and preferences of you or your loved one. Here are some essential steps to help guide you in the decision-making process:
- Determine Care Needs: Begin by assessing the specific care needs and preferences. Consider the level of assistance required with activities of daily living (such as bathing, dressing, and medication management), as well as any specialized care needs for conditions like dementia or mobility limitations. This will help narrow down the options and ensure that the chosen facility can provide the necessary support.
- Set a Budget: Determine the financial resources available for assisted living. Evaluate the costs associated with various facilities, including monthly fees, additional services, and any potential financial assistance programs. It's important to strike a balance between affordability and the level of care and amenities offered.
- Location and Accessibility: Consider the location of the assisted living facility. Determine whether proximity to family, friends, and medical services is important. Additionally, assess the accessibility of the facility, including transportation options, nearby amenities, and the overall community environment.
- Visit Potential Facilities: Schedule visits to prospective facilities to get a firsthand impression. Take note of the cleanliness, safety measures, and overall ambiance. Observe how staff interact with residents and assess their friendliness and attentiveness. Ask questions about the facility's policies, services, and activities to gain a comprehensive understanding.
- Review Facility Features and Amenities: Evaluate the features and amenities offered by each facility. Consider factors such as accommodation options, dining services, recreational activities, and access to common areas. Assess whether the facility aligns with personal preferences and promotes a comfortable and engaging living environment.
- Licensing and Accreditation: Verify that the assisted living facility is properly licensed and accredited by the appropriate authorities in Washington. Licensing ensures that the facility meets certain standards of care and safety. You can check the facility's licensing status through the Department of Social and Health Services (DSHS) website or by contacting the licensing agency directly.
- Seek Recommendations and Feedback: Reach out to individuals who have experiences with the facility, such as current residents, their families, or healthcare professionals. Their insights can provide valuable perspectives on the quality of care, staff support, and overall resident satisfaction.
- Review Contracts and Policies: Carefully review the facility's contract, policies, and procedures. Pay attention to important details such as fees, services provided, resident rights, and any restrictions or limitations. Seek clarification on any aspects that are unclear or require further explanation.
By following these steps and conducting thorough research, you can make an informed decision when choosing an assisted living facility in Washington. Remember, each individual's needs and preferences are unique, so take the time to find a facility that best suits the specific requirements and promotes a safe and comfortable living environment.
How to Protect Your Rights in Washington Assisted Living:
When residing in an assisted living facility in Washington, it is crucial to understand and protect your rights as a resident. Here are some key steps to help safeguard your rights and ensure a safe and supportive living environment:
- Know Your Rights: Familiarize yourself with the rights afforded to you as an assisted living resident in Washington. These rights include the right to dignity, privacy, choice, and freedom from abuse or neglect. Understand your right to participate in decisions about your care, access your personal records, and voice grievances without fear of retaliation.
- Review Facility Policies: Carefully review the facility's policies and procedures. Ensure that you have a clear understanding of the rules, expectations, and protocols in place. Pay particular attention to policies regarding resident rights, complaints and grievance procedures, medication management, and visitation policies.
- Maintain Open Communication: Establish open and effective communication channels with the facility staff. Discuss any concerns, questions, or requests promptly and respectfully. Building a positive relationship with the staff can contribute to a better understanding of your needs and help address any issues that may arise.
- Keep Documentation: Maintain a record of important documents, including your contract, care plans, and any agreements or correspondence with the facility. Document any incidents or concerns in writing, including dates, times, and individuals involved. This documentation can be useful if you need to address a complaint or assert your rights.
- Advocate for Yourself: Be an active participant in your care. Clearly communicate your preferences, needs, and goals to the staff. If you require assistance or accommodations, assert your rights and request appropriate support. Take an active role in decision-making processes regarding your care, treatment options, and daily routines.
- Understand Complaint Procedures: Familiarize yourself with the facility's complaint and grievance procedures. If you have concerns or believe your rights have been violated, follow the designated process for reporting and addressing complaints. Contact the appropriate authorities, such as the Department of Social and Health Services (DSHS), if necessary.
- Involve Loved Ones or Advocates: If possible, involve trusted family members or friends in your care decisions. They can serve as advocates and provide support in protecting your rights. Additionally, consider seeking assistance from a professional advocate or ombudsman who specializes in senior care and can help address any concerns or disputes.
- Stay Informed: Stay up-to-date on changes in assisted living regulations and policies in Washington. Being informed about your rights and any updates can empower you to advocate for yourself effectively. Regularly review resources provided by government agencies, advocacy organizations, and legal professionals specializing in senior care.
Remember, protecting your rights is essential to maintaining your well-being and ensuring a positive living experience in an assisted living facility. By understanding your rights, maintaining open communication, documenting important information, and seeking assistance when needed, you can help safeguard your rights and contribute to a respectful and supportive living environment.
Can I bring my own furniture and belongings to an assisted living facility in Washington?
In Washington, the ability to bring your own furniture and belongings to an assisted living facility can vary depending on the specific facility's policies and regulations. Here are some important points to consider:
- Facility Policies: Each assisted living facility may have its own guidelines regarding personal belongings and furniture. Some facilities may provide fully furnished units, while others may allow residents to bring their own furniture and belongings to create a more familiar and comfortable living environment. It is essential to inquire about the facility's policies regarding personal items during the selection process.
- Space Limitations: Keep in mind that the size of the unit or room allocated to you in the assisted living facility may have space limitations. It is important to assess the available space and determine if your furniture and belongings can reasonably fit within the provided area without causing overcrowding or safety concerns.
- Safety and Accessibility: The facility may have safety guidelines and accessibility requirements that need to be met. Certain items or furniture may not be allowed due to safety hazards or limited mobility considerations. It is advisable to consult with the facility staff to understand any restrictions or guidelines related to furniture and personal belongings.
- Considerations for Specialized Care: If you or your loved one requires specialized care, such as memory care for individuals with dementia, the facility's policies regarding personal items may be more stringent. Facilities specializing in memory care may have specific guidelines to promote a safe and supportive environment for residents with cognitive impairments.
- Communication with Facility Staff: It is important to communicate openly with the facility staff regarding your preferences and needs. Discuss your desire to bring personal furniture and belongings, and inquire about any specific requirements or restrictions. The staff can provide guidance and clarity on what is allowed within the facility's guidelines.
- Insurance and Liability: In some cases, the facility may require residents to carry their own insurance for personal belongings brought into the facility. It is advisable to review your insurance coverage and determine if additional coverage is necessary to protect your belongings while in the assisted living facility.
Remember, it is essential to clarify the specific policies and guidelines of the assisted living facility you are considering in Washington. By understanding the facility's regulations, discussing your preferences with the staff, and considering space limitations and safety considerations, you can make an informed decision about bringing your own furniture and belongings to the facility.
Free Resources for Seniors in Washington
Washington provides various free resources for seniors to support their well-being and quality of life. Here are some key resources available in the state:
- Aging and Long-Term Support Administration (ALTSA): ALTSA is a department within the Washington State Department of Social and Health Services (DSHS) that offers a range of services and programs for seniors. They provide information and assistance with accessing long-term care services, caregiver support, and in-home care, and help to navigate Medicaid and other benefit programs.
- Washington State Senior Services: The state offers a comprehensive website dedicated to senior services, providing a wealth of information and resources. It covers topics such as health and wellness, housing options, transportation services, legal assistance, and support for caregivers. The website can be accessed at https://www.dshs.wa.gov/altsa/senior-services.
- Senior Centers: Washington has numerous senior centers throughout the state that offer a variety of free or low-cost services and activities. These centers provide opportunities for socialization, exercise classes, educational programs, recreational activities, and access to supportive services. Contact your local Area Agency on Aging or search online for senior centers in your area.
- Benefits Check-Up: Washington State has a Benefits Check-Up program, which helps seniors identify and apply for public benefit programs they may be eligible for. This online tool allows individuals to answer a series of questions to determine their eligibility for programs such as Medicaid, Medicare Savings Programs, food assistance, energy assistance, and prescription drug assistance. The tool can be accessed at https://www.wabenefits.org/.
- Washington LawHelp: Washington LawHelp is a free online resource that provides legal information, resources, and self-help tools for seniors and low-income individuals. It covers various legal topics, including housing, healthcare, public benefits, consumer issues, and elder law. The website offers educational materials, self-help guides, and referrals to legal aid organizations. Visit https://www.washingtonlawhelp.org/ for more information.
- Transportation Services: Many communities in Washington offer free or reduced-cost transportation services for seniors. These services help seniors access medical appointments, grocery stores, and other essential destinations. Contact your local Area Agency on Aging or senior center for information on available transportation options in your area.
- Volunteer Programs: Washington State encourages senior volunteering through programs such as the Retired and Senior Volunteer Program (RSVP). These programs connect seniors with volunteer opportunities in their communities, allowing them to contribute their skills, experience, and time to meaningful causes.
It's important to note that eligibility requirements and availability of services may vary. For personalized assistance and guidance, consider reaching out to your local Area Agency on Aging, senior center, or the Washington State Department of Social and Health Services.
Top 10 Assisted Living Facilities in Washington
Serene Meadows Iii
While looking for assisted living in Davenport, Washington, you may come across Serene Meadows Iii, located at 803 1st in the 99122 zip code area in Lincoln County. Serene Meadows Iii provides assistance to retired adults living in Davenport who require help with bathing, dressing, transferring, feeding themselves, personal hygiene and going to the bathroom. Serene Meadows Iii includes services such as: snack shop, housekeeping and bathroom cleaning and incontinence management.
Elisabetas Loving Care
Elisabetas Loving Care is an affordable assisted living facility located in Bothell, Washington. It has a total of 6 assisted living apartments. Elisabetas Loving Care can be found at 2507 167th Pl Se, in the 98012 zip code area. It assists older adults living in Snohomish County with ADLs that include feeding by spoon and assistance moving around. A few of the amenities you can find at Elisabetas Loving Care include a movie theater, full activities program and appointment transportation.
Paradise Villa Afh
Located at 15322 Se 256th St, inside 98042 zip code area, Paradise Villa Afh offers assisted senior living in Kent, WA to 55+ adults who reside in King County. Paradise Villa Afh offers services that include 24-hour security system, help with medications and massage service. It can accommodate up to 6 King County residents.
Evergreen Place is a pet friendly assisted living community situated at 11520 17 Ave Ne, 98125 zip code. Up to 6 older adults who want a personal care home in King County can take advantage of assisted living services offered by Evergreen Place. This senior care home includes services like help with relocation and individual dining help, tailored service plan, as well as a hair salon.
Orchard's Place provides senior assisted living in Clark county, Washington. It offers a total of 6 studio, shared and 1-bedrooom apartments for 55+ adults. Orchard's Place includes features such as fitness activities and housekeeping, and it can also provide help with bathing and showering, putting on clothes, walking, self-feeding, personal hygiene and using the toilet to any retired adults living in Vancouver, WA and Clark County. Orchard's Place is located at 7709 Ne 147th Ave, 98682.
French Road Springs
For 55 and older adults who are looking for assisted living in Vancouver, Washington, French Road Springs is a wonderful luxurious residential care facility that offers a reading area and around-the-clock staff. It has a total capacity of 6 assisted living apartments and also offers pet-friendly facilities. Its official license number is 3006. French Road Springs offers assisted living services not only to Vancouver residents, but also to all Clark County seniors.
The Gracious One Adult Family Home
If your loved one needs aid with ADLs, you should consider The Gracious One Adult Family Home, an assisted living community in Lakewood, Washington located at 11803 Tomahawk Rd Sw, 98499 zip code area. It includes amenities such as licensed staff nurse, laundry services and emergency systems in rooms. The Gracious One Adult Family Home offers assisted living in Pierce County to up to 6 senior citizens.
Olympia Home In Lakewood #2
Olympia Home In Lakewood #2 provides senior assisted living in Pierce County to up to 6 senior citizens at a time. Olympia Home In Lakewood #2 is situated at 7006 Turquoise Dr Sw in the 98498 zip code area. As part of it individual care package, it provides services such as arts and crafts, incontinence management and medication support.
North Ridge House
North Ridge House, located at 745 N 180th St, Shoreline, Washington, 98133 provides assisted living for senior citizens residing in King County and surrounding areas. North Ridge House has a maximum capacity of 6 assisted living apartments. A few of its features include staff available day and night and landscaped courtyard.
Queen Hill Afh
Queen Hill Afh is an assisted living facility in Bothell, Washington, providing care and housing to seniors who need assistance with showering, putting on clothes, getting in and out of bed, feeding themselves and toilet hygiene. Its maximum accommodation capacity is 6 assisted living apartments. Queen Hill Afh provides amenities that consist of a movie theatre, medication support and individual service assessment.
All Cities and Counties in Washington with Assisted Living Options
- Adams County
- Asotin County
- BAINBRIDGE ISLAND
- BATTLE GROUND
- Benton County
- Bonney Lake
- Brush Prairie
- CASTLE ROCK
- Camano Island
- Chelan County
- Clallam County
- Clark County
- Cle Elum
- College Place
- Cowlitz County
- Deer Park
- Des Moines
- Douglas County
- EAST WENATCHEE
- FEDERAL WAY
- FRIDAY HARBOR
- Ferry County
- Franklin County
- Gig Harbor
- Grant County
- Grays Harbor County
- Island County
- Jefferson County
- King County
- Kitsap County
- Kittitas County
- Klickitat County
- LA CENTER
- LAKE FOREST PARK
- LAKE STEVENS
- Lewis County
- Lincoln County
- Long Beach
- MERCER ISLAND
- MOSES LAKE
- MOUNT VERNON
- Maple Valley
- Mason County
- Mill Creek
- Mountlake Terrace
- NINE MILE FALLS
- NORMANDY PARK
- NORTH BEND
- OCEAN PARK
- Oak Harbor
- Okanogan County
- PORT ORCHARD
- Pacific County
- Pend Oreille County
- Pierce County
- Port Angeles
- Port Townsend
- SEDRO WOOLLEY
- Saint John
- San Juan County
- Skagit County
- Skamania County
- Snohomish County
- Spokane County
- Spokane Valley
- Stevens County
- Thurston County
- UNIVERSITY PLACE
- WALLA WALLA
- Walla Walla County
- Whatcom County
- Whitman County
- Yakima County
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