Finding the Right Care
Shouldn't Be Overwhelming
We guide Washington & Oregon families through senior living decisions with clarity, compassion, and three decades of local experience.
The Pathway to Peace of Mind
Our three-decade-long proven process simplifies the search,
allowing you to focus on being a family again.
Personalized Discovery
We start with a conversation to listen and understand your clinical needs, social preferences, and budget considerations.
Thorough Research
Leveraging our vetted network of over 5,000 providers, we curate a tailored list of communities and homes that actually match your criteria — so you never have to sort through options alone.
Accompanied Tours
We don't just send you a list; we accompany you on tours to ensure you get the information you need to make an informed decision.
Seamless Transition
From move-in logistics to post-placement follow-ups, we ensure your loved one is settled, safe, and content in their new home.
Guidance in Motion
We don't hand you a list and wish you luck. We're with you at every step.
Local Trust
30+
Years

The Discovery
We take the time to listen and ask the in-depth questions that reveal what truly matters to you or your loved one's happiness.

The Tour
With our experience of helping thousands of families, we serve as a sounding board to provide you with the perspective of a neutral, third-party to select a provider.

The Follow-Up
Move-in is just the beginning. We stay actively involved to ensure you or your loved one feel confident in your decision and have the support you need.
The Local Difference
Why Northwest Families Choose 1st CHOICE
Deep community roots that national call centers simply cannot replicate —
and always at no cost to you.
Vetted Local Options
Access to over 5,000 local providers across Washington and Oregon.
A detrimental hidden cost of not giving families access to all the options.
In-Person Support
Your advisor lives in your community, tours the options with you and stays by your side throughout.
Remote call centers with no local presence, no tours, no follow-through.
Always Free — Guaranteed
100% free to families. Your monthly care fees stay exactly the same whether you use us or go alone.
Hidden costs, placement fees, or referrals biased toward the highest-paying chains.
Long-Term Commitment
We stay in touch after move-in to ensure your loved one is settled, safe, and content.
Transactional service that ends the moment a referral fee is collected.
Serving families in Seattle, Bellevue, Spokane, Vancouver, WA & the Portland Metro area.
Get Free GuidanceWhen to Call
If any of these concerns apply, it may be time to explore options.
Frequent Falls
Any fall, even without injury, is a major signal that current living arrangements need to be evaluated for safety.
Memory Changes
Missed medications, repeated questions, or uncharacteristic confusion are signs that specialized care may be needed.
Weight Loss or Poor Nutrition
Noticeable weight loss or an empty refrigerator often indicates that managing daily meals has become a burden.
Hospital or Rehab Discharge
When a medical event makes returning home unsafe, we specialize in urgent, 24/7 placement assistance.
Caregiver Exhaustion
When the physical and emotional toll on family members exceeds what is sustainable, it's time to seek a supportive community.
Social Withdrawal
Boredom, depression, and a lack of daily interaction can accelerate health decline. We offer communities and private homes that restore a sense of community and provide helpful safety nets.
Not sure if it's time? We're here to talk through your situation. Call 800-361-0138
Serving families across Washington & Oregon since 1993.
We Know Every Community
in Your Neighborhood
From as far north as the Canadian border to as far south as Olympia and Spokane, and also the Portland Metro and Vancouver, Washington area as well as Salem, Oregon, our advisors provide boots-on-the-ground service to assist you in finding what you need.
Washington
- King
- Snohomish
- Pierce
- Thurston
- Kitsap
- Whatcom
- Island
- Skagit
- Clark/Vancouver
Oregon
- Clackamas
- Multnomah
- Washington
- Yamhill
- Marion/Salem
Trusted by Families
