Serving Washington & Oregon Since 1993
800-361-0138
1st CHOICE Advisory Services

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.

Get Free Guidance
250+ Five-Star Google Reviews|200,000+ Families Helped

The Pathway to Peace of Mind

Our three-decade-long proven process simplifies the search,
allowing you to focus on being a family again.

01

Personalized Discovery

We start with a conversation to listen and understand your clinical needs, social preferences, and budget considerations.

02

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.

03

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.

04

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.

Our Process

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

Advisor and family reviewing a tailored care list over coffee
1

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.

Advisor walking with a senior through a modern assisted living lobby
2

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.

Advisor smiling with a settled senior in a comfortable room
3

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 Guidance

When to Call

If any of these concerns apply, it may be time to explore options.

01
Stability Support

Frequent Falls

Any fall, even without injury, is a major signal that current living arrangements need to be evaluated for safety.

Talk to Us→
02
Cognitive Care

Memory Changes

Missed medications, repeated questions, or uncharacteristic confusion are signs that specialized care may be needed.

Talk to Us→
03
Nutrition & Wellness

Weight Loss or Poor Nutrition

Noticeable weight loss or an empty refrigerator often indicates that managing daily meals has become a burden.

Talk to Us→
04
Urgent Transition

Hospital or Rehab Discharge

When a medical event makes returning home unsafe, we specialize in urgent, 24/7 placement assistance.

Talk to Us→
05
Family Relief

Caregiver Exhaustion

When the physical and emotional toll on family members exceeds what is sustainable, it's time to seek a supportive community.

Talk to Us→
06
Community Connection

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.

Talk to Us→

Not sure if it's time? We're here to talk through your situation. Call 800-361-0138

Our Territory

Serving families across Washington & Oregon since 1993.

Local Knowledge

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

What Families Are Saying

You Don't Have to Go Through This Alone

Helping 200,000+ families navigate senior living with integrity since 1993.