Our Story
A Legacy of Guidance Since 1993
Three decades of advocating for Northwest families in the ever-changing landscape of senior care.
The 1st CHOICE Difference
We Listen First
We start by asking the questions others miss—about social habits, clinical needs, and long-term financial sustainability. Your loved one's life is the map.
We Know the Neighborhood
With 5,000+ contracts across Washington and Oregon, we know the difference between a building's brochure and its daily reality. We've walked these halls.
We Walk the Halls
We don't just send a list. We accompany you on tours to ensure the tough questions get answered and your loved one is truly seen.
We Aren't Just a Referral Service
We are professional advocates who believe that every senior deserves a transition defined by dignity, and every family deserves peace of mind.
In 1993, our founder saw firsthand how overwhelming and isolating the process of finding senior care could be for families in the Pacific Northwest. There was no one sitting beside families at the table — just a fragmented system of brochures, phone calls, and conflicting advice. 1st CHOICE was built to change that.
More than thirty years later, we remain a family-centered business rooted in the communities we serve. Every advisor on our team lives and works in the Northwest. With 5,000+ contracts across Washington and Oregon, we know the options you'll want to consider, making your search focused only on the communities or homes that match your criteria.
This work is personal to us. It always has been.
An Unbiased Extension of Your Family
We are funded by the senior housing and care industry, which allows us to offer our decades of experience to families at absolutely no cost. Our recommendations are based entirely on what is right for your loved one — not a referral fee. No hidden incentives. Just honest guidance grounded in clinical experience and the trust of 200,000 families.
This is our Gold Standard promise.
Who We Serve
The Exhausted Spouse
When home caregiving has exceeded your own health and strength, we help transition with dignity.
The Adult Child
Managing a career and a family crisis simultaneously. We free you to focus on what matters most.
The Planner
You're thinking ahead and want to choose with clarity, not under pressure. We guide you through every option.