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

The Spectrum of Senior Care

From independent living to skilled nursing, we guide families through every care option available in the Pacific Northwest.

Care Option

Independent Living

Active seniors who want community, amenities, and social activities with minimal care support.

Private apartments with full amenities and dining programs

Social events, fitness classes, and community outings

On-site transportation and 24-hour staffing

Advisor Tip

Independent living is perfect for maintaining autonomy while gaining the social connections that keep seniors engaged. Look for communities with robust programming and a strong activity calendar.

Care Option

Assisted Living

Seniors needing help with daily activities but still seeking independence and social engagement.

Personalized support with daily activities and medication management

Three meals daily, housekeeping, and laundry services

Active social programming in a community setting

Advisor Tip

Assisted living is the sweet spot for many families. It provides hands-on support while preserving dignity and choice. Our advisors excel at matching residents to communities that truly feel like home.

Care Option

Memory Care

Individuals with Alzheimer's disease or other dementias requiring specialized programming and security.

Secured, purpose-built units designed for safe wayfinding

Staff specially trained in dementia care and behavior support

Therapeutic programming tailored to cognitive abilities

Advisor Tip

Memory care requires more than just locks and monitoring—it demands compassion, experience, and programming that honors your loved one's dignity. We have deep relationships with Northwest communities setting the gold standard.

Care Option

Adult Care Homes

Seniors seeking intimate, residential neighborhood living with personalized care in a home-like setting.

Small homes (4 – 10 residents) set in residential neighborhoods

High caregiver-to-resident ratios with home-cooked meals

Intimate atmosphere that feels like family, not a facility

Advisor Tip

Adult Care Homes embody the Pacific Northwest spirit—intimate, authentic, and deeply rooted in community. These hidden gems offer care that feels more like family than facility. Our local knowledge here is unmatched.

Care Option

In-Home Care

Seniors who want to age in place with professional support while maintaining their own home and routines.

Hourly or live-in care from light housekeeping to skilled nursing

Flexible scheduling built around your loved one's routine

Maintains independence and the comfort of a familiar home

Advisor Tip

In-home care is increasingly sophisticated and often more affordable than facility-based options. The key is finding the right caregiver match and ensuring adequate coverage for your loved one's safety and peace of mind.

Care Option

Residential Care Facility

Seniors who need a structured care environment with on-site support in a community setting.

Licensed facilities with 24-hour supervised care

Assistance with daily activities, meals, and medication management

Structured programming and social activities

Advisor Tip

Residential Care Facilities offer a middle ground between assisted living and a nursing home. Our advisors can help you find the right fit based on your loved one's care needs and personal preferences.

Care Option

Continuing Care Retirement Communities

Seniors planning for the long term who want access to all levels of care on one campus.

Multiple levels of care — independent, assisted, and memory — on a single campus

Residents can transition between care levels as needs change

Long-term security with a consistent community and staff

Advisor Tip

CCRCs are ideal for seniors who want to plan ahead and avoid future moves. They offer peace of mind knowing that as care needs evolve, support is already in place on the same campus.

You Don't Have to Go Through This Alone

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