Top Home Care Agencies in Tacoma, Washington

Who are you searching for?

Visiting Angels of Tacoma, WA, Homewatch CareGivers of Mountlake, WA and Home Instead - Olympia, WA are the top home care agencies in Tacoma, Washington, providing compassionate and professional in-home support to help seniors live safely and independently. With 206 home care agencies in the area, families can find care to meet their loved one’s unique needs. On average, home care in Tacoma costs $42 per hour.

Tacoma also offers a variety of senior-friendly programs and community resources, including transportation services, meal delivery, caregiver respite programs, and wellness initiatives to support aging in place.

Home Care Agencies near Tacoma, WA

Table of contents

How much does home care cost in Tacoma, Washington?
How to pay for home care in Tacoma
Resources in Tacoma that help seniors age in place
Home care laws and regulations in Washington
How to choose the right home care agency in Tacoma

How much does home care cost in Tacoma, Washington?

The average cost of home care in Tacoma is $42 per hour, according to A Place for Mom’s proprietary data.^[01] This compares closely with the national average of $32 per hour. Tacoma’s cost of living is 26% higher than average, which can influence local care costs.^[02]

Families often hire part-time home care, averaging about 20 hours per week, which costs approximately $3,615 per month. A full-time schedule of about 44 hours per week may be better for seniors who need daily support. Full time home care costs about $7,953 per month in Tacoma.

If your loved one requires round-the-clock help, you may also want to compare home care expenses with an assisted living or memory care community, or a nursing home in Tacoma.

Average home care costs in Tacoma, WA

Average hourly rate

$42/hr

Average overnight rate

$44/hr

Average weekend rate

$46/hr

Home care costs vs. senior living costs in Tacoma, WA

44 hours of home care/wk

$7,953/mo

Assisted Living

$6,521/mo

Memory Care

$7,920/mo

Home care costs in Tacoma vs. state and national averages

Daily, monthly, and annual costs in the table below are based on a part-time care schedule of 4 hours of care per day, 5 days per week.

Cost comparison table showing home care costs by location. This table contains 3 rows of data across 5 columns.

Column location: Location (Location name)

Column hourlyCost: Hourly cost (Cost per hour)

Column dailyCost: Daily cost (Cost per day (4 hours))

Column monthlyCost: Monthly cost (Cost per month)

Column annualCost: Annual cost (Cost per year)

Location	Hourly cost	Daily cost	Monthly cost	Annual cost
Tacoma, WA	$42	$168	$3,637	$43,680
Washington	$41	$164	$3,551	$42,640
National	$32	$128	$2,771	$33,280

Tacoma, WA

Hourly cost:$42

Daily cost:$168

Monthly cost:$3,637

Annual cost:$43,680

Washington

Hourly cost:$41

Daily cost:$164

Monthly cost:$3,551

Annual cost:$42,640

National

Hourly cost:$32

Daily cost:$128

Monthly cost:$2,771

Annual cost:$33,280

Table showing 5 of 3 items. Click to show less.

Compare the costs of aging in place against senior living

Use our cost calculator to compare your loved one’s current living and home care expenses against the cost of senior living in Tacoma.

Get started

How to pay for home care in Tacoma

Families in Tacoma often use a combination of private funds, insurance, and public assistance programs to pay for home care.

Private pay options

Common private payment sources include:

Savings and retirement income. Families often rely on pensions, retirement accounts, or Social Security.
Long-term care insurance. Policies may reimburse some or all home care expenses.
Life insurance. Certain policies can be sold or converted into funds for care.
Home equity. Reverse mortgages or home equity lines of credit (HELOCs) may provide additional support.

Medicare

Medicare may cover short-term home health care when prescribed by a doctor and deemed medically necessary. Covered services can include:^[03]

Skilled nursing care
Physical, speech, or occupational therapy
Durable medical equipment and select medical supplies

Medicare won’t pay for long-term personal care or companionship services unless they’re part of a broader care plan that includes skilled nursing services.

Medicare resources in Tacoma

For unbiased information about Medicare benefits, seniors in Tacoma can contact the Office of the Insurance Commissioner at 800-562-6900, or visit the local office in Tacoma.

SHIBA (Statewide Health Insurance Benefits Advisors)
- 1116 S. 11^th St.
- Tacoma, WA 98405
- Phone: 253-593-2111

For more details and answers to basic questions about Medicare, visit Medicare.gov.

Medicaid

Washington Medicaid provides coverage for home and community-based services through two waiver programs: the Community Options Program Entry System (COPES) waiver and the Residential Support waiver. The state’s Medicaid plan also offers the Community First Choice program to help cover the cost of in-home care for eligible residents. These services may include:

Personal care assistance
Homemaker and chore services
Respite care for family caregivers
Skilled nursing
Adult day health

Medicaid resources in Tacoma, WA

Seniors in Tacoma can apply for Apple Health, Washington’s Medicaid program, online at Washington Connection. For local support, consider the office of the state’s Department of Social and Health Services:

Pierce South Community Services Office
- 1301 E. 72^nd St.
- Tacoma, WA 98404
- Phone: 877-501-2233

VA benefits

Veterans and surviving spouses in Tacoma may qualify for VA programs that help pay for in-home care:

Aid and Attendance (A&A) benefit. The Aid and Attendance benefit provides additional monthly payments to eligible wartime veterans and surviving spouses who receive a VA pension and require assistance with daily activities. These funds can be used to pay for in-home care services. To apply, visit VA.gov to download Form 21-2680. The completed form can be uploaded online, mailed in, or submitted in person at the nearest regional benefit office in Seattle.^[07]
Homemaker and Home Health Aide Care. This program offers trained professionals to assist veterans with personal care needs, allowing them to remain in their homes. Services include help with activities like bathing, dressing, and meal preparation. Eligibility is determined by a VA health care provider, and services are coordinated through the local VA medical center. To apply, contact a VA social worker in Washington for next steps.^[08]
Veteran Directed Care (VDC). The VDC program allows eligible veterans to manage their own care services, including hiring personal care aides. This self-directed approach provides flexibility in choosing caregivers and tailoring services to individual needs. Enrollment is coordinated through the local VA medical center’s social work department. To access the program, reach out to your loved one’s VA social worker.^[09]

Resources for veterans in Tacoma

Senior veterans in Tacoma have several choices for help with VA benefits. Consider the following organizations:

American Legion
- 9600 Veterans Drive, SW
- Tacoma, WA 98493
- Phone: 253-583-1300
- Email: americanlakeserviceoffice@walegion.org

Pierce County Veterans Program
- 3602 Pacific Ave.
- Tacoma, WA 98418
- Phone: 800-992-2456
- Email: veterans@piercecountywa.gov

Washington State Department of Veterans Affairs
- 3602 Pacific Ave.
- Tacoma, WA 98418
- Phone: 253-798-7449

Resources in Tacoma that help seniors age in place

From meals to transportation, Tacoma provides a variety of supportive resources for older adults.

Pierce County Aging & Disability Resources
- The local aging and disability resource center (ARDC) provides information and services, such as caregiver support, senior centers, and events.
- 3200 Pacific Ave.
- Tacoma, WA 98418
- Phone: 800-562-0332
- Email: ARDC@piercecountywa.gov

Catholic Community Services of Western Washington
- This nonprofit offers a range of services, including reduced transportation fares, housing, home-delivered meals, and more.
- Phone: 253-474-1300

Pierce Transit SHUTTLE
- Pierce Transit provides a paratransit service offering door-to-door transportation for eligible seniors and people with disabilities.
- Phone: 253-581-8000

Northwest Justice Project
- The Northwest Justice Project provides free or low-cost legal assistance to qualifying seniors.
- Phone: 888-201-1012

Home care laws and regulations in Washington

Home care regulations in Washington are designed to protect seniors and ensure safe, professional care.

Licensing and accreditation

Home health agencies that provide skilled nursing, and home care agencies that provide nonmedical services must be licensed in Washington.^[10,11] To receive Medicare or Medicaid reimbursement, agencies may also pursue accreditation from organizations like Joint Commission or CHAP.

All providers must comply with state standards for training, record-keeping, and supervision.

Hiring practices

Licensed agencies in Washington must:^[11]

Complete background checks for all employees
Provide caregiver training and ongoing education
Document services and provide regular supervision

These standards promote safety and ensure a consistent quality of care.

How to choose the right home care agency in Tacoma

Request detailed pricing information

Ask each agency for a written estimate of hourly rates, minimum service hours, and additional charges, such as weekend or holiday care.

Ask about caregiver training and expertise

Find out if caregivers are trained in specialized areas such as dementia care, mobility support, or chronic illness management.

Verify licensing and inspection history

You can review inspection records and verify licensing through the Washington State Department of Health’s online portal.

Read home care reviews

Family reviews provide valuable insight into the dependability, communication, and care quality of local home care agencies.

Frequently asked questions about home care in Tacoma

Visiting Angels of Tacoma, WA, Homewatch CareGivers of Mountlake, WA and Home Instead - Olympia, WA are the top-rated Home Care facilities near Tacoma, WA. These Home Care facilities received the highest rankings based on verified family reviews. See full list of communities.

The average cost of Home Care in Tacoma is $7,953 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.

Home care is provided by an aide who comes to a senior’s home to help with daily chores and activities of daily living. It can be offered anywhere a senior calls home — including a house, senior apartment, independent living, or assisted living. Learn more about home care.

Home care services are customizable to a senior’s unique needs. Services can include companionship, help with chores like cooking and housekeeping, or assistance with activities of daily living, like toileting and bathing. Explore home care services in more detail.

Home care provides nonmedical services for seniors who require assistance with daily tasks like housework, bathing, dressing, and transportation. In contrast, home health care is prescribed by a doctor and includes services like skilled nursing care and therapies, health monitoring, and medication administration that are provided by licensed medical professionals. Read more about home care vs. home health care.

Most agencies offer personal care, companionship, meal preparation, transportation, and light housekeeping. Some also provide skilled nursing or therapy.

Yes. Many agencies offer flexible schedules, including hourly, part-time, or overnight care.

Yes. Several agencies in Tacoma provide round-the-clock support through live-in caregivers or rotating staff shifts.

Yes. Some agencies employ bilingual staff, with Spanish and Vietnamese among the most common languages spoken locally.

References

A Place for Mom. (2025). A Place for Mom proprietary data.
Payscale. Cost of living in Tacoma, Washington.
U.S. Centers for Medicare & Medicaid Services. (2024). Home health services. Medicare.gov.
Washington State Department of Social and Health Services. HCBS – COPES waiver amendment.
Washington State Department of Social and Health Services. HCBS – Residential support waiver amendment.
Washington State Department of Social and Health Services. Community First Choice (CFC) option.
U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.
U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.
U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.
Washington State Legislature. (2025, May 30). Requirements for in-home services agencies licensed to provide home care, home health, and hospice services.
Washington State Department of Health. (2018, April 6). Home care agencies: updated rules.

More questions?

Ask an A Place for Mom local advisor at no cost.

The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.

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Top Home Care Agencies in Tacoma, Washington

Home Care Agencies near Tacoma, WA

Our expert advisors can help

How much does home care cost in Tacoma, Washington?

Average home care costs in Tacoma, WA

Home care costs vs. senior living costs in Tacoma, WA

Home care costs in Tacoma vs. state and national averages

Compare the costs of aging in place against senior living

How to pay for home care in Tacoma

Private pay options

Medicare

Medicare resources in Tacoma

Medicaid

Medicaid resources in Tacoma, WA

VA benefits

Resources for veterans in Tacoma

Resources in Tacoma that help seniors age in place

Home care laws and regulations in Washington

Licensing and accreditation

Hiring practices

How to choose the right home care agency in Tacoma

Request detailed pricing information

Ask about caregiver training and expertise

Verify licensing and inspection history

Read home care reviews

Frequently asked questions about home care in Tacoma

What are the top-rated Home Care facilities near Tacoma, Washington?

How much does Home Care cost in Tacoma, Washington?

What is home care?

What services does home care provide?

What is the difference between home care and home health care?

What services do home care agencies in Tacoma provide?

Can I hire a part-time caregiver in Tacoma?

Is 24-hour home care available in Tacoma?

Do Tacoma home care agencies offer bilingual caregivers?

References

More questions?