24 Hour Licensed Nursing

When you look for a senior care community to take care of your loved one, it is essential to consider how their health needs will be taken care of and how qualified their staff is. At Madison House, we have registered nurses or licensed nurses 24 hours and 7 days a week who are professionally trained to support residents with assisted living needs. We recognize the complex and frail health conditions that many residents are experiencing and we believe our number one priority is caring for our residents with the highest level of care and professionalism. Our family taking care of your family in Kirkland since 1978.

Full Disclosure Pricing

What is Full Disclosure Pricing?  No-Nonsense, simple pricing which is easy to understand and compare. It shouldn't be hard to interpret your bill, and at Madison House, there are no games, sleight of hand invoicing, or sudden price changes. Full Disclosure Pricing for our residents is one of the many ways honesty, integrity, and doing the right thing is our guiding principles.

Welcome to Madison House Independent & Assisted Living Community

There’s nothing more important than family. From the modest nursing home in 1958 where founders Emmet and Alice Koelsch began, up to today, it’s our family philosophy fueling our commitment to residents and staff every day. We are dedicated to providing compassion and kindness to our residents and fellow employees. Our mission is to enrich the lives of those who live and work with us by responding to their unique needs and universal desire for dignity and respect. We are mindful that each resident comes to us with an individual set of needs. For some, those needs are as simple as companionship, a social atmosphere or a few kind words throughout the day. For others, it’s assistance with the basics of daily living such as housekeeping, laundry and the like. Still others require more dedicated care including therapy services, medication management and specialized individual care.

Our trained and tenured staff is here to serve the many differing needs of our residents, promoting creative thinking and learning, with patience, kindness and, above all, compassion. The later years of life can bring many joys and many challenges. We are committed to making these precious years fulfilling and enjoyable. And we will do this through our founding principles of excellent care and service.

Madison House Independent & Assisted Living Community


12215 NE 128th St Kirkland, WA 98034

The Koelsch family legacy of care

Our Family Legacy of Care

The Koelsch Communities story began in 1958.

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A tradition of family ownership and care at Madison House Independent & Assisted Living Community senior living communities
The Koelsch senior living family

Our Family Will Take Care of Your Family

Madison House, the first senior community built in the area, is situated in a peaceful neighborhood of Kirkland, Washington, home of some of the largest technology companies in the U.S. With easy access to downtown Seattle this historic town nestled on the shores of Lake Washington has a beautiful generational mix of both youth and age. Being only steps away from Evergreen Medical Center, Booth Gardner Parkinson’s Clinic and Neuroscience center as well as other medical clinics, Madison House can offer residents and families ease and peace of mind.

Family Legacy of Care • Compassionate Service • Committed to Excellence

The Freedom to Live as you Choose – In the Area You Know and Love

Whether you are looking for an independent lifestyle with help available as needed, or need regular assistance with the activities of daily living, Madison House can provide the finest environment for senior assisted living. Our professional staff and 24/7 nursing team is passionate about caring for our senior population at every level of the aging process. We hold ourselves to high principles working with each resident to create an environment and support that satisfies their specific needs. With vibrant activities every day, pet friendly environment and a professional, dedicated team Madison House facilitates an independent lifestyle with support at every level. We take pride in our family serving yours.

Come visit us!

Schedule a tour of our community and discover everything there is to love about living here.