Carlyle Care Center

Program Director
206 South Post Street
Spokane, WA 99201

The Carlyle Care Center (CCC) is a 127-bed assisted living facility providing residential and assisted care for individuals 18 year of age and older. CCC specializes in caring for individuals with chronic mental illness, but also serves those with developmental disabilities, dementia, and/or substance abuse issues. Individuals may have a court order requiring them to be placed in a residential care facility, be admitted due to homelessness, be moving out of the home of a family member, or may be receiving hospice care. Residents frequently request to move to CCC upon discharging from Eastern State Hospital, and Sacred Heart Adult Psychiatric Unit.

The program works with residents to help achieve the most independent lifestyle within their ability and assists residents to manage symptoms of mental illness while promoting wellness in their lives. CCC works closely with several community agencies providing case management, psychiatric, and physician services. Also, CCC will admit residents that other assisted living facilities will not consider due to behavioral issues, frequent hospitalizations and/or criminal history.

The Carlyle is a highly structured, 24-hour care facility which fosters a safe, homelike environment and a sense of community. Resident care plans are individualized based on the psychiatric, medical and social needs and preferences. Social Services and nursing staff offer assistance to help residents manage symptoms of mental illness and address any medical concerns. Residents are encouraged to make decisions and be as independent as they are capable.

Who is eligible

Individuals 18 years of age or older with Medicaid and/or Medicare, unless private pay or VA-funded.

Prior to admission, potential residents are screened by CCC staff in order to assure that the needs and desires of the client can be met and that the client is a good fit for the facility. Another part of the screening process involves CCC staff reviewing the Department of Social and Health Services (DSHS) Annual Services Assessment or the Spokane County BHO Residential Discharge Screening Evaluation. These documents determine a potential resident’s history and level of care requirements and whether or not CCC is an appropriate placement.

How to apply

Aside from private pay or VA funded clients, there are two main options for assistance.

Spokane County residents enrolled with an agency within the Spokane County BHO, such as Frontier Behavioral Health, Lutheran Services, Catholic Charities, SPARC, or YFA Connections, must contact their primary clinician for a referral. The case manager will send a request to the BHO and a representative will send a referral packet to the Carlyle for review.

If not enrolled with a BHO, interested clients may contact DSHS – Home and Community Services to learn more about acquiring care. In Spokane, the Home and Community Services main number is 509-568-3700 or view their website here.

Clients residing outside of Spokane County should contact their local DSHS or BHO Support Network office for options.

Due to various restrictions, clients who are not currently Washington State residents are encouraged to contact the Spokane Home and Community Services main number 509-568-3700 for further information and instruction.

Please note, we do not accept reusable tenant screening reports.


  • 24/7 Licensed Nursing Assistant care around the clock
  • Licensed nurses on-site seven days/week
  • Housekeeping and laundry services seven days/week
  • Three meals per day plus dietician approved snacks
  • Special diets including diabetic, mechanical soft, renal and cardiac
  • Variety of both on and offsite activities including overnight campouts, fishing trips, picnics, dances/socials, exercise groups, cooking classes, bible study and trivia
  • Assistance with daily living activities such as shaving, bathing, nail care, toileting
  • Transportation to medical appointments including staff accompaniment if needed
  • Behavioral management and coordination with outside case management services
  • Assistance with financial needs including acquiring payee services
  • Medication assistance and medication monitoring
  • Wound care, skin assessments, consults to physicians
  • Licensed cosmetologist on site twice monthly offering free haircuts to residents
  • Psychiatrist from Frontier Behavioral Health onsite weekly
  • ARNP from Gentiva onsite weekly
  • Several beds designated for Veterans

See our Disclosure of Services for a complete list and description of all services provided at the Carlyle Care Center. 


Pathway House

Resident Housing Manager
222 South Howard Street
Spokane, WA 99201
Who is eligible

Applicants must have verifiable income and be supportive of recovery based housing.

How to apply to Pathway House

Please complete the Application Forms and submit them in person to the Resident Housing Manager at the Pathway House. In addition to verifiable income, applicants must also provide valid photo identification and a social security card.

Please note, we do not accept reusable tenant screening reports.


Pioneer Pathway House provides supportive housing services by an onsite resident housing manager. Each resident is offered an assessment from which an individual services plan (ISP) is created. The ISP identifies goals that the case manager will support during tenancy.

  • 39 units
  • 34 efficiency units and 5 studio apartments
  • Utilities included in rent
  • On-site laundry facility
  • Walking distance to bus line and community services

Please call for pricing
Deposit: $400*

* $100 of the $400 deposit is non-refundable for cleaning. The remainder of the deposit is refundable upon satisfactory completion of lease agreement. There is also a credit and background check fee of $35; we only accept money orders or bank issued checks - we do not accept cash or personal checks.‚Äč 


Phoenix House

Kim Deuser
Housing Director
703 E. Hartson
Spokane, WA 99202
Who is eligible

To qualify for Phoenix House, the following is required:

  • Personal income to cover monthly service fee
  • Active with Title 19 Medicaid
  • Resident has a mental health care provider employed by the Spokane County Regional Behavioral Health Organization and is participating in an ongoing mental health treatment
  • Individual does not have disqualifying convictions such as arson, sex offenses, or violence against vulnerable adults/children
How to apply

All individuals interested in living at the Phoenix House need to complete a referral form initiated by a case manager in order to process the application. The completed Phoenix House referral form then needs to be faxed to (509) 232-7085.

About Phoenix House

The Phoenix House is a transitional housing program that provides low-cost housing for adults with mental health issues (adults with children allowed). The program offers housing for up to six months, giving individuals ample time to look for permanent housing.

Residents of the Phoenix House adhere to a program that is a service agreement, not a lease. Spokane County owns and sponsors the Phoenix House and Pioneer Human Services manages the program.

The Phoenix House is a weapons and drug-free facility, and marijuana is not allowed.

Spokane County provides low rent in accordance with the following:
  • Individuals must be actively looking for permanent housing
  • Maximum stay is six months but we ask that residents work with their case manager to find housing as soon as s/he is able
  • Phoenix House staff has open communication with a resident's primary care provider(s) and weekly room inspections
  • Residents can earn a positive rental reference by timely service fee payments, neighborly conduct and following Phoenix House community rules
  • Secured access building with 24/7 staff on duty
  • 40 Units that include 39 studios and one 1-bedroom apartment
  • Rooms include stoves, refrigerators, beds, private bathrooms
  • Units are children friendly
  • TV Room with cable and phone service
  • Coin operated washer & dryer on each floor
  • Free parking and an outdoor picnic area

The monthly service fee is $250.00 for a studio and $275.00 for a 1-bedroom. There are no other fees. 


Victory House

Tennille Lightfoot
Program Manager
Who is eligible

Victory House serves male veterans who have an honorable or general discharge from the military.

How to apply/Referral process

A referral from Spokane Veterans Administration Medical Center is required to participate in program. For more information, contact Healthcare for Homeless Veterans at 509-462-2500.

Additional housing units have also been designated for veterans in Permanent Housing at City Gate Apartments in Bellingham.


Pioneer’s Victory House is located in downtown Spokane, Washington and provides housing and support services to homeless veterans who are living with substance use disorders, mental health and medical issues, and criminal histories. The program also provides the tools veterans need to help rebuild their lives so they can successfully transition to permanent housing.

  • 35-bed facility
  • Transitional, supportive housing for veterans
  • Community living environment (shared kitchen and bath facilities)
  • On-site laundry facility
  • Utilities and basic cable included
  • Walking distance to shopping and services
  • On bus line