Always Best Care 

Trusted and Reliable Senior Care Services

Always Best Care Values

Our Mission, Vision & Promise

What drives our passion for expert care services


Our Mission

To support our clients and their loved ones by providing the most reliable care services

Our Vision

To work as a united team providing the best senior care in the world, with the broadest range of services, and the most loving and consistent care anywhere


Our Promise

We are committed to providing you with the best care for your specific needs


Our Story

In the mid-1990’s, just outside of Sacramento, California, Michael Newman felt frustrated by the lack of resources for seniors in his community. An owner and operator of facilities for seniors, he saw many seniors and their loved ones arrive at his facilities confused and overwhelmed after trying to find the right assisted living community. This frustration eventually shaped his vision: To create a company that would serve seniors in the community by providing trusted care, compassionate support, and professional advice.

In 1996, Michael acted on his vision and founded Always Best Care. Since that time, Always Best Care has become one of the nation’s leading providers of non-medical in-home care, senior living referral services and home health care. Always Best Care was formed with the belief and agenda of taking the burden off of the families’ shoulders and putting it on our own. People with passion have made Always Best Care what it is today. Although times may change, our foundation never will.

Michael Newman believes that a successful senior care company is built on successful relationships at every level, in all directions. The things that make every relationship work make business relationships work too – caring, trust, respect, and communication. These are the values that guide our relationships with our clients, franchisees, employees, vendors, our community, and everyone we touch. Caring relationships are the foundation of our work – a sincere concern for the betterment of life that goes beyond just doing what is required, but doing the most we can for the seniors entrusted to our care.

Always Best Care began franchising in 2007 and today provides services through a network of more than 225 franchised territories across the United States and Canada.


Welcome to Always Best Care of Seattle

Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. In select markets we’ve also added skilled home care for clients that suffer from illness or injury.

Our passion for helping people maintain a safe, independent and dignified lifestyle represents the strong foundation of Always Best Care. Every client receives extraordinary care in an inspiring environment with caring and compassionate people. Our Care Coordinators have worked with thousands of seniors across the country, and we’re always ready to help you!

Service coverage: Always Best Care proudly serves Seattle Metro.

Call today at 206-922-3795

Or email [email protected]

2915 E Madison Street, Suite 304, Seattle Metro, WA 98112

Always Best Care combines national strength and standards with local accessibility and personal service. Sarah Cave, the owner of Always Best Care is a local resident and takes great pride in helping families care for their loved ones. Her goal is to join your family's journey and provide the absolute best care plan for your loved one. Her entire team has your loved ones best interest at heart, and will ensure that exceptional service and care is provided to all family members. All of our caregivers are carefully screened, thoroughly trained and insured to provide the safest and highest level of care. We have strong relationships with area hospitals, social workers, senior communities and senior resources across our communities. We are ready and willing to serve all your special care needs today!

Care Consultation

The first step in our process includes a personal consultation with a Care Coordinator at no charge to you. In our meeting, we will thoroughly discuss your care needs, create a detailed care plan, and work with you on financing and logistics.

Our Advantage

Benefits of
Always Best Care
Senior Services


Team of Caring People

We are a team of caring and compassionate people working together to provide the best possible care for you and your loved ones

Care at Each Step of the Way

We have worked with thousands of seniors and their families across the U.S. and Canada, providing the best service each step of the way

Proven Track Record of Success

Our team of professional caregivers has a proven track record of providing expert care to seniors and people with specific needs

serving you

Service Coverage

Your local Always Best Care team helps families throughout Seattle and surrounding areas



Tailored to Your Needs

Always Best Care In Home Care Services

Personal Care Services

  • 24-Hour Care​
    Always Best Care helps you find the perfect round-the-clock in-home care plan to fit your loved one’s circumstances and needs. 24-hour care is support that is available to anyone who needs extra help to carry on living at home. It can include help with shopping, cooking, cleaning, washing, dressing and all other daily tasks. The need for 24-hour care can be prompted by accident, illness, dementia, frailty, disability, or frailty caused by the aging process.
  • Bathing, Grooming
    & Dressing​
    Bathing, dressing and grooming play a large role in a senior’s daily routines. Maintaining good personal hygiene can be vital in preventing sickness, while dressing can impact an elderly individual’s self-esteem. Grooming and dressing are integral to the activities of daily living.
  • Cognitive Impairments​​
    Cognitive impairment is not an illness, but a description of someone’s condition. It means they have trouble with things like memory or paying attention. They might have trouble speaking or understanding. And they might have difficulty recognizing people, places or things, and might find new places or situations overwhelming.
  • Companionship​​
    Companionship care is primarily emotional support and companionship for seniors who are generally healthy and who want to remain independent at home.
  • Errands & Transportation​​
    Help with errands, shopping, and transportation falls under the category of Instrumental Activities of Daily Living (IADLs). These skills are necessary in order to live independently and that all of us do once we are up, out of bed, dressed, and ready to start our day. Transportation services for seniors can help maintain a level of independence without the need for the senior to drive themselves.
  • Escort to Activities​
    Escorting a senior to activities can help them if they feel unsafe or uncomfortable in public without accompaniment. Many trips are often used to assist seniors to utilize the services of health professionals and agencies that they otherwise would not be able to access.
  • Hospice
    Support / End-of-Life​​
    Hospice care is for people who are nearing the end of life. The services are provided by a team of health care professionals who maximize comfort for a person who is terminally ill by reducing pain and addressing physical, psychological, social and spiritual needs.
  • Hospital to Home​​
    Following a discharge from the hospital, the first three days are critical. During this time frame and beyond, the support given to a senior and their family play a vital role in the recovery process at home. A hospital-to-home program offers a comprehensive and flexible solution that can provide the physical and emotional support needed to recover safely and comfortably.
  • Incontinence / Toileting​​
    There are several types of incontinence, which include overflow incontinence, transient incontinence, stress incontinence, urge incontinence, and knowing a little about the different types can help the caretaker and the family make the best decisions about what levels of toileting assistance should be included in the care plan of their loved one.
  • Laundry Services​​
    For seniors, laundry can be a challenge. As people age, they may have less energy and stamina. One of the biggest benefits of laundry services is that they can help seniors stay independent. Laundry services can also help keep seniors healthy by ensuring the are wearing clean clothing.
  • Light Housekeeping​​
    Light housekeeping includes things like watering the plants, dusting of surfaces and knickknacks, as well as picking up newspapers, magazines and other clutter. It includes emptying the trash, vacuuming and sweeping of main walk areas. It can also include organizing drawers, shelves and closets. In a nutshell light housekeeping is completing the specific tasks required to tidy up areas that a client uses. Examples of what a light housekeeping service does not include are heavy-duty cleaning tasks that require moving heavy furniture, washing windows, cleaning carpets, or scrubbing floors. Nor does it cover outside chores, such as shoveling snow off sidewalks, raking, or mowing the grass.
  • Live-In Care​​
    Live-in care is for seniors who need around-the-clock assistance from a caregiver. Assistance is generally non-medical and includes such tasks as medication management, shopping, and assistance with activities of daily living (ADL). Though caregivers sleep at the senior’s residence, they generally aren’t required for assistance at night.
  • Meal Preparation​
    Meal preparation and eating healthy and nutritional food is important for seniors. Meal preparation assistance for the elderly is not just about cooking, but involves so much more. Maintaining a regular and consistent schedule can also play a role in emotional and physical health.
  • Medication Reminders​
    Medication reminders are a nonmedical service provided by a caregiver or a Certified Nurse Assistant (CNA). CNAs do not administer medications, or speak with a doctor or pharmacist about a senior’s medicine or regime—but they do ensure medication safety and regularity.
  • Mobility​
    Mobility is the ability to move or walk freely and easily — is critical for functioning well and living independently. As we age, we may experience changes to our mobility. There are many reasons for these changes, including changes in gait (how we walk), balance, and physical strength.
  • Nutrition Monitoring​​
    Nutrition is an important element of health in the older population and affects the aging process. The prevalence of malnutrition is increasing in this population and is associated with a decline in functional status, impaired muscle function, decreased bone mass, immune dysfunction, anemia, reduced cognitive function, poor wound healing, delayed recovery from surgery, higher hospital readmission rates, and mortality.
  • Overnight Care​​
    Overnight care revolves around a multitude of services which may include help using the restroom in the middle of the night, providing fluids and snacks in the evening, and assisting with preparing for bed. Elderly individuals may also receive help with transfer assistance throughout the night. Overnight caregivers can also prepare breakfast and offer morning care.
  • Safety Supervision​​
    Because more accidents occur inside the home than anywhere else, seniors and their caregivers must do everything in their power to make sure their homes are as safe and secure as possible. Some of the steps that can be taken to ensure homes are safe for seniors and their families include removing clutter, adding better lighting, rearranging cabinets and drawers, and assessing the safety risks of the bathroom.
  • Technology Assistance​​
    Technology can help the elderly live independently for longer by facilitating preventive care, early detection of, and response to, emerging health issues, as well as timely support for daily tasks. Technology offers a wide range of benefits to older adults. Seniors who use technology can also feel more connected to others, can be better engaged in the community and world around them, and be more informed about current events.
Our Team of Experts

Committed to Providing the Best Care & Support

Experienced Healthcare and Caregiving Professionals
  • Sarah H. Cave

    Sarah H. Cave

    Owner / Administrator
    View Full Bio
  • Kaitlin Maguire

    Kaitlin Maguire

    Operations Manager
    View Full Bio
  • Nicolo Gelb

    Nicolo Gelb

    Senior Living Referral Specialist
    View Full Bio
  • Nick Flesch

    Nick Flesch

    Care Supervisor
    View Full Bio

“We were referred to Always Best Care of Seattle 2 months ago by a family member who recently had surgery and raved about her excellent experience with them. My parents are homebound with very limited mobility. They want to stay in their condo as long as possible and we want to do all we can ensure they can safely do so. Always Best Care Seattle pointed out safety issues that needed immediate attention. These were issues neither my brother and I ever would have spotted. My parents currently have a caregiver a few days a week. The caregiver does their cleaning, laundry, preps meals for them, makes lunch and I’m sure many more things that I’m not aware of! Their home has never looked better (it actually sparkles)! Their caregiver always is on time (few minutes early actually) starts the day by sitting down with my parents and catching up and finding out what their priorities are for the day. Since they are homebound the social aspect is a really important part of their overall care. The caregivers have all been EXCELLENT. Each caregiver is very caring, loving and obviously love what they are doing. Any questions I have had (either for their caregivers or the ABCSEATTLE office staff-even the most random question they have had an answer for me or a suggested resource. As the level of care that they need becomes greater, ABCSEATTLE can assist us every step of the way. If they need care additional days, longer hours, help with bathing or dressing, drive to appts..they do it all. If they eventually need to move, they’ll take us to look at facilities and help us make the best decision for our family. We are beyond grateful to have found them!!!”


“I initially talked to Always Best Care of Seattle when my wife was sick and needed to have a place to go with her medical issues. They were very responsive and helpful, providing us with several quality solutions. When my wife passed away, I became the client as I could no longer stay in my home due to my physical issues. Again they were very responsive and helpful. I just moved into the community we chose together and is has been a great experience. I whole heartedly recommend them to anyone who needs their expertise.”

Richard C.

“I initially talked to Always Best Care of Seattle Metro when my wife was sick and needed to have a place to go with her medical issues. They were very responsive and helpful, providing us with several quality solutions. When my wife passed away, I became the client as I could no longer stay in my home due to my physical issues. Again they were very responsive and helpful. I just moved into the community we chose together and is has been a great experience. I whole heartedly recommend them to anyone who needs their expertise.”


“The staff is wonderful. We were very happy with the care that was received. Any questions and return phone calls were answered quickly. I would highly recommend this company.”

Marilee B.

“If you have never been through this process before with a loved one, you have no idea what the “ins” and “outs” of the process are. You can read about it, and you can watch a video about it, but you will not become an expert at it. Navigating the mine field of selecting a facility for the long-term care of a loved one requires experience, honesty, compassion, wisdom, patience, and impeccable communication skills. Sarah Cave, at Always Best Care – Seattle Metro, exceeded the expectations of my family in this endeavor. From my first contact meeting with Sarah on the phone to the final selection of the facility for our loved one, Sarah handled every step of the process with ease. At our first family zoom meeting to introduce Sarah to the family, she displayed an educated confidence that put the entire family at ease. We were left with no doubt that we had made the right choice to seek help with our search from Always Best Care – Seattle Metro and Sarah Cave. Thank you so much for your professionalism and honesty! Don Shogren”

Donald S.

“Sarah from Always Best Care Senior Services helped us find an adult family home for my mother in law. This was a very stressful time for our family, but through out the search process Sarah was awesome! Her hard work and expert guidance, as well as her kind and caring personality, relieved much of that stress and helped us find a great place for mom. I would highly recommend Sarah and Always Best Care.”

Kathleen S.

“On short notice, ABC worked with me to create a care plan for my elder mother after a hip replacement. The care was attentive, professional and supportive. Sara leads a wonderful team and herself is attentive, responsive and kind.”

Cynthia S.

“Just as their name implies, they ALWAYS provide the BEST CARE.”

Robert E.

“I want to take this opportunity to convey my thanks and appreciation for Always Best Care Seattle. I engaged their services leaving the hospital to return to my home. I am widowed, 90 years of age and live alone. I believe my fast recovery was the result of the caring management and professional staff. I definitely recommend Sarah and her team at Always Best Care Seattle.”


“I mentioned we’re moving Mom and Dad, and I have to give mad props to Sarah Cave at Always Best Care – Seattle for the work she did helping us find a good fit AND for her support. In the world of senior care, I don’t even know what I don’t know, and Sarah and her team have been there for me the whole way.”


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