Certified Nursing Assistants (CNAs) for Home Care in Spanaway, WA
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Spanaway for free and hire a caregiver directly, with no agency mark-up.

Nursing Assistants in Spanaway, WA: the local picture
The nearest Medicare-certified nursing homes to Spanaway are Tacoma Nursing And Rehabilitation Center in Tacoma (5.0 mi), The Oaks At Lakewood in Tacoma (5.3 mi), Avalon Healthcare - Tacoma in Tacoma (6.4 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.
Aides in Washington earn a median $22.95 an hour (BLS, May 2025, home health and personal care aides). Washington's minimum wage is $17.13 an hour (U.S. Department of Labor table, updated July 1, 2026).
Spanaway has about 294 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Spanaway compared with Pierce County and Washington
| Census figure | Spanaway | Pierce County | Washington |
|---|---|---|---|
| Residents 85 or older | 0.9% | 1.5% | 1.8% |
| Residents 65+ with a disability | 41% | 36% | 33% |
| Residents 65 or older | 11% | 15% | 17% |
| Residents 65+ in households who live alone | 23% | 25% | 26% |
| Residents 65+ below the poverty line (approx.) | 6.7% | 8.8% | 8.9% |
| Households with no vehicle | 5.0% | 5.4% | 7.1% |
| Median income, households headed by someone 65+ | $75,833 | $70,061 | — |
Older residents in towns around Spanaway
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Frederickson, WA | 2.9 mi | 2,671 | 175 |
| Parkland, WA | 3.1 mi | 5,650 | 511 |
| Clover Creek, WA | 3.7 mi | 996 | 67 |
| McChord AFB, WA | 4.0 mi | 0 | 0 |
| Summit View, WA | 4.3 mi | 842 | 54 |
| Elk Plain, WA | 4.7 mi | 2,052 | 67 |
Nursing homes near Spanaway
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Tacoma Nursing And Rehabilitation Center | Tacoma, WA | 5.0 mi | 5 of 5 | 150 | (253) 581-2514 |
| The Oaks At Lakewood | Tacoma, WA | 5.3 mi | 5 of 5 | 80 | (253) 581-9002 |
| Avalon Healthcare - Tacoma | Tacoma, WA | 6.4 mi | 2 of 5 | 81 | (253) 474-8456 |
| Heartwood Extended Healthcare | Tacoma, WA | 6.5 mi | 1 of 5 | 120 | (253) 472-9027 |
| Alaska Gardens Health And Rehabilitation | Tacoma, WA | 7.3 mi | 1 of 5 | 123 | (253) 476-5300 |
| Life Care Center Of South Hill | Puyallup, WA | 7.9 mi | 5 of 5 | 100 | (253) 661-5948 |
Home health agencies serving Spanaway
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Centerwell Home Health | Tacoma, WA | 7.8 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (253) 475-6862 |
| Eden Home Health | Tukwila, WA | 42 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (360) 717-8161 |
| Signature Healthcare At Home | Federal Way, WA | 16 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (253) 661-5166 |
| Chi Franciscan Health At Home | University Place, WA | 11 mi | 3.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (253) 543-7026 |
Straight-line miles from the center of Spanaway. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a nursing assistant can help with
- Bathing, dressing, grooming and toileting
- Safe transfers, repositioning and walking
- Help with eating and fluids
- Taking and noting vital signs if asked
What CNAs costs in Spanaway
At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 31% of the $6,319 monthly median income of Spanaway households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Washington's minimum wage is $17.13 an hour (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
What to know before hiring a nursing assistant
To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.
Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Nursing Assistants in Spanaway: common questions
What nursing homes are near Spanaway?
The closest Medicare-certified nursing homes are Tacoma Nursing And Rehabilitation Center in Tacoma (5.0 mi, 5 of 5 overall); The Oaks At Lakewood in Tacoma (5.3 mi, 5 of 5 overall); Avalon Healthcare - Tacoma in Tacoma (6.4 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Spanaway?
At the Washington median aide wage of $22.95 an hour, 20 hours of help a week comes to about $1,989 a month in wages, which is 31% of the $6,319 monthly median income of Spanaway households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Washington's minimum wage is $17.13 an hour (U.S. Department of Labor table, updated July 1, 2026).
Can a CNA give medication?
Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.
More senior care near Spanaway
Nursing Assistants in nearby cities
- Nursing Assistants in Frederickson, WA
- Nursing Assistants in Parkland, WA
- Nursing Assistants in Clover Creek, WA
- Nursing Assistants in McChord AFB, WA
- Nursing Assistants in Summit View, WA
- Nursing Assistants in Elk Plain, WA
- Nursing Assistants in Midland, WA
- Nursing Assistants in Summit, WA
- Nursing Assistants in South Hill, WA
- Nursing Assistants in Lakewood, WA
- Nursing Assistants in Fort Lewis, WA
- Nursing Assistants in Waller, WA
- Nursing Assistants in Graham, WA
- Nursing Assistants in North Fort Lewis, WA
- Nursing Assistants in Puyallup, WA
- Nursing Assistants in Steilacoom, WA
Other care in Spanaway
- Companion Care in Spanaway
- Dementia Care in Spanaway
- Respite Care in Spanaway
- Live-In Caregivers in Spanaway
- Post-Surgery Care in Spanaway
- Senior Transportation in Spanaway
- Home Health Aides in Spanaway
- Personal Care in Spanaway
- Overnight Caregivers in Spanaway
- 24-Hour Home Care in Spanaway
- Mobility Assistance in Spanaway
- Parkinson’s Care in Spanaway
- Stroke Recovery Support in Spanaway
- Disability Care for Adults in Spanaway
- Hospice Support in Spanaway
- Senior Meal Preparation in Spanaway
- Senior Housekeeping in Spanaway
- Medication Reminders in Spanaway
- Veterans’ Home Care in Spanaway
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
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