Adult Family Homes | Senior Housing

🏡 Adult Family Homes (AFH)

Adult Family Homes provide housing and 24-hour care for up to eight adults in a warm, residential setting. These smaller, home-like environments are ideal for older adults who need more personalized assistance than what’s typically available in Assisted Living or Memory Care communities.

📅 Schedule a Free AFH Consultation ➜
or
Call us at (360) 761-7736 for personalized AFH referrals.

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🌿 What Adult Family Homes Provide

AFH's can accommodate individuals with higher levels of care, often comparable to skilled nursing — except for IV therapy.

Common services include:

1-2 person transfers and Hoyer lift assistance
Full support with bathing, dressing, mobility, and toileting
Management of bladder and bowel incontinence
Assistance with meals and feeding

Many homes are owner-operated, and every provider is a Certified Home Care Aide (HCA) at minimum, as required by Washington State law. Some owners are also licensed nurses, offering additional clinical oversight.

🏠 The Living Environment

Residents enjoy their own private or shared bedroom and share inviting common spaces such as the living room, dining area, and kitchen — creating a warm, family-style atmosphere.

🩺 Move-In Requirements

Before moving into an Adult Family Home, Washington State law requires a Nursing Assessment by an independent, state-licensed RN Assessor.
This one-time evaluation determines the appropriate level of care and typically costs $500–$600.

To schedule a nursing assessment please click here.

💗 Our Promise:
We refer only to Adult Family Homes that have been personally vetted by our team to ensure the highest standards of care, safety, and integrity.

🌸Pros

Highest staffing levels — typically 1–3 caregivers for every 6-8 residents, allowing for more individualized attention, and even 1 on 1 care if needed.
Provide care through the end of life and partner closely with hospice providers.
Rarely require residents to move out for higher levels of care; most can remain in the home even as needs increase.
Most homes have a visiting “House Doctor”, nurse practitioner, or podiatrist who provides care onsite.
Many are flexible with finances, offering Medicaid spend-down options and admits.
Long-term staff retention promotes consistency and familiarity in care.

⚠️Cons

Can be more expensive than Assisted Living initially due to higher staffing ratios and smaller capacity.
Less privacy and fewer planned activities compared to larger communities.
No transportation services are generally provided or an additional charge.
May not accept residents with severe behavioral issues, as these can be disruptive in intimate home settings.

💰Costs

Average monthly rate: $7,500 – $12,000 (all-inclusive).
Month-to-month agreements are standard.
Many homes accept spend-down to Medicaid, and Long-Term Care insurance and Veteran's Aid & Attendance may be used.