How many adult family homes are there in Washington?

Our Washington directory lists 7,672 licensed adult family homes across 188 cities. The largest concentrations are in King County, Snohomish County, Pierce County.

What is an adult family home in Washington?

"Adult Family Home" is the Washington licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Adult family homes are licensed for 1 to 8 residents in a residential home. Washington also licenses homes under the term "assisted living facility".

How much does assisted living cost in Washington?

The median assisted living rate in Washington is $7,600 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.

Who licenses adult family homes in Washington?

Washington State DSHS, Aging and Long-Term Support Administration licenses and inspects every adult family home in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Does Medicaid pay for adult family homes in Washington?

COPES pays for services in adult family homes and assisted living for eligible residents. Eligibility rules and waitlists vary, so confirm current terms with the state before you count on coverage.

Adult Family Homes in Washington

Washington Adult Family Homes Directory

7,672 licensed adult family homes across 188 cities.

Washington state has the largest Adult Family Home network in the country, with more than 3,000 licensed homes. Most AFHs serve 2 to 6 residents in a private home setting. The Department of Social and Health Services (DSHS) licenses and inspects all AFHs through the Aging and Long-Term Support Administration.

See what care costs here, or learn how adult family homes work.

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188 cities

Washington care costs at a glance

Median monthly figures for Washington. Small residential homes often price below the assisted living median because they carry lower overhead, though rates rise with care needs. Ask any home for its rate sheet in writing.

Type of care	Median per month
Assisted living Monthly median, one resident	$7,600
In-home care Non-medical caregiver, 44 hours a week	$8,580
Nursing home Semi-private room	$13,155

Home care median is CareScout's non-medical caregiver rate at 44 hours per week.

Source: CareScout (formerly Genworth) Cost of Care Survey, 2025.

Full cost breakdown for Washington adult family homes →

Talk through your shortlist with an advisor

A Place For Mom connects families with local senior living advisors. The guidance is free for families; advisors are paid by the communities that participate in their network. An advisor can help you build a shortlist and schedule tours. The judging stays with you: verify any home you are considering against the state license database, whoever recommended it.

Connect with a senior living advisor at no cost to you →

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What small care homes are called in Washington

Licensing term: adult family home (AFH)
Related license type: assisted living facility
Size and capacity: Adult family homes are licensed for 1 to 8 residents in a residential home.
Licensed and inspected by: Washington State DSHS, Aging and Long-Term Support Administration

Check any home you are considering against the state license record before you tour or sign anything. The lookup shows current license status and inspection history.

Search the Washington license database → What "Adult family home" means →

Does Medicaid pay in Washington?

COPES pays for services in adult family homes and assisted living for eligible residents.

How Medicaid covers residential care →

Common questions about adult family homes in Washington

How many adult family homes are there in Washington?: Our Washington directory lists 7,672 licensed adult family homes across 188 cities. The largest concentrations are in King County, Snohomish County, Pierce County.
What is an adult family home in Washington?: "Adult Family Home" is the Washington licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Adult family homes are licensed for 1 to 8 residents in a residential home. Washington also licenses homes under the term "assisted living facility".
How much does assisted living cost in Washington?: The median assisted living rate in Washington is $7,600 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.
Who licenses adult family homes in Washington?: Washington State DSHS, Aging and Long-Term Support Administration licenses and inspects every adult family home in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.
Does Medicaid pay for adult family homes in Washington?: COPES pays for services in adult family homes and assisted living for eligible residents. Eligibility rules and waitlists vary, so confirm current terms with the state before you count on coverage.

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Largest Washington city directories

Neighboring states

Estimate monthly costs → What adult family homes are → Read the Washington guide → All state directories →