Choosing the Right Adult Family Home in Washington State

Your Guide to Making the Best Choice for Your Loved One

Choosing an adult family home (AFH) is one of the most important decisions a family can make for a loved one in need of daily assistance. In Washington State, AFHs offer personalized care in a home-like setting—perfect for those who want dignity, comfort, and compassionate support.

With hundreds of licensed homes across the state, how do you know which one is right? This guide walks you through everything you need to know—step by step.

What is an Adult Family Home?

An Adult Family Home is a residential home licensed by Washington State’s Department of Social and Health Services (DSHS) to care for up to six or eight adults. These homes offer:

• Personal care (bathing, dressing, grooming)
• Meals and laundry
• Medication assistance
• 24/7 supervision
• Some offer memory care or skilled nursing

Because of their small size, AFHs often provide a more personalized care and homely atmosphere than larger assisted living facilities.

Step 1: Understand Your Loved One’s Needs

Before you begin searching, assess what type of care is needed:

• Help with daily activities (bathing, meals, dressing)
• Memory care (dementia/Alzheimer’s support)
• Special dietary or mobility needs
• Medical conditions requiring nurse oversight

Tip: You can request a professional care assessment from a nurse or a DSHS case worker.

Step 2: Use the DSHS Provider Directory

The Washington State DSHS website offers a free search tool to find licensed adult family homes near you.

Search by:

Medicaid acceptance

• City or ZIP code
• Special care needs
• Language spoken
• Medicaid acceptance

Use the WA DSHS Adult Family Home Locator

Step 3: Schedule Home Visits and Ask the Right Questions

Once you’ve narrowed your list, set up tours. While visiting, pay attention to:

• Cleanliness and smell of the home
• Staff friendliness and attentiveness
• Resident engagement and activity
• Safety measures in place

Key Questions to Ask:

• How is care personalized to each resident?
• Are caregivers certified or trained in dementia care?
• What is the staff-to-resident ratio?
• What happens during emergencies?
• What social activities are offered?

Step 4: Compare Costs and Payment Options

In Washington State, AFH rates generally vary depending on the level of each individual resident’s care and also location.

Ask About:

• What’s included in the monthly rate?
• Are services charged à la carte?
• Do they accept Private pay, Medicaid, or long-term care insurance?
• Is there a deposit or move-in fee?

Medicaid Tip: If your loved one qualifies for Medicaid, confirm the home is contracted to accept it. Not all homes do.

Step 5: Make the Decision with Confidence

Once you’ve toured, reviewed reports, and talked with staff and families, trust your instincts. A good home should feel welcoming, safe, and respectful.

Ask yourself:

• Would I feel comfortable living here?
• Is the staff genuinely caring?
• Does the environment match my loved one’s needs and personality?

Final Thoughts

Choosing an adult family home in Washington doesn't have to be overwhelming. At Serenity Senior Care Homes, we encourage families to schedule a visit and see the love and care we pour into each resident. 

Call today to learn more about our availability in Auburn and Auburn.

Helpful Resources

• WA State DSHS AFH Search Tool:
  https://fortress.wa.gov/dshs/adsaapps/lookup/AFHAdvLookup.aspx
• Long-Term Care Ombudsman Program (for complaints/help):
  https://www.waombudsman.org
• Local Aging and Disability Resource Centers (ADRCs):
  Offer free help with Medicaid, placement, and legal info.

Need Help Choosing a Home Near Auburn or Auburn?

Contact At Serenity Senior Care Homes today for a personalized consultation and a warm welcome into our amazing home in the comfort of your community.