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Washington Adult Family Home Directory

Search licensed Adult Family Homes in Washington by city, county, ZIP, name, or DSHS license number. This AFH directory is a public license snapshot from DSHS, not live availability and not a recommendation.

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6,189 licensed names · page 2 of 258

DSHS licensed residential-care snapshot · September 18, 2026 · 6,189 Adult Family Homes. Official DSHS lookup

Find a licensed Adult Family Home in Washington

Use this Adult Family Home directory to search licensed AFHs across Washington state. Filter by county, city, licensed beds, Medicaid contract, Expanded Community Services (ECS), or Specialized Behavior Support (SBS). Search by home name, city, ZIP code, or DSHS license number. This is a public license snapshot, not a live vacancy board and not a ranking of providers.

What is an Adult Family Home?

An Adult Family Home (AFH) is a licensed residential setting, usually in a regular house, that provides room, board, and personal care for a small number of adults. Washington AFHs are commonly licensed for up to six beds. Families often compare AFHs with assisted living, in-home care, and nursing homes when they need 24-hour support in a smaller setting.

Search AFHs by county and city

The list includes licensed Adult Family Homes statewide, including King County (Seattle, Bellevue, Kent, Renton, Auburn, Federal Way), Pierce County (Tacoma, Puyallup, Lakewood), Snohomish County (Everett, Lynnwood, Edmonds), Spokane County, Clark County (Vancouver), Thurston County (Olympia, Lacey, Tumwater), Kitsap County, Whatcom County (Bellingham), Yakima County, Benton County (Kennewick, Richland), and other Washington counties. Choose a county first if you are looking for an AFH near you, then narrow by city.

Medicaid Adult Family Homes and private pay

Many Washington Adult Family Homes list a Medicaid contract on the public DSHS record. A Medicaid tag here means the contract field is present. It does not mean a specific resident is eligible, accepted, or paid at a particular daily rate. Confirm current participation with the home and with DSHS. For published Washington Medicaid daily rates, use the AFH Medicaid Rate Calculator. Families comparing quoted private-pay costs can use the AFH Care Cost Calculator.

How to use this AFH locator

  1. Enter a city, ZIP, home name, or license number, or pick a county from the filters above.
  2. Open a listing for the address, phone, licensed bed count, and public contract notes.
  3. Call the home to ask about availability, care needs, private-pay rates, and Medicaid openings. This directory does not show empty beds.
  4. Verify the license on the official DSHS facility lookup before you tour or sign an agreement.

Owners and operators can continue to the Adult Family Home calculators for occupancy, staffing, startup cost, and profit planning. Families should treat every listing as a starting point for due diligence, not a referral.

Frequently asked questions

How do I find an Adult Family Home near me in Washington?

Use the search bar for a city, ZIP code, or home name, or choose a county such as King, Pierce, Snohomish, Spokane, Clark, Thurston, Kitsap, Whatcom, or Yakima. Then open a listing for the address and phone. Call the home to ask if a bed is open; this directory does not show vacancies.

What is an Adult Family Home (AFH)?

An Adult Family Home is a licensed residential setting, usually in a house, that provides room, board, and personal care for a small number of adults. Washington AFHs are commonly licensed for up to six beds. Families often compare AFHs with assisted living, in-home care, and nursing homes.

Can I search Adult Family Homes in Seattle, Tacoma, Spokane, or Vancouver?

Yes. Filter by King County for Seattle, Bellevue, Kent, Renton, Auburn, and Federal Way; Pierce County for Tacoma, Puyallup, and Lakewood; Snohomish County for Everett and Lynnwood; Spokane County; or Clark County for Vancouver. You can also type a city or ZIP in the search field.

Where does this AFH directory come from?

Names, addresses, DSHS license numbers, licensed bed counts, and contract notes are a snapshot of the public Washington DSHS Long Term Care Residential Care geoservice. Confirm anything important on the official DSHS facility lookup before you tour or sign an agreement.

Does a listing mean a bed is open?

No. This is a licensed-facility list, not a live vacancy board. It does not show waitlists, private-pay openings, or whether a home is currently accepting residents.

Is this a recommendation or ranking of Adult Family Homes?

No. AFH Calculator does not rank, endorse, inspect, or refer homes. Use a listing to find contact details, then tour, ask about care, and verify the license yourself.

What does a Medicaid Adult Family Home tag mean?

A Medicaid tag means the public DSHS record lists a Medicaid-related contract field. It is not a guarantee that a specific resident is eligible, accepted, or paid at a particular daily rate. Confirm with the home and DSHS. Published Washington Medicaid daily rates are in the AFH Medicaid Rate Calculator.

What are ECS, SBS, and PDN on an AFH listing?

Those tags come from public contract notes: Expanded Community Services (ECS), Specialized Behavior Support (SBS), and Private Duty Nursing (PDN). They describe listed contracts, not a clinical assessment of a resident.

How do I look up an AFH by DSHS license number?

Type the license number in the search box, or open a home and copy the license from the listing. Then verify the same number on the official Washington DSHS facility lookup.

Can I search Adult Family Homes in another state?

This snapshot is Washington only. Other states will be added only from official public license sources, not from invented listings.

How current is the Washington AFH list?

The snapshot date is shown under the filters. Licenses, addresses, and contracts change. Always verify the home on the DSHS lookup before you rely on a record.