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How Much Does an Adult Family Home Cost?

Adult Family Home cost is the monthly private-pay (or family-pay) rate for room, board, and care. Enter the quote you received — rates vary by city, room type, and care needs.

How much does an Adult Family Home cost is a monthly-rate question. Families also search Adult Family Home cost per month and AFH rates. An AFH is a licensed house (in Washington, commonly up to six residents under WAC 388-76), not a large assisted living tower.

Adult Family Home cost per month

Start with the written private-pay monthly rate for the room you were shown. Add extras that are billed separately. Enter the total in the Adult Family Home cost calculator.

What usually drives the quote

  • City and county
  • Private vs shared room
  • Care intensity (transfers, cognitive support, behaviors)
  • Whether the home accepts only private pay or also Medicaid contracts

Compare other settings

Line up AFH, home care, assisted living, and nursing home quotes in the comparison calculator. For Washington context, read senior care cost in Washington.

Find homes

Use the Washington directory to search licensed AFHs, then call for current rates and availability. This site does not show live vacancies.

Frequently asked questions

How much does an Adult Family Home cost?

Private-pay AFH rates vary by location, room type, and care level. Use the monthly amount on the resident agreement, then add billed extras.

What is included in AFH monthly cost?

Often room, meals, laundry, and basic personal care. Medication management, higher care levels, or incontinence supplies may be extra. Ask what the quote includes.

Is an AFH cheaper than assisted living?

Sometimes. Compare the same month of care with the same extras included. Labels alone are not enough.

Does Medicaid change the family cost?

If the person is eligible and the home is contracted, the family’s out-of-pocket can be lower. Confirm with the home and the state agency.