Adult Family Homes in the Greater Puget Sound Area

Beautiful outdoor deck at a local adult family home

Personalized, compassionate care in a real home setting

Adult Family Homes (AFHs) are private residential homes licensed to care for up to eight residents. These homes are carefully regulated in Washington and may be owned and operated by Registered Nurses, Certified Nursing Assistants, or Home Care Aides.

Many Adult Family Homes offer a mix of private and shared rooms, some with private bathrooms. Owners often open their homes out of a genuine calling to provide loving, high-quality care. Understanding each provider’s background and motivation is an important part of our screening process at Silver Age.

Why Families Choose Adult Family Homes

Adult Family Homes offer a smaller, more personal environment than large assisted living communities.

They are often the right fit for:

  • Individuals with complex medical needs who benefit from close monitoring

  • People who appreciate consistent companionship in a home-like setting

  • Those seeking customized care and a family-style atmosphere

Because caregivers are never far away, unscheduled needs can be met quickly and naturally. Each home has its own personality — what we like to call a “microculture.”

Specialized Care and Home Differences

Adult Family Homes throughout the Puget Sound region vary widely in focus and style. Many specialize in:

  • Dementia and Alzheimer’s care

  • Mental health support

  • Developmental disabilities

  • End-of-life or hospice care

The smaller size allows care and activities to be highly personalized, ensuring residents receive compassionate, attentive support every day.

When to Consider a Transition from an Adult Family Home

While most residents thrive in Adult Family Homes, there are times when a change becomes necessary. The most common reasons include:

  • A medical condition that can no longer be safely managed in the home

  • Financial limitations when Medicaid is not accepted

  • Unresolved disagreements between the home and a resident or representative

At Silver Age, we help families handle these transitions with clarity and care, minimizing disruption and ensuring continuity of support.

How Silver Age Advisors Help Families Find the Right Adult Family Home

For more than 17 years, Silver Age Advisors have built in-depth knowledge of Adult Family Homes across King, Snohomish, and Pierce Counties. We know which homes excel in dementia care, which provide the most homelike settings, and which are best equipped for specialized needs.

Our service especially shines when clients are exploring Adult Family Homes. We simplify the process, offer firsthand insights, and bring peace of mind every step of the way.

Key Insights

Age Requirements

Some homes specialize in care for younger people. The majority focus on elder care.

Services

3 meals/day plus snacks, 24-hour care, medication management, customized activities, and a warm, homelike atmosphere.

Transportation

Sometimes

Sometimes

Life Enriching Activities

Customized

Customized

Care

AFHs excel at 24 hour personalized care with a caregiver-to-resident ratio that typically can't be found in other settings.

Safe for Advanced Memory Care

Sometimes

Sometimes

Help with Activities of Daily Living

Meals

Pureed Food

3 Meals/Day

Full Kitchens

Find the Right Adult Family Home — With Confidence

Choosing an Adult Family Home can feel overwhelming, but you don’t have to do it alone. Our advisors have spent more than 17 years visiting homes across the Greater Puget Sound area, taking notes on their strengths, personalities, and care specialties.

Let’s talk through your options and find a home that truly feels right.

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Silver Age Advisors is a senior referral and placement agency helping families make informed decisions regarding in-home care, retirement communities, assisted living, adult family homes, and skilled nursing facilities. Serving Bellevue, Bothell, Everett, Kirkland, Redmond, Renton, Bonney Lake, and many more cities across Greater Seattle.

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© 2025 Silver Age. All rights reserved.

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Explore what life for seniors looks like in Bellevue, from community amenities to care options, with guidance from our local experts.

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Explore how Bonney Lake offers supportive communities and senior care options, and let us guide you in finding the right fit.

Scenic photo of a boardwalk on one of Bothell's scenic walking trails

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Learn about senior living opportunities and community highlights in Bothell, and get personalized support when making your next move.

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See what Everett offers for older adults, from active lifestyles to care options, and let us help you choose the best fit.

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Discover Issaquah’s senior communities, amenities, and local experiences, and connect with a Silver Age advisor for guidance.

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Learn about senior living and community life in Kirkland, then reach out for guidance from our local experts.

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See what Mercer Island has to offer seniors, from daily activities to care options, and get help finding the right community.

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Discover what life is like for older adults in Redmond, and connect with a local advisor for personalized planning.

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Discover Seattle's senior living choices, local amenities, and lifestyle highlights, and let our advisors help you find the right fit.

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Learn how Sammamish supports seniors through vibrant communities and care options, and let us help you navigate your choices.

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Discover Wenatchee’s welcoming senior communities, from art and fitness programs to peaceful home settings, and get guidance tailored to your family’s needs.

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Silver Age Advisors is a senior referral and placement agency helping families make informed decisions regarding in-home care, retirement communities, assisted living, adult family homes, and skilled nursing facilities. Serving Bellevue, Bothell, Everett, Kirkland, Redmond, Renton, Bonney Lake, and many more cities across Greater Seattle.

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© 2025 Silver Age. All rights reserved.