Adult Family Homes in the Greater Puget Sound Area

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
Life Enriching Activities
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
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.










