Identify the support needed
Write down mobility, bathing, dressing, medication, safety and memory needs. Ask how the home evaluates whether it can meet them.
Washington State care guide
Choosing an adult family home in Washington.
A practical guide to small residential care settings, what to ask about care and how to compare options with confidence.
What is an adult family home?
Care in a residential home.
Washington's Department of Social and Health Services (DSHS) describes adult family homes as licensed, neighborhood residential settings offering room, meals, supervision and support with personal care. Depending on the home and its licensing, additional nursing or specialized services may be available.
Unlike larger assisted living communities, these homes typically have a smaller number of residents. Confirm each home's licensed capacity, services and suitability individually.
Verify licensing and services
Check the home's exact business name, physical address, licensing details and inspection history using Washington State resources.
Visit and compare
Observe daily routines and ask about staff, communication, costs, available accommodations and what happens if care needs increase.
A few distinctions
Washington care questions, answered.
Is an adult family home the same as a nursing home?+
No. Adult family homes are residential settings for personal support and care. Nursing homes offer a different level of licensed clinical and institutional care. Ask each provider about the specific support offered, especially for complex medical needs.
Does every adult family home offer dementia care or respite?+
No. Training, services, availability and admission criteria vary. Confirm which supports each home can provide before choosing.
How can I check whether an adult family home is licensed?+
Use Washington DSHS's adult family home information and its facility lookup resources. Match the name and full street address to the home being considered.
Where is Alliance Care Homes in Washington?+
Alliance Care Homes LLC is associated with 16108 Midvale Ave N, Shoreline, WA 98133. Families can read about the Shoreline location or request a visit.