Finding adult family homes in Bothell starts with two things: knowing the real, licensed options and understanding Bothell's own cost and care landscape. Both are below. We currently track 87 DSHS-licensed adult family homes serving Bothell from Washington DSHS records.
What's below: the licensed providers, 2026 Bothell cost ranges, the local hospital and neighborhood context, what to ask on a tour, and how to act fast if a hospital discharge is looming. Prefer to talk it through? Get matched with a free local advisor — no fees, ever.
What adult family homes means — and who it's for
An adult family home fits a senior who does best in a small, homelike setting — up to six residents in a regular house — with a high caregiver-to-resident ratio. It often costs less than a large community and is a common Apple Health (Medicaid) option in Washington.
How Washington regulates it: Adult family homes (AFHs) are Washington's signature small-home care setting — a regular home licensed by DSHS for up to six residents under RCW 70.128 and WAC 388-76. They offer a high caregiver-to-resident ratio in a residential setting, and many hold a Specialized Dementia Care or other specialty endorsement. Verify the license and any specialty designation on the DSHS lookup.
In Bothell specifically, that means weighing the licensed options against Bothell's cost range and your family's timeline. The right choice balances care level, budget, location near EvergreenHealth Kirkland (nearby), and how quickly you need a spot.
Bothell adult family homes: by the numbers
87 DSHS-licensed adult family homes on file in Bothell; about 516 total licensed beds; averaging 6 beds per home; the largest at 8 beds; 86 offering Specialized Dementia Care; 79 accepting Apple Health (Medicaid). Adult family homes are small, DSHS-licensed homes for up to six residents in an ordinary house — a higher caregiver-to-resident ratio and, often, a lower monthly cost than a large community. These numbers reflect actual DSHS-licensed providers on file, not modeled averages.
Licensed adult family homes providers in Bothell
Small licensed homes (up to 6 residents each), selected by capacity. Data: Washington DSHS / ALTSA (2026). Verify any license, beds, and inspection history yourself at fortress.wa.gov/dshs/adsaapps/lookup before you commit.
Memory care (Specialized Dementia Care): 86 · Accepts Apple Health (Medicaid): 79
| Provider | City | Licensed beds | DSHS license # |
|---|---|---|---|
| GENTLE SENIOR CARE LLC | Bothell | 8 beds | 753228 |
| HEART TO HEART LOVING CARE | Bothell | 8 beds | 752027 |
| Loving Adult Family Home | Bothell | 8 beds | 758857 |
| Loving Adult Family Home LLC | Bothell | 8 beds | 753568 |
| MAPLE AFH II | Bothell | 8 beds | 757599 |
| WELLNESS VILLAGE ADULT CARE HOME | Bothell | 8 beds | 752412 |
| #1 Angels Heart Adult Family Home LLC | Bothell | 6 beds | 756157 |
| * Cedar Park | Bothell | 6 beds | 754361 |
| *1st Harmony | Bothell | 6 beds | 754244 |
| *Four Sisters Adult Family Home LLC | Bothell | 6 beds | 754258 |
| 1st Abigail Adult Family Home LLC | Bothell | 6 beds | 753913 |
| 1st Choice Adult Family Home LLC | Bothell | 6 beds | 753462 |
Senior care in Bothell, King / Snohomish County
Bothell straddles the King–Snohomish county line north of Seattle, a growing city of about 48,000 along the I-405 tech corridor, with newer housing in Canyon Park and North Creek and rising demand for senior living near the Eastside job centers. A higher-cost north-corridor market between the Eastside and Snohomish County, Bothell pairs newer assisted-living inventory with a growing adult-family-home network, with EvergreenHealth and Providence Everett within reach.
Nearby hospitals: EvergreenHealth Kirkland (nearby), UW Medical Center–Northwest (nearby), Providence Regional Medical Center Everett (nearby). Hospital nearness is a real factor in Bothell: it smooths rehab hand-offs, dementia crises, and ongoing care, so many families filter by it.
Areas families ask about: Downtown Bothell, Canyon Park, North Creek, Queensgate, Westhill, Maywood Hills.
What adult family homes costs in Bothell (2026)
Bothell pricing runs $4,850–$7,550/month, above the metro average for the Greater Seattle metro — a reflection of local real-estate and the mix of small adult family homes versus larger communities.
- Assisted living (standard): $5,850–$8,200/month
- Memory care: $7,350–$9,600/month
- Adult family home: $4,850–$7,550/month
- In-home care: $39–$54/hour
What lowers the bill in Bothell: a shared room (often $700–$1,200/mo less), a small adult family home over a large community, right-sizing the care level, and VA Aid & Attendance or Washington's Apple Health / COPES waiver for those who qualify.
How we vet Bothell providers
- Current Washington DSHS licensure confirmed against the state ALTSA/RCS provider lookup
- Inspection and complaint history checked through Residential Care Services records
- Direct conversations with current resident families where possible
- Clear, itemized pricing before any tour — no surprise fees
- Firsthand advisor walkthroughs, not just brochures
Questions to ask on a tour
- How many caregivers are on at night per resident?
- Which conditions can you not care for here?
- What's included in the base rate, and what's billed separately?
- What happens if our parent's needs increase next year?
- How long have your director and head nurse been here?
What's included — and what costs extra
Usually included: a private or shared room in a regular home, all meals, 24/7 caregivers, and personal-care help in a setting of up to six residents. Typically extra: higher-acuity care, two-person transfers, and specialized services a small home may not staff for. Insist on an itemized monthly quote from Bothell providers so hidden add-ons don't surprise you later.
How fast you can move in Bothell
Plan on roughly 7–14 days for a Bothell placement: assessment, deposit, physician's order, then move-in. Memory-care and post-hospital moves can happen same-day to 72 hours when a secured bed opens. A free local advisor can tell you which Bothell providers have current openings.
For Bothell families specifically, timing matters as much as choice. Lining up adult family homes before a fall or a hospital discharge forces the issue means you choose calmly instead of taking the first open bed. If you're early, that's an advantage — use it.