4,095 DSHS-licensed adult family homes across King, Snohomish & Pierce counties, by city.
Last verified: October 2026. Every licensed home is listed on a city or county page — 18 pages in all.
Washington DSHS lists 4,095 adult family homes in operating status across King, Snohomish and Pierce counties (1,825 in King County, 1,186 in Snohomish County, 1,084 in Pierce County). 4,045 list a dementia specialty and 3,848 hold an Apple Health (Medicaid) contract. Pick a city above for the full list.
An adult family home is a regular house licensed by DSHS under RCW 70.128 and WAC 388-76 to care for a small number of residents — most are licensed for six — with caregivers on site around the clock. It is Washington's most common licensed care setting by count.
Often, yes. Greater Seattle adult family homes typically run about $4,500–$7,000 a month, below what most large assisted living communities charge, and many hold Apple Health (Medicaid) contracts. Price depends on care needs and room type, so get an itemized rate.
Click the license number in any row to open its DSHS disclosure of services, or search the DSHS adult family home lookup by name, city or ZIP. The lookup also lists the home's specialties and Medicaid contracts.
Every listing comes from the Washington State Department of Social and Health Services (DSHS), Aging and Long-Term Support Administration, Residential Care Services — the public adult family home (license type AF) provider lookup at fortress.wa.gov/dshs/adsaapps/lookup, pulled as a full King, Snohomish and Pierce County export on October 24, 2026. Only providers in operating ("OP") status are shown. We refresh the registry quarterly; bed counts, contracts and certifications can change between pulls, so confirm the live record before you sign anything. Last verified: October 2026.
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