
What Is an Adult Family Home?
An adult family home (AFH) is a private residence in a regular neighborhood that is licensed by the Washington State Department of Social and Health Services (DSHS) to care for a small number of adults. Most homes care for up to six residents, and some are licensed for up to eight.
Because the group is small, residents often receive more one-on-one attention than in a larger community. Caregivers get to know each person's routines, preferences, and personality. Many homes offer help with bathing, dressing, medications, and meals, and some specialize in memory care, higher medical needs, or end-of-life care.
Spokane County has a large number of adult family homes, and no two are alike. That's where we come in.

Is an Adult Family Home Right for Your Loved One?
An adult family home can be a great fit for seniors who:
-
Want a quiet, home-like setting instead of a large building
-
Need more personal attention or hands-on care
-
Feel overwhelmed or anxious in busy environments
-
Are living with dementia and do well with a consistent routine
-
Have higher care needs that some assisted living communities can't meet
VETTED, RELIABLE CARE COMMUNITIES
We personally evaluate care communities, assessing cleanliness, staff interactions, and services. With our experience, we know what defines high-quality care.
BUDGET CONSCIOUS CARE OPTIONS
We cater to diverse budgets by assessing your needs and negotiating with providers to secure the most competitive rates tailored to you.
ADVISORS WITH HANDS-ON SENIOR CARE EXPERIENCE
We ensure that each of our care consultants has direct experience in senior care, providing firsthand insight and a deep understanding of the physical and emotional needs of the elderly.
LONG TERM CARE SOLUTIONS
We understand that moving later in life can be challenging, so we're here to help your loved one find a lasting, supportive home that meets their needs now and well into the future.
ROUTINE VISITS AFTER MOVE-IN TO ENSURE HEALTH AND HAPPINESS
We are dedicated to providing ongoing support for both you and your loved one during and after the transition to a care community. Our team ensures your loved one is happy, thriving, and well cared for - during their transition and well beyond.
Our Promise
How We Help You Find the Right Adult Family Home
Assured Care Placement Services is not an adult family home, and we don't provide care. We're an independent placement service. Our job is to help your family sort through the options and find the home that fits your loved one best.
Searching on your own can mean dozens of phone calls to homes that are full, don't accept your loved one's payment source, or can't meet their care needs. We do that legwork for you.
-
Care consultation. We meet with you in person to learn about your loved one's care needs, health, budget, personality, and what matters most to them.
-
Matching and tours. We narrow the list to homes we've already vetted that have openings and can meet those needs. Then we go on the tours with you and help you ask the right questions.
-
Transition support. Once you choose a home, we help coordinate the move. We keep visiting after move-in to make sure your loved one is safe, happy, and well cared for.
Our service is always free to families, so you get expert, local guidance at no cost.
What We Look for When Vetting Adult Family Homes
Our advisors have hands-on senior care experience, so we know what quality care looks like in person. Before we recommend a home, we look at:
-
Licensing and inspection history with Washington DSHS
-
Cleanliness and safety throughout the home
-
How caregivers treat residents, including warmth, patience, and respect
-
Staffing and training, including whether a nurse is involved in care
-
Care specialties, such as dementia, diabetes, mobility, or hospice support
-
Food, daily routines, and activities
-
Payment options, including whether the home accepts Medicaid
We've built long-standing relationships with many local providers, and we know the caregivers at many homes personally. That knowledge helps us match your loved one with a home where they'll truly be comfortable.
Frequently Asked Questions
Do you own or operate adult family homes? No. We're an independent placement service. We don't own, operate, or provide care in any home. We help families find and compare the homes that fit their needs.
Is there a cost to use your service? No. Our placement service is free for families.
How quickly can you help? We understand placement is often urgent, especially after a hospital stay or a sudden change in health. Contact us as soon as you can, and we'll move as quickly as your situation requires.
Can adult family homes care for someone with dementia? Many can. Some homes specialize in memory care and have caregivers trained to support people with Alzheimer's and other forms of dementia. We'll point you toward homes with that experience.
Do adult family homes accept Medicaid? Some do and some don't, and availability for Medicaid residents can be limited. We'll help you find homes that accept your loved one's payment source.
What areas do you serve? We help families throughout Spokane County, including Spokane, Spokane Valley, Liberty Lake, Cheney, Airway Heights, Medical Lake, Colbert, Deer Park, Mead, and Nine Mile Falls.
Will you stay involved after move-in? Yes. We visit after the move to make sure your loved one is settling in well and getting the care they need.
Let Us Help You Find the Right Home
You don't have to search through adult family homes on your own. Our local advisors will listen, narrow the options, and walk beside you from the first call to move-in day and beyond.
Call 509-939-6174 or fill out the form below to schedule your free consultation.
Related reading: Adult Family Homes in Spokane: What Families Really Need to Know
.png)