Northwest Washington

Adult Family Homes in Snohomish, King, Island & Skagit

We focus our placement work on the four counties we know best — Snohomish, King, Island, and Skagit. Below is a detailed view of licensed Adult Family Homes in each, so you can see exactly how many options exist near your loved one.

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Select a county below to see its detailed placement guide.

5,541
Licensed AFHs statewide
32,161
Total licensed beds
35
Counties served

Explore the data

Interactive county breakdown.

Toggle between AFH count and total beds. Hover any bar for the full picture.

All counties, ranked

5,541 licensed Adult Family Homes statewide

Tap or hover any bar to see exact AFH and bed counts. Toggle between AFHs and beds above.

Core counties

Where we place most families.

From Everett to Edmonds, Seattle to Bellevue, Anacortes to Oak Harbor, and Mount Vernon to Sedro-Woolley — we know the providers in these four counties personally.

County

King

1,618
AFHs
9,431
Beds
County

Snohomish

1,082
AFHs
6,267
Beds
County

Skagit

22
AFHs
126
Beds
County

Island

7
AFHs
35
Beds

Statewide coverage

Other Washington counties we serve.

While our deepest expertise is in Snohomish, King, Island, and Skagit, we also help families find care across the rest of Washington.

County
AFHs
Beds
Pierce
969
5,658
Spokane
575
3,313
Clark
538
3,139
Thurston
286
1,633
Benton
74
426
Kitsap
63
360
Lewis
46
280
Whitman
44
256
Cowlitz
36
210
Yakima
31
177
Grant
25
138
Whatcom
24
134
Franklin
21
125
Chelan
13
69
Asotin
12
68
Okanogan
9
62
Klickitat
6
30
Mason
5
22
Adams
5
30
Walla Walla
5
21
Clallam
4
24
Grays Harbor
4
24
Douglas
3
18
Lincoln
3
18
San Juan
2
11
Jefferson
2
12
Kittitas
2
12
Stevens
2
12
Pacific
1
8
Skamania
1
6
Ferry
1
6

Source: Washington DSHS / HCLA Office of Rates Management — Adult Family Home Map. Facility and bed counts from STARS data, April 2026.

County deep-dives

Tailored to each county we know.

Each county has its own mix of providers, price points, and waitlist dynamics. Here's how we approach placement in Snohomish, King, Island, and Skagit.

Our home base

Snohomish County

Snohomish County is where we started and where we have the deepest relationships. With over 1,000 licensed Adult Family Homes, options range from quiet residential streets in Mill Creek and Mukilteo to larger memory-care-trained homes in Everett and Lynnwood.

Cities & areas

EverettLynnwoodEdmondsMill CreekMukilteoBothellMonroeMarysvilleSnohomishArlington

Services we focus on here

  • Memory care placement (Alzheimer's, dementia, Lewy body)
  • Hospital-to-AFH transitions from Providence Regional & Swedish Edmonds
  • Medicaid & DSHS-contracted home matching
  • Couples placement (shared rooms)
  • Respite and short-term stays

Common questions

How fast can you place someone in Snohomish County?

Often within 48–72 hours for private-pay placements. Medicaid placements typically take 1–2 weeks depending on the home's contract status.

What's the typical cost range here?

Private-pay AFHs in Snohomish County generally run $5,500–$9,500/month depending on care level, location, and room type (private vs. shared).

Largest market in the state

King County

King County has the most Adult Family Homes in Washington — over 1,600 licensed homes. That's both an advantage (more choice) and a challenge (huge price and quality range). We help families filter quickly to the 5–10 homes that actually fit.

Cities & areas

SeattleBellevueKirklandRedmondRentonKentFederal WayAuburnSammamishIssaquahShorelineBothell

Services we focus on here

  • High-acuity medical & complex-care matching
  • Bilingual home placement (Mandarin, Russian, Korean, Vietnamese, Spanish)
  • Hospital discharge support from UW Medical, Swedish, Overlake, Virginia Mason
  • Luxury & upscale AFH options on the Eastside
  • Veterans Aid & Attendance benefit coordination

Common questions

Are Eastside homes more expensive than Seattle?

Generally yes — Bellevue, Kirkland, and Redmond AFHs often run $7,000–$12,000/month. South King County (Kent, Federal Way, Auburn) tends to be more affordable.

Can you find a culturally-matched home?

Yes. King County has the state's largest selection of culturally and linguistically specific AFHs, and we maintain relationships with most of them.

Whidbey & Camano

Island County

Island County is small but tight-knit — Whidbey and Camano. With only a handful of licensed AFHs, placement here is about knowing every operator personally and being ready to act quickly when a bed opens.

Cities & areas

Oak HarborCoupevilleFreelandLangleyClintonCamano Island

Services we focus on here

  • Personal walkthroughs of every available home
  • Naval Hospital Oak Harbor & WhidbeyHealth discharge coordination
  • Waitlist monitoring across all Island County AFHs
  • Off-island placement guidance when no local bed fits
  • Aging-in-place consultation for Whidbey residents

Common questions

There are so few AFHs — what if none have openings?

We'll tell you honestly and help you decide between waiting for an Island County opening or considering a nearby Skagit or north Snohomish option.

Do you cover both Whidbey and Camano?

Yes — we work across all of Island County and know the differences between the north Whidbey, south Whidbey, and Camano markets.

Mount Vernon, Anacortes & the valley

Skagit County

Skagit County blends small-town pricing with quality providers. Mount Vernon, Burlington, and Sedro-Woolley have steady AFH inventory; Anacortes options are more limited but well-regarded.

Cities & areas

Mount VernonBurlingtonSedro-WoolleyAnacortesLa ConnerConcrete

Services we focus on here

  • Skagit Valley Hospital & Island Hospital discharge support
  • Medicaid-contracted home placement
  • Rural & in-town AFH matching
  • Memory care placement in Mount Vernon / Burlington
  • End-of-life and hospice-friendly home matching

Common questions

Is Skagit more affordable than King or Snohomish?

Usually yes — private-pay AFHs in Skagit often run $5,000–$7,500/month, noticeably below Eastside King County rates.

Can you help if my loved one is being discharged from Skagit Valley Hospital?

Absolutely. We coordinate directly with hospital case managers and can usually have options ready before the discharge date.

Looking for care in Snohomish, King, Island, or Skagit County?

We know these four counties best — and we can usually find the right fit within days.

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