Showing all 318 licensed adult family homes in Thurston County, WA from the official DSHS record — not just those who pay to be listed. Data sourced 2026-06-17.
Cost of Adult Family Home in Thurston County, WA (2026)
Medicaid rate for adult family homes in Thurston County, WA ranges from $130 to $311 per day ($3,958–$9,459/month) as of 2026-06-17. These are Medicaid reimbursement floors; private-pay rates are set by each facility and vary — confirm directly with the facility.
Senior Care Cost Comparison — Thurston County, WA
All figures are Medicaid reimbursement rates (daily and estimated monthly). Private-pay rates vary; confirm directly with each facility.
| Care Type | Medicaid Daily Rate | Est. Monthly | Source Date |
|---|---|---|---|
| Adult Family Home this page | $130–$311/day | ~$3,958–$9,459/mo | 2026-06-17 |
| Assisted Living Facility | — | ||
| Nursing Home | — | ||
Medicaid rates are government reimbursement floors set by DSHS. Private-pay rates are higher and vary by facility — always confirm directly.
What's Typically Included
Adult family homes in Washington are licensed private residences serving up to six residents. The cost generally covers room and board, three daily meals, personal care (bathing, dressing, medication management), and 24-hour supervision. Specialty services — such as memory care, behavioral health support, or enhanced nursing — are contracted separately at higher Medicaid rates and may add to private-pay costs.
Because AFHs are smaller and often owner-operated, services tend to be more individualized. However, availability and amenities vary significantly by home — tour and ask specifically about staffing ratios and what the base rate includes.
How Families Pay for Adult Family Home
- Medicaid (ALTSA/HCS): Washington's Medicaid program covers contracted adult family homes for eligible residents. Eligibility requires both financial and functional assessments through DSHS.
- Private pay: Most families pay out-of-pocket initially. Private rates are set by each facility and vary — this site does not have private-pay rate data, so confirm directly with the facility.
- Long-term care insurance: Policies vary; check your policy terms before assuming coverage.
- Veterans benefits: VA Aid & Attendance and other VA programs may supplement care costs for eligible veterans and spouses.
Paying for senior care in WA → Sell, keep, or leverage the home? → How we make money / no paid placement →
Every Licensed Adult Family Home in Thurston County 318 facilities
- Lacey
- Olympia
- Tumwater
- Centralia
- 2 SUNNYCARE ADULT FAMILY HOME
- A Beacon of Care Adult Family Home LLC
- A Big Heart AFH 1, LLC
- A First Truecare AFH LLC
- A New Beginning Care Home LLC
- A PLACE CALLED HOME LLC
- A Quality Adult Homecare Inc
- A and D Adult Family Home
- A1 Adult Family Home LLC
- ALLAS ADULT FAMILY HOME CARE
- Yelm
- ALPHA GLOBALCARE LLC
- AMATHY ADULT FAMILY HOME LLC
- ARV Care Home Inc
- AYAAN CARE AFH
- AZOE ADULT FAMILY HOME
- Able Palms AFH LLC
- Rochester
- Absolute Retirement Chalet Adult Family Home LLC
- Abundant Life Adult Family Home Care LLC
- Action Adult Family Home LLC
- Adelaida Senior Care AFH, LLC
- Agano Adult Family Home LLC
- Ageless Adventures AFH
- Ajabu AFH LLC
- Alder Street AFH
- Alexandra's Home 2
- AllCare Home
- Alohilani Adult Family Home Care, LLC
- Aman's Comfort Care
- Amazing Angels LLC 2
- American Heroes Adult Family Home LLC
- American Loving Care Adult Family Home
- An Idyllic Adult Family Home LLC
- Angel's Adult Family Home
- Angel's Grace AFH
- Angels Senior Care 2 AFH LLC
- Annangela's Haven LLC
- Annies 2 AFH
- Annies AFH LLC
- Arbor Drive Legacy Living AFH
- Arcy's Adult Family Home
- Arise AFH
- Attentive Senior Care of St. Catherine
- Autumn Glen LLC
- Awake AFH LLC
- Azuri AFH
- B AND M ADULT FAMILY HOME LLC II
- B&M ADULT FAMILY HOME III LLC
- B&M Adult Family Home
- BABA'S CARE AFH LLC
- BESPOKE HAVEN AFH LLC
- BEST CHOICE HOME CARE III
- BEST SELECTION ADULT FAMILY HOME 2 LLC
- BEVERLYS ADULT FAMILY HOME LLC
- BLESSEDJONES3 AFH LLC
- Beams of Love Adults Family Home LLC
- Bedington Adult Family Home Care
- Best Select AFH LLC
- Bethany Adult Family Home
- Black Lake ACH
- Blessed Care AFH LLC 2
- Blessed Care AFH, LLC
- Blessed Carol LLC
- Blessed Jones AFH LLC
- Blessedjones2 AFH LLC
- Blessedjones4 AFH LLC
- Brooks Blessings Lacey
- Brooks Blessings West Olympia
- CARELINK SENIOR CARE
- CAREPRO 3 AFH
- CARMELHILLS AFH
- CJ ADULT FAMILY HOME LLC
- CJ Adult Family Home LLC
- COMFORT CREST ADULT FAMILY HOME
- Calma Adult Family Home
- Canna Court Adult Home Care
- Canterwood Estates AFH
- Carbonel's Adult Family Home
- Carepro AFH LLC
- Carepro2 AFH
- Caring Serenity LLC
- Carna Diaz Adult Family Home
- Carnelian Adult Family Home
- Chambers Adult Family Home
- Charvie Adult Family Home LLC
- Christian Adult Family Home
- Clarity Care AFH
- Clarity Care AFH 2
- Comfort Living Adult Homecare LLC
- Compassionate Care Home 2, LLC.
- Compassionate Care Home LLC
- Curzzeincare
- DDM AFH
- DEBCARE AFH LLC
- DEBSAL AFH
- DOTTO CARE III AFH
- Daystar Olympia Adult Family Home
- Dela Cruz AFH
- Delightful Living AFH
- Devoted Adult Family Home
- Dodd's Adult Family Care LLC
- Dodd's Adult Family Care LLC
- Dodd's Adult Family Care LLC
- Dotto Care Adult Family Home
- Dotto Care II AFH
- Dumlao M&C Adult Family Home
- EBENEZER CARE AFH
- EDWARD CARE AFH 2
- ELLAS ADULT FAMILY HOME
- EMILIA DARIO RAMOS AFH
- ETV Adult Care Home
- Edgewater 2 AFH LLC
- Edgewater Adult Family Home, LLC
- Edgewood Care Home LLC
- Edward Care AFH
- Ellas Villa AFH LLC
- Elyon Adult Family LLC
- Empathy Haven AFH
- Enduring Care AFH
- Entrada AFH
- Evergreen Haven Adult Family Home
- FAIRHILL CARE 4 AFH
- FAIRHILL CARE 5 AFH
- FOREVERYOUNG AFH LLC
- Fairhill Care AFH
- Fir Woods 2 Adult Family Home
- Fir Woods Adult Family Home LLC
- GIFTED HOME AFH
- GRATEFUL HEARTS CARE HOME III LLC
- GRATEFUL HEARTS CH V LLC
- Gabest Adult Family Home LLC
- Gerry Care Adult Family Home LLC
- Goldenhearts Care Home LLC
- Grace & Harmony AFH
- Green's AFH
- Greensted Homes AFH LLC
- Greenview AFH LLC
- Greenview Adult Family Home 2 LLC
- Greenville 3 AFH
- Greenville AFH LLC
- Greenville2 AFH
- Guardian Angels AFH
- Guardian Angels AFH2 LLC
- HAPPY AND BLESSED AFH 2
- HARRISON CARE
- HEAVENLY JOY SENIOR CARE
- Hamptonville AFH LLC
- Happy and Blessed AFH
- Harmony Place AFH
- Hawthorne Place AFH LLC
- Heart of Joy AFH 3
- Heart of Joy AFH II Olympia
- Heart2Heart Adult Family Home LLC
- Heartfelt Haven adult family homes llc
- Hearts of Warmth
- Hidden Meadows Adult Family Home LLC
- Hollysprings AFH LLC
- Home Of Hearts Adult Family Home
- Home Sweet Home Adult Family Home
- Hope Valley AFH LLC
- House of Blessings Yelm
- House of David LLC
- INSPIRE AFH LLC
- In-Home Integrity, LLC
- Infinite Care AFH 2
- J and R Kelly AFH LLC
- J&F Adult Family Home LLC
- JNJ Oasis AFH LLC
- JODIE AFH
- JOIN HANDS AFH
- John Charles Home Adult Family Home LLC
- Johnson Point House Adult Family Home LLC
- Joyland A.F.H. LLC
- Juliet AFH
- Junnel AFH
- K & D Park Adult Family Home, LLC
- KC Care Adult Family Home
- KEY BRIDGE AFH LLC
- Kings Care AFH LLC
- L&J HENDERSON AFH
- LABRADOR AFH
- LAKEPOINTE AFH - MARVIN RD
- LIDIAS ADULT FAMILY HOME LLC
- Lacey Light AFH
- Lacey Manor AFH LLC
- Lacey Senior Care LLC
- Lakepark Villa AFH LLC
- Lakepointe Adult Family Home II
- Lakepointe Adult Family Home LLC
- Lenkcare Adult Family Home LLC
- Leonard AFH LLC
- Leonards Adult Family Home
- Liannes Villa LLC
- Lidia's Adult Family Home
- Lifecare Adult Family Home, LLC
- Loving Gentle Care LLC
- Luv and Care Adult Family Home (AFH) LLC
- MAZ II ADULT FAMILY HOME LLC
- MGreen AFH
- MILAGROS BYERS AFH
- Ma Victoria Papa Adult Family Home
- Magnolia Woods AFH
- Malama Ohana Adult Family Home
- Manasseh's Adult Family Home LLC
- Marcahandel AFH
- Marco Adult Family Home LLC
- Maxine AFH LLC
- Maz Adult Family Home LLC
- Mcallister Park Senior Living LLC
- Meridian Care Home 2
- Meridian Care Home LLC
- Milla's AFH
- Millas AFH 2
- Millas AFH 3
- Morning Glory Adult Family Home
- NALAH CARE CENTER
- NOBLE HANDS AFH
- New Grace
- New Life AFH
- Noble Home
- Ohana Care Adult Family Home LLC
- Ohana Care II Adult Family Home, LLC/Marion Piccolomini
- Ohana Care III Adult Family Home, LLC
- Olympia Adult Family Home LLC
- Om Adult Family Home LLC
- PACIFIC COMFORT CARE ADULT FAMILY HOME LLC
- PARKPLACE HOME CARE
- PEACE ADULT HOME CARE
- PISTIS ADULT FAMILY HOME
- Park Manor Senior Care
- Passionate Angels AFH
- Paula Serene AFH
- Pinnacle Adult Family Home LLC
- QUEST CENTER HOUSE
- Quality Care Adult Family Home - Olympia Inc
- RAVANCHO AFH II
- ROJAS CARE AFH
- Radiant Living Family Care LLC
- Rainier Vista Adult Family Home, LLC
- Ray Adult Family Home
- Riedels Adult Family Home
- Robin's Nest
- Robins Nest
- Robins Nest AFH Inc
- Rose's Adult Family Home
- Roxburg AFH
- Ryanlorene Adult Family Home
- SERENE MANOR LLC
- SHILOH AFH 2
- SOPHIES CHOICE AFH INC
- SOUND CARE
- SOUND CARE AFH II
- Samaritan AFH
- Santo Nino Adult Family Home II, LLC
- Serenity Home Care LLC
- Shekinah Glory AFH LLC
- Shiloh AFH
- Sifa House Adult Family Home
- Sim Adult Family Home, LLC
- Soriano AFH LLC
- Sound Care 6935 LLC
- South Bay AFH
- South Sound Adult Family Home LLC
- St Vincent
- Stellar Care Home LLC
- Stonewell Lodge Senior Care LLC
- Summer Walk Care Home LLC
- Sunglory Adult Family Home LLC
- THE DADAS ADULT FAMILY HOME IV
- TRANQUESSENCE LLC
- TREASURED HEART AFH II LLC
- TROTTER ADULT FAMILY HOME
- TUMAINI CENTER ADULT FAMILY HOME LLC
- Tansy of Tumwater Adult Family Home LLC
- Tenderly Care Home LLC
- The Dada's Adult Family Home
- The Dada's Adult Family Home II
- The Dada's Adult Family Home III
- The Dada's Adult Family Home V
- The Dada's Adult Family Home VI
- The Dada's Adult Family Home VII
- The Dadas Adult Family Home VIII
- The House of Bread AFH LLC
- The Laurel's Adult Family Home LLC
- Three J's AFH
- Tosh Adult Family Home LLC
- Treasured Heart Adult Family Home LLC
- Treasured Times AFH LLC
- Trinity AFH
- Trinity AFH 2
- Trinity Care Home Inc
- Trinity Care Home Inc
- Trinity Care Home Inc.
- Tumwater Hill Senior Care, LLC
- Tumwater Prime Care Inc
- Umbrella Always Care Adult Family Home LLC
- Unified Hill 2 AFH
- Unified Hill AFH 3
- Unified Hill LLC
- VERONICA'S ADULT FAMILY HOME
- VILLANUEVAS ADULT FAMILY HOME
- VINLUAN AFH
- Verisa's Nest AFH LLC
- Vine Hope AFH
- Vista Lane Adult Family Home
- Wahid Adult Family Home
- Wells Adult Family Home LLP
- Whispering Pines AFH
- Wonderwood AFH
- Your Care Home LLC
- Z and E Care AFH
- ZENAIDA RAVANCHO AFH
- campus green afh
All facilities listed are licensed by WA DSHS. This is a complete list — not a curated or sponsored selection. Browse with ratings, Medicaid filter & map →
Frequently Asked Questions
How much does adult family home cost in Thurston County?
Medicaid reimbursement rates for adult family homes in Thurston County, WA range from $130 to $311 per day (approximately $3,958–$9,459/month) as of 2026-06-17. These are Medicaid floor rates; private-pay rates are set by each facility and vary — contact facilities directly for private rates.
Does Medicaid pay for adult family home in Thurston County?
Yes, Medicaid (through WA DSHS ALTSA HCS) reimburses contracted adult family homes in Washington, including Thurston County. Eligibility requires both a financial means test and a functional assessment. Not all facilities accept Medicaid; confirm current availability directly with each provider.
Is adult family home cheaper than other senior care types in Thurston County?
Adult Family Homes in this area start around $130/day (~$3,958/month) on Medicaid. All figures are Medicaid reimbursement rates — private-pay rates vary and must be confirmed directly with each facility.