Lewis County and Thurston County

Adult Family Homes in Centralia, WA

Centralia has 33 Adult Family Homes licensed by Washington DSHS, with 200 resident beds in total (state records checked November 7, 2026). 32 of them (97%) have a Medicaid contract, 33 hold the dementia specialty, 32 the mental health specialty and 16 the developmental disabilities specialty. The city also has 3 assisted living communities and 3 nursing homes.

Centralia at a glance

Adult Family Homes
33
Resident beds
200
Medicaid contract
32 (97%)
Dementia specialty
33
Mental health specialty
32
Developmental disabilities
16
Assisted living
3
Nursing homes
3

From Washington DSHS license records, checked November 7, 2026.

See all 39 care homes in Centralia
Not sure which Centralia home fits? Tell us what your loved one needs and a Wayvo guide will check which homes have a room open.
Own a care home in Centralia? List it free on Wayvo Homes, or find it above and claim it.

Choosing an Adult Family Home in Centralia

Centralia has 33 Adult Family Homes, a number small enough to call every home on a short list in a day or two. If none fits, the nearby cities below widen the search.

The average home here is licensed for 6.1 residents. 2 are approved for seven or eight.

Homes with the developmental disabilities specialty are less common in Centralia (48%, against 61% statewide). If your family needs one, filter for it early and include nearby cities.

Nearly every home here holds the dementia specialty, so the label alone will not narrow your list. Ask each home how many residents with memory loss live there now, who is awake at night, and how they handle wandering.

Before you visit, read each home's DSHS inspection reports; every listing on this page links to them, and our guide to reading inspection reports explains what to look for.

Paying for care in Centralia

Medicaid. 32 Centralia homes (97%) have a Medicaid contract with the state, above the Washington average of 94%. A contract does not mean a Medicaid bed is open today, so ask each home, and ask whether a private pay resident can stay if savings run out.

Cost. Adult Family Homes set their own rates, usually by how much care is needed. Across Washington they typically charge $135 to $473 a day, about $4,050 to $14,190 a month. For comparison, assisted living averages $7,546 a month across Washington. Our cost of care estimator gives a range for your situation.

Starting Medicaid. Apply financially through Washington Connection and ask DSHS Home and Community Services for a care assessment; you can do both at once. Our Medicaid and COPES guide walks through each step.

WA Cares Fund. If your loved one paid into WA Cares, the benefit can go toward an Adult Family Home. See who qualifies.

Questions about Adult Family Homes in Centralia

How many Adult Family Homes are in Centralia, WA?

Centralia has 33 Adult Family Homes licensed by Washington DSHS, with room for 200 residents in total, according to state records as of November 2026. Each home cares for up to six residents, or up to eight with state approval.

Do Adult Family Homes in Centralia accept Medicaid?

32 of Centralia's 33 Adult Family Homes (97%) have a Medicaid contract with Washington DSHS, so residents who qualify for Medicaid or COPES can live there. Ask each home whether a Medicaid bed is open now.

Are there Adult Family Homes for dementia or memory care in Centralia?

Yes. 33 Adult Family Homes in Centralia hold the DSHS dementia specialty, which means their staff completed extra state training in dementia care. Ask each home how it handles wandering and night time care.

Which Centralia Adult Family Homes care for mental health needs or developmental disabilities?

Of Centralia's 33 Adult Family Homes, 32 hold the mental health specialty and 16 hold the developmental disabilities specialty. Both designations require extra DSHS training. Filter for them on this page, then ask how many residents with similar needs live in the home now.

How much does an Adult Family Home cost in Centralia?

Each home sets its own rate based on the care needed. In Washington, Adult Family Homes typically charge $135 to $473 a day, about $4,050 to $14,190 a month. Medicaid, long term care insurance, VA benefits and the WA Cares Fund can help pay.

How do I check the inspection reports for an Adult Family Home in Centralia?

DSHS inspects every Adult Family Home at least every 18 months and publishes inspections, complaint investigations and enforcement letters online. Each Centralia home on Wayvo links to its own DSHS reports by license number.

How do I find an Adult Family Home in Centralia with a room open now?

Rooms open and fill quickly, so call the homes on your short list and ask. Or tell a Wayvo guide what your loved one needs and we will check which Centralia homes have a room open, free.