Adult Family Homes in Olympia, WA
Olympia has 152 Adult Family Homes licensed by Washington DSHS, with 874 resident beds in total (state records checked November 7, 2026). 139 of them (91%) have a Medicaid contract, 148 hold the dementia specialty, 147 the mental health specialty and 76 the developmental disabilities specialty. The city also has 7 assisted living communities and 4 nursing homes. One home has confirmed an open room on Wayvo in the last two weeks.
Olympia at a glance
- Adult Family Homes
- 152
- Resident beds
- 874
- Medicaid contract
- 139 (91%)
- Dementia specialty
- 148
- Mental health specialty
- 147
- Developmental disabilities
- 76
- Assisted living
- 7
- Nursing homes
- 4
From Washington DSHS license records, checked November 7, 2026.
Choosing an Adult Family Home in Olympia
With 152 Adult Family Homes, Olympia has enough choice that it pays to filter first. Start with the care your loved one needs, then look at how close each home is to the family members who will visit.
Homes are spread across 7 ZIP codes. The most are in 98513 (46), 98501 (40) and 98506 (18). If someone will visit every week, start with the ZIP code closest to them.
The average home here is licensed for 5.8 residents. 4 are approved for seven or eight. 10 care for four or fewer, which some families prefer for a quieter house.
Homes with the developmental disabilities specialty are less common in Olympia (50%, 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 Olympia
Medicaid. 139 Olympia homes (91%) have a Medicaid contract with the state, below 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. One Olympia home lists its price on Wayvo, starting from $3,900 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 Olympia
How many Adult Family Homes are in Olympia, WA?
Olympia has 152 Adult Family Homes licensed by Washington DSHS, with room for 874 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 Olympia accept Medicaid?
139 of Olympia's 152 Adult Family Homes (91%) 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 Olympia?
Yes. 148 Adult Family Homes in Olympia 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 Olympia Adult Family Homes care for mental health needs or developmental disabilities?
Of Olympia's 152 Adult Family Homes, 147 hold the mental health specialty and 76 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 Olympia?
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. One Olympia home lists its price on Wayvo, from $3,900 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 Olympia?
DSHS inspects every Adult Family Home at least every 18 months and publishes inspections, complaint investigations and enforcement letters online. Each Olympia home on Wayvo links to its own DSHS reports by license number.
How do I find an Adult Family Home in Olympia with a room open now?
One Olympia home has confirmed an open room on Wayvo in the last two weeks; it appears near the top of this page. For other homes, call and ask, or tell a Wayvo guide what your loved one needs and we will check for you, free.
Home counts updated November 7, 2026 from state records. Sources:
See all 163 care homes in Olympia, A to Z
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