Adult Family Homes in Spokane, WA
Spokane has 354 Adult Family Homes licensed by Washington DSHS, with 2,016 resident beds in total (state records checked November 7, 2026). 342 of them (97%) have a Medicaid contract, 345 hold the dementia specialty, 354 the mental health specialty and 259 the developmental disabilities specialty. The city also has 35 assisted living communities and 10 nursing homes.
Spokane at a glance
- Adult Family Homes
- 354
- Resident beds
- 2,016
- Medicaid contract
- 342 (97%)
- Dementia specialty
- 345
- Mental health specialty
- 354
- Developmental disabilities
- 259
- Assisted living
- 35
- Nursing homes
- 10
From Washington DSHS license records, checked November 7, 2026.
Choosing an Adult Family Home in Spokane
Spokane has the 3rd most Adult Family Homes of any city in Washington, so there is real choice here. Narrow it down by care needs first, then by the neighborhood family can visit most easily.
Homes are spread across 13 ZIP codes. The most are in 99208 (138), 99223 (60) and 99205 (38). If someone will visit every week, start with the ZIP code closest to them.
The average home here is licensed for 5.7 residents. 10 are approved for seven or eight. 30 care for four or fewer, which some families prefer for a quieter house.
Spokane has more homes approved for developmental disabilities than most of Washington: 73% here, against 61% statewide. That makes it a good place to look for an adult son or daughter with DD.
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 Spokane
Medicaid. 342 Spokane 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.
Free local help. Aging & Long Term Care of Eastern Washington, Community Living Connections (the Area Agency on Aging for Spokane, Ferry, Stevens, Pend Oreille and Whitman counties) at (509) 960-7281 can talk through care options and benefits. For a Medicaid care assessment and every other local number, see our Spokane County guide.
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 Spokane
How many Adult Family Homes are in Spokane, WA?
Spokane has 354 Adult Family Homes licensed by Washington DSHS, with room for 2,016 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 Spokane accept Medicaid?
342 of Spokane's 354 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 Spokane?
Yes. 345 Adult Family Homes in Spokane 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 Spokane Adult Family Homes care for mental health needs or developmental disabilities?
Of Spokane's 354 Adult Family Homes, 354 hold the mental health specialty and 259 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 Spokane?
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 Spokane?
DSHS inspects every Adult Family Home at least every 18 months and publishes inspections, complaint investigations and enforcement letters online. Each Spokane home on Wayvo links to its own DSHS reports by license number.
How do I find an Adult Family Home in Spokane 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 Spokane homes have a room open, free.
Home counts updated November 7, 2026 from state records. Sources:
See all 399 care homes in Spokane, A to Z
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