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46 Licensed Adult Family Homes in Spanaway, Washington

46 homes269 licensed beds45 accept Medicaid

DSHS licensing records as of September 14, 2026.

Showing 46 homes.

Adult family home care in Spanaway
What adult family homes cost in Spanaway

Private pay for a private room with moderate care typically runs $5,500 to $8,000 a month per resident across Pierce County. Each home sets its own rate, so ask every home for its rate sheet. These ranges come from the featured appraiser's brokerage and appraisal work with operating homes (reviewed September 2026).

For a resident on Medicaid, DSHS pays Spanaway homes $144 to $279 a day (about $4,394 to $8,495 a month), depending on the resident's care level. The resident contributes most of their own income toward it; the family doesn't pay the daily rate. 45 of the 46 homes in Spanaway accept Medicaid. Rates are DSHS's King, Pierce and Snohomish rates, effective July 1, 2026. Costs for any Washington city or county.

Paying for care with the family house? Make a free step-by-step plan for your parent's care and home.

Dementia and memory care in Spanaway

All 46 homes in Spanaway carry the DSHS dementia specialty designation, and 45 carry the mental health designation. A designation means the provider completed the extra training the state requires. It is not a quality rating, and it doesn't say how many residents with dementia a home serves today. On a visit, ask how the home handles wandering, nights and changes in care needs, and read its DSHS inspection record first. How to choose an adult family home.

Adult family homes near Spanaway

All adult family homes in Pierce County

About these homes

Spanaway has 46 licensed adult family homes with 269 licensed beds, according to Washington State DSHS records. 45 accept Medicaid, 46 carry the dementia specialty designation, 45 carry the mental health designation, and 37 serve developmental disabilities. 2 are licensed for more than six residents. Capacity, specialty designations, and Medicaid status come directly from those records.

Licensing information is sourced from Washington State DSHS public records. Specialty designations reflect provider training required by the state; they are not quality ratings and are not endorsements. Verify current licensing status directly with DSHS before relying on this information.

Real Property Planning is an independent educational resource and does not operate, own, or manage any adult family home.

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