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330 Licensed Adult Family Homes in Spokane, Washington

330 homes1,884 licensed beds330 accept Medicaid

DSHS licensing records as of September 13, 2026.

Showing 330 homes.

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

Private pay for a private room with moderate care typically runs $5,500 to $7,500 a month per resident across Spokane County. Memory care usually starts around $7,500 and can run past $10,000. 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 October 2026).

For a resident on Medicaid, DSHS pays Spokane homes $132 to $251 a day (about $4,030 to $7,623 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. All 330 homes in Spokane accept Medicaid. Rates are DSHS's standard 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 Spokane

321 of the 330 homes in Spokane carry the DSHS dementia specialty designation, and 322 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 Spokane

All adult family homes in Spokane County

About these homes

Spokane has 330 licensed adult family homes with 1884 licensed beds, according to Washington State DSHS records. 330 accept Medicaid, 321 carry the dementia specialty designation, 322 carry the mental health designation, and 244 serve developmental disabilities. 10 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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