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235 Adult Family Homes in Spokane with Specialized Behavior Support

330 homes1,884 licensed beds330 accept Medicaid

DSHS licensing records as of September 13, 2026.

These homes hold a Specialized Behavior Support contract with DSHS, which covers residents whose behavioral needs require additional staff training and planning. Fewer than one home in six carries it, and placements for residents with significant behavioral needs are among the hardest to find.

Showing 235 homes of 330.

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.

Aging Life Care Association Corporate Partner (opens in a new window)National Association of Estate Planners & Councils (opens in a new window)National Association of Senior Advocates (opens in a new window)Friends of King County Collaborative Law (opens in a new window)