7 Licensed Adult Family Homes in Steilacoom, Washington
7 homes41 licensed beds6 accept Medicaid
DSHS licensing records as of September 14, 2026.
Showing 7 homes.
Essymon's Dedicated Homecare
Licensed for 6
2314 Oak Dr, Steilacoom, WA 98388
Mental Health · Dementia · Developmental Disabilities — Medicaid contract
DSHS license 758728 · DSHS inspection record (none posted when checked)
Joysam AFH LLC
Licensed for 5
710 Roe St, Steilacoom, WA 98388
Mental Health · Dementia · Developmental Disabilities — private pay only
DSHS license 755649 · DSHS inspection record (documents posted)
Oasis of Joy AFH LLC
Licensed for 6
2402 Oak Dr, Steilacoom, WA 98388
Mental Health · Dementia · Developmental Disabilities — Medicaid contract
DSHS license 756535 · DSHS inspection record (none posted when checked)
Peace Garden
Licensed for 6
2800 Tyee Ct, Steilacoom, WA 98388
Mental Health · Dementia — Medicaid contract
DSHS license 757651 · DSHS inspection record (documents posted)
Pierce care AFH LLC
Licensed for 6
911 Pierce St, Steilacoom, WA 98388
Mental Health · Dementia · Developmental Disabilities — Medicaid contract
DSHS license 758914 · DSHS inspection record (none posted when checked)
Shekinah2 Adult Family Home LLC
Licensed for 6
1511 Starling St, Steilacoom, WA 98388
Mental Health · Dementia · Developmental Disabilities — Medicaid contract
DSHS license 755450 · DSHS inspection record (documents posted)
St Therese Adult Family Home
Licensed for 6
1407 Brooke Ct, Steilacoom, WA 98388
Mental Health · Dementia · Developmental Disabilities — Medicaid contract
DSHS license 750428 · DSHS inspection record (documents posted)
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 Steilacoom 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. 6 of the 7 homes in Steilacoom 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.
All 7 homes in Steilacoom carry the DSHS dementia specialty designation, and 7 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.
About these homes
Steilacoom has 7 licensed adult family homes with 41 licensed beds, according to Washington State DSHS records. 6 accept Medicaid, 7 carry the dementia specialty designation, 7 carry the mental health designation, and 6 serve developmental disabilities. 0 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.

