Adult Family Homes in Bellevue, WA

If your family is weighing adult family homes in Bellevue, this page pulls together what actually matters locally — who the licensed providers are, what they cost in 2026, and how to move when time is tight. We currently track 102 DSHS-licensed adult family homes serving Bellevue from Washington DSHS records.

What's below: the licensed providers, 2026 Bellevue cost ranges, the local hospital and neighborhood context, what to ask on a tour, and how to act fast if a hospital discharge is looming. Prefer to talk it through? Get matched with a free local advisor — no fees, ever.

What adult family homes means — and who it's for

An adult family home fits a senior who does best in a small, homelike setting — up to six residents in a regular house — with a high caregiver-to-resident ratio. It often costs less than a large community and is a common Apple Health (Medicaid) option in Washington.

How Washington regulates it: Adult family homes (AFHs) are Washington's signature small-home care setting — a regular home licensed by DSHS for up to six residents under RCW 70.128 and WAC 388-76. They offer a high caregiver-to-resident ratio in a residential setting, and many hold a Specialized Dementia Care or other specialty endorsement. Verify the license and any specialty designation on the DSHS lookup.

In Bellevue specifically, that means weighing the licensed options against Bellevue's cost range and your family's timeline. The right choice balances care level, budget, location near Overlake Medical Center, and how quickly you need a spot.

Bellevue adult family homes: by the numbers

102 DSHS-licensed adult family homes on file in Bellevue; about 611 total licensed beds; averaging 6 beds per home; the largest at 8 beds; 97 offering Specialized Dementia Care; 102 accepting Apple Health (Medicaid). Adult family homes are small, DSHS-licensed homes for up to six residents in an ordinary house — a higher caregiver-to-resident ratio and, often, a lower monthly cost than a large community. Every figure here is drawn from live Washington DSHS licensing records rather than guesswork.

Licensed adult family homes providers in Bellevue

Small licensed homes (up to 6 residents each), selected by capacity. From the state's DSHS ALTSA / Residential Care Services records (2026). Always confirm the current license and bed count at fortress.wa.gov/dshs/adsaapps/lookup first.

Memory care (Specialized Dementia Care): 97  ·  Accepts Apple Health (Medicaid): 102

Senior care in Bellevue, King County

Bellevue is the Eastside's affluent center, a city of about 150,000 across Lake Washington from Seattle, with high household incomes, a large share of long-tenured homeowners over 65, and the headquarters of regional operator Aegis Living. Anchored by Overlake Medical Center, Bellevue is the metro's premium Eastside market — the highest-cost city in the region, with upscale assisted living, secured memory care, and a dense network of well-appointed adult family homes.

Nearby hospitals: Overlake Medical Center, Swedish Issaquah (nearby), EvergreenHealth Kirkland (nearby), Virginia Mason Bellevue (clinic). Being near a hospital helps with post-rehab follow-up, sudden memory-care needs, and routine specialist care, so Bellevue families weigh drive time to these closely.

Areas families ask about: Downtown Bellevue, Crossroads, Factoria, Somerset, Newport Hills, West Bellevue.

What adult family homes costs in Bellevue (2026)

Bellevue pricing runs $5,400–$8,400/month, above the metro average for the Greater Seattle metro — a reflection of local real-estate and the mix of small adult family homes versus larger communities.

• Assisted living (standard): $6,500–$9,100/month
• Memory care: $8,150–$10,700/month
• Adult family home: $5,400–$8,400/month
• In-home care: $43–$60/hour

Ways Bellevue families reduce the monthly figure: sharing a room, picking an intimate adult family home, avoiding bundled care tiers they don't need yet, and using veterans' Aid & Attendance or Washington's Apple Health long-term-care waiver when they qualify.

How we vet Bellevue providers

1. Washington DSHS license active and clean, checked on the state ALTSA provider lookup
2. Two most recent inspections read for repeat citations
3. Family feedback gathered firsthand where possible
4. Up-front written pricing with every recurring fee disclosed
5. A recent advisor visit, not a brochure

Questions to ask on a tour

• What's your overnight staffing level for this wing?
• Which care needs are beyond what you support here?
• Can you itemize base rate versus add-on charges?
• How do you handle a decline in mobility or memory?
• What has staff turnover been over the past year?

What's included — and what costs extra

Usually included: a private or shared room in a regular home, all meals, 24/7 caregivers, and personal-care help in a setting of up to six residents. Typically extra: higher-acuity care, two-person transfers, and specialized services a small home may not staff for. Insist on an itemized monthly quote from Bellevue providers so hidden add-ons don't surprise you later.

How fast you can move in Bellevue

Most Bellevue moves come together in 7–14 days once the health assessment, finances, and a physician's order are in hand; a hospital discharge can compress that to 24–72 hours when a bed is open. A free local advisor can tell you which Bellevue providers have current openings.

Worth knowing in Bellevue: the strongest adult family homes options aren't always the ones with the biggest marketing budgets. We weigh license standing, staffing, and family feedback over advertising, which is how families here avoid a polished tour that hides a thin overnight staff.