This guide gives you the real 2026 numbers for cost of adult family home bothell in Bothell, not generic national averages. Pricing comes from active local providers we work with; it's refreshed every 30 days.
You'll find: monthly ranges, what's included, how Medicaid / Medicare / VA benefits / long-term-care insurance reduce out-of-pocket cost, and a step-by-step on how families typically structure payment over 2–5 years.
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 Bothell specifically, that means weighing the licensed options against Bothell's cost range and your family's timeline. The right choice balances care level, budget, location near EvergreenHealth Kirkland (nearby), and how quickly you need a spot.
What adult family homes costs in Bothell (2026)
Bothell pricing runs $4,850–$7,550/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): $5,850–$8,200/month
- Memory care: $7,350–$9,600/month
- Adult family home: $4,850–$7,550/month
- In-home care: $39–$54/hour
What lowers the bill in Bothell: a shared room (often $700–$1,200/mo less), a small adult family home over a large community, right-sizing the care level, and VA Aid & Attendance or Washington's Apple Health / COPES waiver for those who qualify.
Bothell adult family homes: by the numbers
87 DSHS-licensed adult family homes on file in Bothell; about 516 total licensed beds; averaging 6 beds per home; the largest at 8 beds; 86 offering Specialized Dementia Care; 79 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. These numbers reflect actual DSHS-licensed providers on file, not modeled averages.
Licensed adult family homes providers in Bothell
Small licensed homes (up to 6 residents each), selected by capacity. Data: Washington DSHS / ALTSA (2026). Verify any license, beds, and inspection history yourself at fortress.wa.gov/dshs/adsaapps/lookup before you commit.
Memory care (Specialized Dementia Care): 86 · Accepts Apple Health (Medicaid): 79
| Provider | City | Licensed beds | DSHS license # |
|---|---|---|---|
| GENTLE SENIOR CARE LLC | Bothell | 8 beds | 753228 |
| HEART TO HEART LOVING CARE | Bothell | 8 beds | 752027 |
| Loving Adult Family Home | Bothell | 8 beds | 758857 |
| Loving Adult Family Home LLC | Bothell | 8 beds | 753568 |
| MAPLE AFH II | Bothell | 8 beds | 757599 |
| WELLNESS VILLAGE ADULT CARE HOME | Bothell | 8 beds | 752412 |
| #1 Angels Heart Adult Family Home LLC | Bothell | 6 beds | 756157 |
| * Cedar Park | Bothell | 6 beds | 754361 |
| *1st Harmony | Bothell | 6 beds | 754244 |
| *Four Sisters Adult Family Home LLC | Bothell | 6 beds | 754258 |
| 1st Abigail Adult Family Home LLC | Bothell | 6 beds | 753913 |
| 1st Choice Adult Family Home LLC | Bothell | 6 beds | 753462 |
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 Bothell providers so hidden add-ons don't surprise you later.
How fast you can move in Bothell
In Bothell, a non-urgent move typically takes one to two weeks end to end. After a hospital stay near EvergreenHealth Kirkland (nearby), families often need placement within a few days — line up paperwork early. A free local advisor can tell you which Bothell providers have current openings.
Senior care in Bothell, King / Snohomish County
Bothell straddles the King–Snohomish county line north of Seattle, a growing city of about 48,000 along the I-405 tech corridor, with newer housing in Canyon Park and North Creek and rising demand for senior living near the Eastside job centers. A higher-cost north-corridor market between the Eastside and Snohomish County, Bothell pairs newer assisted-living inventory with a growing adult-family-home network, with EvergreenHealth and Providence Everett within reach.
Nearby hospitals: EvergreenHealth Kirkland (nearby), UW Medical Center–Northwest (nearby), Providence Regional Medical Center Everett (nearby). Hospital nearness is a real factor in Bothell: it smooths rehab hand-offs, dementia crises, and ongoing care, so many families filter by it.
Areas families ask about: Downtown Bothell, Canyon Park, North Creek, Queensgate, Westhill, Maywood Hills.
How Bothell families actually pay for care
Very few families cover senior care from a single source. In Bothell, the typical plan layers several of these, often shifting over a multi-year stay:
- Personal savings & Social Security. Most Puget Sound families self-fund the first 12–24 months from savings, pensions, and monthly Social Security before tapping other sources.
- Long-term-care insurance. If a policy is in force, it can cover a large share of assisted living or home care — check the elimination period and daily benefit cap. Washington's WA Cares Fund also provides a state long-term-care benefit for eligible workers.
- VA Aid & Attendance. Eligible wartime veterans and surviving spouses can receive roughly $1,800–$2,900/month toward care — a major lever in a metro served by VA Puget Sound (Seattle and the American Lake campus in Lakewood).
- Washington Apple Health (Medicaid) long-term care. Washington's Apple Health long-term care — delivered in the community through the COPES waiver, administered by DSHS Home and Community Services — covers personal care and many community-based services for those who qualify by income and assets. Adult family homes are a common low-cost, Medicaid-contracted setting.
- Home equity. Selling the family home or a reverse mortgage frequently funds sustained care once a parent has moved.
- Family cost-sharing. Siblings often split the monthly gap; a written agreement keeps it fair and durable.
Because Bothell adult family homes can run into the thousands per month, mapping the funding plan early — before a crisis — often saves a family tens of thousands of dollars. A free local advisor can tell you which of these you qualify for and which Bothell providers accept Apple Health (the COPES waiver).
The Washington safety net behind your decision
Washington licenses and inspects senior care through DSHS (ALTSA / Residential Care Services) (look up any provider at fortress.wa.gov/dshs/adsaapps/lookup), funds in-home and community services through the regional Area Agency on Aging — Aging and Disability Services in King County, Homage in Snohomish, and Pierce ADR — and covers long-term care for those who qualify through Apple Health (Medicaid) and the COPES waiver. The Ombudsman and DSHS Adult Protective Services safeguard residents. These are the same programs we help families navigate for free.
One more Bothell-specific note: availability shifts week to week, and the community that's full today may have an opening next month. A local advisor tracks current Bothell openings so you're never relying on a stale online listing — particularly important for adult family homes, where the right secured or higher-acuity bed can be scarce.