This is a Kirkland-first guide to adult family homes: not national averages, but the providers licensed to operate here, current 2026 costs, and the local context that shapes a good decision. We currently track 45 DSHS-licensed adult family homes serving Kirkland from Washington DSHS records.
What's below: the licensed providers, 2026 Kirkland 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 Kirkland specifically, that means weighing the licensed options against Kirkland's cost range and your family's timeline. The right choice balances care level, budget, location near EvergreenHealth Kirkland, and how quickly you need a spot.
Kirkland adult family homes: by the numbers
45 DSHS-licensed adult family homes on file in Kirkland; about 274 total licensed beds; averaging 6 beds per home; the largest at 8 beds; 44 offering Specialized Dementia Care; 45 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 are real, current DSHS license counts for the area — not national estimates.
Licensed adult family homes providers in Kirkland
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): 44 · Accepts Apple Health (Medicaid): 45
| Provider | City | Licensed beds | DSHS license # |
|---|---|---|---|
| AFH For Seniors LLC | Kirkland | 8 beds | 754145 |
| Alpine Residences of Bridle Trails | Kirkland | 8 beds | 755768 |
| Angel Care LLC | Kirkland | 8 beds | 753116 |
| Kirkland Senior Care LLC | Kirkland | 8 beds | 753975 |
| #1 Amen Adult Family Home LLC | Kirkland | 6 beds | 755603 |
| 1st & Amazing Senior Care Home of Kirkland LLC | Kirkland | 6 beds | 753876 |
| ABUNDANCE LOVE | Kirkland | 6 beds | 750852 |
| Abyssinia AFH LLC | Kirkland | 6 beds | 757114 |
| All Star House LLC | Kirkland | 6 beds | 755156 |
| Alliance Nursing, Inc. | Kirkland | 6 beds | 754201 |
| BRIDLE MANOR AFH | Kirkland | 6 beds | 731500 |
| Benevolent AFH | Kirkland | 6 beds | 754951 |
Senior care in Kirkland, King County
Kirkland is an affluent waterfront Eastside city of about 95,000 on Lake Washington, with a walkable downtown, an established older population near Juanita and Houghton, and the large EvergreenHealth medical campus at Totem Lake. EvergreenHealth's Kirkland hospital anchors a premium Eastside care market — waterfront assisted living, secured memory care, and a deep bench of adult family homes in quiet lakeside neighborhoods.
Nearby hospitals: EvergreenHealth Kirkland, Overlake Medical Center (Bellevue, nearby), UW Medical Center–Northwest (Seattle, nearby). For Kirkland families, quick hospital access shapes the shortlist — it eases discharges, emergencies, and the steady rhythm of specialist appointments.
Areas families ask about: Downtown Kirkland, Juanita, Totem Lake, Houghton, Rose Hill, Bridle Trails.
What adult family homes costs in Kirkland (2026)
Kirkland pricing runs $5,200–$8,050/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): $6,200–$8,750/month
- Memory care: $7,800–$10,250/month
- Adult family home: $5,200–$8,050/month
- In-home care: $41–$57/hour
Ways Kirkland 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 Kirkland providers
- Washington DSHS license active and clean, checked on the state ALTSA provider lookup
- Two most recent inspections read for repeat citations
- Family feedback gathered firsthand where possible
- Up-front written pricing with every recurring fee disclosed
- 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. Ask any Kirkland provider for an itemized rate sheet so you can compare apples to apples.
How fast you can move in Kirkland
Plan on roughly 7–14 days for a Kirkland placement: assessment, deposit, physician's order, then move-in. Memory-care and post-hospital moves can happen same-day to 72 hours when a secured bed opens. A free local advisor can tell you which Kirkland providers have current openings.
Worth knowing in Kirkland: 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.