When you search adult family homes in Renton, you deserve more than a directory. This page combines current Washington DSHS licensing data with local cost and hospital context specific to Renton. We currently track 192 DSHS-licensed adult family homes serving Renton from Washington DSHS records.
What's below: the licensed providers, 2026 Renton 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 Renton specifically, that means weighing the licensed options against Renton's cost range and your family's timeline. The right choice balances care level, budget, location near Valley Medical Center (UW Medicine), and how quickly you need a spot.
Renton adult family homes: by the numbers
192 DSHS-licensed adult family homes on file in Renton; about 1,130 total licensed beds; averaging 6 beds per home; the largest at 8 beds; 189 offering Specialized Dementia Care; 192 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 Renton
Small licensed homes (up to 6 residents each), selected by capacity. Pulled from Washington DSHS / ALTSA records (2026). We recommend re-checking each license at fortress.wa.gov/dshs/adsaapps/lookup before signing anything.
Memory care (Specialized Dementia Care): 189 · Accepts Apple Health (Medicaid): 192
| Provider | City | Licensed beds | DSHS license # |
|---|---|---|---|
| Clear Choice Adult Family Home LLC | Renton | 8 beds | 753526 |
| KENNYDALE GOLDEN AGE ADULT FAMILY HOME LLC | Renton | 8 beds | 752034 |
| Kennydale Golden Years AFH | Renton | 8 beds | 753915 |
| SERENITY HARBOR AFH CO II | Renton | 8 beds | 751598 |
| Meadow Crest Senior Home LLC | Renton | 7 beds | 753632 |
| New Option Elderly Living LLC | Renton | 7 beds | 756037 |
| !1ST FAMILY HOME AFH LLC | Renton | 6 beds | 758690 |
| **Elizabeth's Care Home LLC | Renton | 6 beds | 758096 |
| **To Be Cherished Adult Family Home L.L.C. | Renton | 6 beds | 757757 |
| *1st* Hope Adult Family Home LLC | Renton | 6 beds | 754100 |
| 1st Care AFH LLC | Renton | 6 beds | 755337 |
| 2023 Nazarene Adult Family Home LLC | Renton | 6 beds | 757299 |
Senior care in Renton, King County
Renton is a diverse south-King County city of about 105,000 at the south end of Lake Washington, with an affordable, established housing stock and a large adult-family-home network serving a multicultural senior population. Valley Medical Center, a UW Medicine campus, anchors Renton's care market — a practical, mid-priced south-King option with one of the region's densest concentrations of licensed adult family homes.
Nearby hospitals: Valley Medical Center (UW Medicine), Swedish (Seattle, nearby), St. Francis Hospital (Federal Way, nearby). Proximity to a hospital matters for rehab discharges, dementia emergencies, and ongoing specialist visits — families in Renton often shortlist providers a short drive from these.
Areas families ask about: Downtown Renton, Highlands, Kennydale, Talbot, Benson Hill, Fairwood.
What adult family homes costs in Renton (2026)
Renton pricing runs $4,600–$7,150/month, near 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): $5,500–$7,750/month
- Memory care: $6,950–$9,100/month
- Adult family home: $4,600–$7,150/month
- In-home care: $37–$51/hour
What lowers the bill in Renton: 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.
How we vet Renton providers
- Active Washington DSHS license verified on the state ALTSA provider lookup, with no open enforcement action
- Last two RCS inspection cycles reviewed for citations and complaints
- Real family references — not curated testimonials
- Transparent monthly pricing (a provider who won't disclose cost is one we won't refer)
- An in-person visit by a local advisor within the last 12 months
Questions to ask on a tour
- What is the staff-to-resident ratio overnight?
- What care changes would force a move-out?
- What is the all-in monthly cost for this care level — every line item?
- How do you handle a sudden change in needs, like a fall?
- What is your current resident average length of stay?
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 Renton providers so hidden add-ons don't surprise you later.
How fast you can move in Renton
In Renton, a non-urgent move typically takes one to two weeks end to end. After a hospital stay near Valley Medical Center (UW Medicine), families often need placement within a few days — line up paperwork early. A free local advisor can tell you which Renton providers have current openings.
One more Renton-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 Renton 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.