Looking for long-term care for a loved one is often a confusing process. There are many different types of care for aging adults, and within each category, there could be many options in your metro area alone. You may have already decided that home care is not (or is no longer) a good fit for your loved one. Before you can decide which facilities to tour, you need to understand the differences between adult family homes and an assisted living facility.
At Sunrise Services, we’re here to help individuals get the care they need. We can help you narrow down options that provide the right level of care for your loved one, give them the best possible quality of life, and are doable with your financial situation.
Adult Family Homes
What They Are
Adult family homes (AFHs) are licensed residential care homes that house, feed, and provide personal care to a small number of residents. In Washington State, they can serve up to six non-related residents at a time.
Different AFHs provide different levels of care. Some provide higher levels of personal care, intermittent nursing care from a part-time nurse, or assistance with medications, while others offer more limited services. Some AFHs also specialize in caring for people with developmental disabilities, dementia, mental illness, or other conditions.
An AFH can be run by a family, but many are run by individuals or business partners with employees. Depending on the AFH, residents may be able to have pets or communicate with other residents and caregivers in a language other than English.
Who They’re For
AFHs are often a good fit for individuals who don’t need a high level of daily medical care. They create a homey setting that feels more comfortable than an assisted living facility for some people.
Cost
Adult family home pricing can vary quite a bit. According to the Adult Family Home Council, pricing in Washington state usually starts at $4,500/month for a shared room, and a private room often starts at $5,000 or more. However, many residents qualify for financial assistance through Medicaid or other programs.
Assisted Living Facilities
What They Are
Assisted living facilities are also licensed residential care homes, but they serve larger numbers of residents. They usually support a higher level of care than adult family homes. Many provide 24/7 access to medical care with licensed healthcare professionals on staff to address emergencies, administer medications, and provide physical or occupational therapy.
Beyond caregiving, assisted living facilities sometimes support a rich social life. Many provide regular opportunities to socialize with other residents, enjoy community activities, and do exercise that is appropriate for residents’ abilities.
Who They’re For
Assisted living facilities are a good choice for many individuals who need more intensive medical care than home care or an AFH can provide, but not the 24/7 medical supervision of a nursing home. They can also be a great fit for people who prefer more opportunities to socialize.
Cost
Assisted living facilities also have a highly variable pricing structure. The average monthly cost for an assisted living resident in Washington state was $6,975 in 2024, according to the Genworth Cost of Care Survey. If that’s more than you can afford, you may be able to get financial assistance through Medicaid or other programs.
Comparison Chart: Adult Family Homes vs. Assisted Living
Need Help Finding a Care Facility?
Sunrise Services has been serving individuals in the Puget Sound area for over 45 years. We partner with many individuals who need care in an adult family home setting. Our staff can also help you find community resources and assisted living care options.
Partner with Sunrise Services today to find the best care option for your loved one.
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