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Clark County

Adult family homes in Vancouver, Washington

507 DSHS-licensed homes. Every listing is verified against state licensing — costs and availability shown only when the home reports them.

Vancouver has 507 DSHS-licensed adult family homes in Clark County. Of these, 499 offer memory & dementia care, 483 accept Medicaid / COPES, 499 support mental-health needs. Each home below is licensed by Washington State; cost and current openings are shown only where the operator has reported them, and never estimated.

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507 homes
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About adult family homes in Vancouver

Vancouver is the largest AFH market outside the Seattle metro and the anchor of supply for all of Southwest Washington. It is the Washington side of the Portland metro, so families discharged from Oregon hospitals want a home back across the river while juggling care across a state line. At roughly 95% Medicaid-capable with dementia, mental-health, and developmental-disability specialties dominant, it offers real choice for exactly the hard-to-place residents.

Where placements come from

Vancouver AFH placements are discharge-driven from PeaceHealth Southwest and Legacy Salmon Creek, and even families discharged from Portland hospitals like Legacy Emanuel or OHSU come back across the river to a Clark County home.

  • PeaceHealth Southwest Medical Center (the only Level II trauma center in Southwest Washington, with a hospital-based inpatient rehab unit)
  • Legacy Salmon Creek Medical Center (one of the largest EDs in Southwest Washington)
  • Legacy Emanuel Medical Center (Level I trauma, across the river in Portland)
  • OHSU (Portland academic medical center)

Paying with Medicaid (COPES)

Vancouver is a Medicaid-first market — about 95% of homes are Medicaid-capable, with only around 1 in 20 private-pay-only. Washington's COPES program pays for adult family home care for residents who qualify; the county gateway is Area Agency on Aging & Disabilities of Southwest Washington (ADRC), Clark County, reachable at 360-735-5720.

Neighborhoods & areas

Homes in Vancouver are spread across areas like Downtown / Columbia waterfront, Hough, Carter Park, Hazel Dell, Salmon Creek, Felida, Orchards, Cascade Park, Fishers Landing, Evergreen.

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Adult family homes in Vancouver: common questions

Adult family homes in Washington typically run lower than large assisted-living communities, but rates vary widely by care level. Many Vancouver homes don't publish a public rate; use the request form on any listing and we'll get you the current monthly cost, free.
Many do. Vancouver is a Medicaid-first market — about 95% of homes are Medicaid-capable, with only around 1 in 20 private-pay-only. Washington's COPES program (Apple Health) pays for adult family home care for residents who qualify — the county gateway is Area Agency on Aging & Disabilities of Southwest Washington (ADRC), Clark County (360-735-5720). Filter by "Medicaid / COPES" above to see only contracted homes, or take the quiz and we'll confirm a bed.
An adult family home cares for up to six residents in an actual house, so the caregiver-to-resident ratio is much higher and the setting is quieter and more personal. Assisted-living communities are larger, with dozens to hundreds of apartments. Our guide on AFH vs assisted living breaks it down.
Yes. Every home listed for Vancouver is licensed by the Washington Department of Social and Health Services (DSHS) and subject to state inspection. The DSHS license number is shown on each listing.

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