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Cowlitz County

Adult family homes in Longview, Washington

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

Longview has 28 DSHS-licensed adult family homes in Cowlitz County. Of these, 27 offer memory & dementia care, 28 accept Medicaid / COPES, 27 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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28 homes
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About adult family homes in Longview

With PeaceHealth St. John as the county's hub hospital, a Longview adult family home keeps a parent close to the ER, rehab, and follow-up care. Longview's planned-city character and Lake Sacajawea give many neighborhoods walkable, park-lined settings that appeal to older residents. As a Cowlitz County mill community, Longview families often lean on Apple Health / COPES to make adult family home care affordable.

Where placements come from

Longview families almost always discharge from PeaceHealth St. John Medical Center, the dominant hospital serving Cowlitz County.

  • PeaceHealth St. John Medical Center in Longview (a Level III trauma center and the area's main hospital)

Paying with Medicaid (COPES)

Longview is a working-class Lower Columbia mill town where Apple Health (Medicaid) / COPES commonly funds care, balanced with private-pay families. 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 (Cowlitz-Wahkiakum office), reachable at 360-577-4929.

Neighborhoods & areas

Homes in Longview are spread across areas like Old West Side, St. Helens, Highlands, Columbia Heights, West Longview, Lake Sacajawea area.

Families near Longview also search nearby: KelsoCastle Rock

Adult family homes in Longview: common questions

Adult family homes in Washington typically run lower than large assisted-living communities, but rates vary widely by care level. Many Longview 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. Longview is a working-class Lower Columbia mill town where Apple Health (Medicaid) / COPES commonly funds care, balanced with private-pay families. 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 (Cowlitz-Wahkiakum office) (360-577-4929). 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 Longview 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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