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King County

Adult family homes in Federal Way, Washington

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

Federal Way has 270 DSHS-licensed adult family homes in King County. Of these, 269 offer memory & dementia care, 259 accept Medicaid / COPES, 268 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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270 homes
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About adult family homes in Federal Way

Unlike suburbs whose nearest ER is a city away, Federal Way has St. Francis Hospital inside city limits — a Level IV trauma center anchoring a short, local discharge-to-AFH pipeline. It has its own rehab and skilled-nursing layer, so many families reach an AFH after a stay at Life Care Center, Garden Terrace, Hallmark Manor, or Wesley rather than straight from the hospital. As one of Washington's most multilingual suburbs, in-language cultural match is both a real advantage and a genuine need here.

Where placements come from

Federal Way AFH demand is discharge-driven and time-pressured, anchored by a short local pipeline from the in-city St. Francis Hospital, often by way of a rehab stay at Life Care Center, Garden Terrace, or Wesley.

  • St. Francis Hospital (Virginia Mason Franciscan Health; in-city Level IV trauma center with 24-hour ER, stroke care, and cardiac cath lab)
  • Life Care Center of Federal Way (short-term rehab and skilled nursing)
  • Garden Terrace Healthcare Center of Federal Way (short-term rehab and skilled nursing)
  • MultiCare Auburn Medical Center and Valley Medical Center in Renton (nearby acute-care hospitals)

Paying with Medicaid (COPES)

Federal Way is a heavily Medicaid-serving market, around 96% of homes Medicaid-capable. Washington's COPES program pays for adult family home care for residents who qualify; the county gateway is Aging & Disability Services (ADS) — Area Agency on Aging for Seattle & King County, reachable at 206-684-0660.

Neighborhoods & areas

Homes in Federal Way are spread across areas like Twin Lakes, Adelaide, Marine Hills, Mirror Lake, Steel Lake, West Campus, Redondo, Kitts Corner.

Families near Federal Way also search nearby: AuburnKentDes MoinesSeaTacTacomaMiltonEdgewoodBurien

Adult family homes in Federal Way: common questions

Adult family homes in Washington typically run lower than large assisted-living communities, but rates vary widely by care level. Many Federal Way 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. Federal Way is a heavily Medicaid-serving market, around 96% of homes Medicaid-capable. Washington's COPES program (Apple Health) pays for adult family home care for residents who qualify — the county gateway is Aging & Disability Services (ADS) — Area Agency on Aging for Seattle & King County (206-684-0660). 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 Federal Way 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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