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Pierce County

Adult family homes in Lakewood, Washington

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

Lakewood has 263 DSHS-licensed adult family homes in Pierce County. Of these, 260 offer memory & dementia care, 256 accept Medicaid / COPES, 263 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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263 homes
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About adult family homes in Lakewood

Lakewood is the primary off-post community for Joint Base Lewis-McChord and home to the in-city American Lake VA Medical Center, so the page speaks directly to military families and aging veterans about VA Aid & Attendance and veteran-experienced homes. At roughly 97% Medicaid-capable, this is a Medicaid-first market where families lead with COPES and Apple Health through the Pierce County ADR gateway. Supply skews heavily to mental health, dementia, and developmental disabilities — a real match advantage for families who cannot place a loved one in a generic memory-care-only home.

Where placements come from

Most Lakewood AFH placements begin as a time-pressured discharge from in-city St. Clare Hospital or a local rehab, with higher-acuity cases routing through MultiCare Tacoma General before flowing back south.

  • St. Clare Hospital (Virginia Mason Franciscan Health; in-city acute care with a Level IV trauma ER)
  • MultiCare Tacoma General Hospital (regional Level II adult trauma center, 10–15 miles north)
  • American Lake VA Medical Center (in-city VA geriatrics, rehab, and caregiver support)
  • Madigan Army Medical Center (large military medical center on Joint Base Lewis-McChord)

Paying with Medicaid (COPES)

Lakewood is a Medicaid-first market, around 97% Medicaid-capable, with private pay rare. Washington's COPES program pays for adult family home care for residents who qualify; the county gateway is Pierce County Aging & Disability Resources (ADR), reachable at 253-798-4600.

Neighborhoods & areas

Homes in Lakewood are spread across areas like Tillicum, Springbrook, Oakbrook, American Lake, American Lake Gardens, Lakewold, Lakewood Towne Center.

Families near Lakewood also search nearby: TacomaUniversity PlaceSteilacoomSpanawayParklandPuyallup

Adult family homes in Lakewood: common questions

Adult family homes in Washington typically run lower than large assisted-living communities, but rates vary widely by care level. Many Lakewood 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. Lakewood is a Medicaid-first market, around 97% Medicaid-capable, with private pay rare. Washington's COPES program (Apple Health) pays for adult family home care for residents who qualify — the county gateway is Pierce County Aging & Disability Resources (ADR) (253-798-4600). 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 Lakewood 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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