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Pierce County

Adult family homes in Tacoma, Washington

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

Tacoma has 373 DSHS-licensed adult family homes in Pierce County. Of these, 365 offer memory & dementia care, 361 accept Medicaid / COPES, 372 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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373 homes
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About adult family homes in Tacoma

Tacoma is Pierce County's adult-family-home anchor, giving families real choice but also real noise to sort through. Two Level II trauma centers, Tacoma General and St. Joseph, plus Allenmore, concentrate acute-care discharges here and drive the post-hospital placement scramble. The supply skews deeply toward mental health, dementia, and developmental-disability care — a real match advantage for a loved one told they are hard to place elsewhere.

Where placements come from

Most Tacoma AFH placements begin as a time-pressured discharge from Tacoma General, St. Joseph, or Allenmore, often after a rehab step-down at Good Samaritan in Puyallup.

  • MultiCare Tacoma General Hospital (Level II adult trauma center)
  • St. Joseph Medical Center (Virginia Mason Franciscan Health; Level II trauma center)
  • MultiCare Allenmore Hospital (short-term acute care)
  • MultiCare Good Samaritan Regional Rehabilitation Center (inpatient rehab in nearby Puyallup)

Paying with Medicaid (COPES)

Tacoma is a Medicaid-first market — about 97% of local homes are Medicaid-capable and hold a state contract. 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 Tacoma are spread across areas like North End / Proctor District, Stadium District, Hilltop, Downtown, East Side, South Tacoma, Tacoma Mall area, Old Town.

Families near Tacoma also search nearby: LakewoodUniversity PlacePuyallupSpanawayParklandFederal WayGig HarborFife

Adult family homes in Tacoma: common questions

Adult family homes in Washington typically run lower than large assisted-living communities, but rates vary widely by care level. Many Tacoma 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. Tacoma is a Medicaid-first market — about 97% of local homes are Medicaid-capable and hold a state contract. 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 Tacoma 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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