1St Horizon Sky AFH

Licensed by Washington DSHS, 1St Horizon Sky AFH is an adult family home at 421 114th St S in Tacoma, Pierce County (license #759269), licensed to care for up to 6 residents at a time. An adult family home is a state-licensed private residence — not an institution — that cares for up to six adults at a time. Families choose them for the quieter, more home-like setting and the close, consistent attention that a small household makes possible.

1St Horizon Sky AFH is licensed for dementia and memory care. In a home this size, a resident with memory loss isn't one of dozens on a wing — the caregivers know their history, their triggers, and their routine, which is often what keeps someone with Alzheimer's calm, oriented, and safe day to day. It is licensed for mental-health support, caring for adults whose needs go beyond physical care — including mood, anxiety, and other psychiatric conditions — within a stable, closely-supervised household.

1St Horizon Sky AFH is a private-pay home; if you rely on Medicaid, use the request form on this page and we'll help you find nearby homes that accept it. It is one of 381 licensed adult family homes in Tacoma listed on Dear Care Home, so if the fit or timing isn't right you can compare neighbors in the same city below.