Harvest House

Harvest House is a Washington-licensed adult family home at 703 E Nora Ave in Spokane, Spokane County (license #223400), licensed to care for up to 6 residents at a time. Adult family homes are ordinary residential houses, licensed by Washington State, where a small group of older adults live together and receive 24-hour personal care and supervision. The scale is the point: with only a handful of residents, the caregiver-to-resident ratio is far higher than a large assisted-living complex or nursing facility can offer.

It is licensed to support residents with mental-health needs. Caregivers are trained to look after adults managing conditions such as depression, anxiety, bipolar disorder, or schizophrenia alongside their daily personal care. It is licensed for residents with developmental disabilities, offering the consistency and individualized routine that a small, permanent household can sustain far better than a large facility.

Harvest House accepts Medicaid (Apple Health) and COPES for eligible residents, so families who can't cover years of private-pay care still have a path to a bed here. It is one of 329 licensed adult family homes in Spokane listed on Dear Care Home, so if the fit or timing isn't right you can compare neighbors in the same city below.