Hospital Discharge to an AFH: A Family's Guide
Navigate the transition from hospital to adult family home care. Timeline expectations, working with discharge planners, and ensuring a smooth placement for your loved one.
Read more →High-Acuity Adult Family Home Placement Across Washington
We place the patients others can't.
Adult family home & assisted living placement for high-acuity patients across Washington — ventilator, tracheostomy, bariatric, dialysis, and other complex medical needs. We support urgent discharges and hospital discharge planning when other agencies say no.
For Families
We find the right adult family home for your loved one — free. Pre-screened homes, Medicaid navigation, and support through move-in. Most families don't pay us a cent.
Get Free Help →For Discharge Planners
We take the hard cases — ventilator, trach, bariatric, dialysis. We typically target matched options within 24–72 hours, subject to provider acceptance and availability, with direct access for urgent discharges.
Partner With Us →Who We Help
We work with everyone involved in a high-acuity placement — from family caregivers to hospital and facility discharge teams.
Families
Free placement help for family caregivers seeking a high-acuity adult family home or assisted living for a loved one.
Hospital Discharge Planners
Urgent placement support for hard-to-place patients who need a bed now.
Case Managers & Social Workers
Complex medical needs and care coordination handled by a dedicated placement partner.
SNF Discharge Teams
Step-down and skilled nursing transitions into adult family homes and assisted living.
AFH Providers
Adult family homes that can accept high-acuity residents and want steady referrals.
High-Acuity Needs We Help Place
We focus on the complex cases general placement services can't handle. Each need links to a dedicated service page.
Ventilator Care
Adult family homes and assisted living communities that can support ventilator-dependent residents with 24/7 respiratory monitoring.
Tracheostomy Care
Homes with staff trained in trach management, suctioning, and airway oversight.
Bariatric Care
Facilities with bariatric equipment, transfer support, and rooms sized for larger residents.
Dialysis Care
Placement near dialysis centers with transportation and medication coordination.
IV Antibiotics Care
Providers equipped to support IV infusion schedules and monitoring.
Wound Care
Homes able to support wound management and dressing routines.
NG Tube Care
Providers experienced with nasal-gastric tube feeding and ongoing tube care.
Pre-Medicaid Care
Bridging care while a Medicaid application is being processed.
Psychiatric & Behavioral Needs
Homes that can support residents with behavioral or psychiatric needs within their licensed scope.
Memory Care
Secured, structured environments for residents living with dementia or Alzheimer's.
Rapid Assessment
A fast, professional assessment that helps move a placement forward quickly.
How We Evaluate a Potential Match
Before recommending any adult family home or assisted living community, we discuss and verify the factors below with you and with the provider. We're a placement service — not a medical certification agency — so we confirm what a home genuinely says it can support, and we encourage you to verify the rest during your tour.
Clinical needs
We review the clinical needs described in the referral packet and confirm the home has reviewed them too.
Provider acceptance criteria
Each home sets its own criteria for who it accepts. We confirm whether the patient's profile fits before recommending it.
Staffing & care coordination
We verify staffing levels, supervision, and how the home coordinates with outside clinicians and specialists.
Equipment & mobility
Ventilators, lifts, oxygen, bariatric beds, and wheelchair access — we confirm the home can accommodate the equipment needed.
Payment & payer
Medicaid, private pay, PDN contracts, and insurance — we confirm which payment arrangements the home accepts.
Geography & transportation
Proximity to family, hospitals, and dialysis centers, plus transportation needs, are confirmed before we shortlist.
Current availability
We verify bed availability with each home before presenting options — and we note that availability can change.
Urgent Discharge & Complex Placement Support
Hospital discharge planners, SNF teams, and case managers face the hardest cases — patients who need a bed now and are difficult to place. We work directly with discharge teams to speed up matching.
Built for discharge teams
Dedicated support for hospital and SNF discharge planners managing urgent placements.
Hedged, realistic timing
We typically target initial matched options within 24–72 hours, subject to provider acceptance and availability.
Direct access
No call centers or phone trees — you'll have our cell numbers for urgent cases.
Simple referral process
One call or email to get started. We handle the rest.
Washington Service Areas
We provide adult family home and assisted living placement across 6 Washington counties — at no cost to families.
King County
Seattle, Bellevue, Kirkland, Redmond, Sammamish, and more. The largest concentration of adult family homes in Washington.
Snohomish County
Everett, Bothell, Edmonds, Lynnwood, Lake Stevens, Mill Creek, and Marysville. North Puget Sound communities.
Pierce County
Tacoma, Puyallup, and surrounding South Sound communities. Gateway to the Olympic Peninsula.
Whatcom County
Bellingham, Ferndale, and North Puget Sound areas. Near the Canadian border.
Clark County
Vancouver, Battle Ground, Camas, and Southwest Washington. Across the Columbia River from Portland.
Spokane County
Spokane, Spokane Valley, Cheney, and Eastern Washington. Serving the Inland Northwest region.
Trust & Transparency
Placement services are free for families — participating adult family homes pay a placement fee. We personally visit and verify the adult family homes in our network, checking licenses and references, and we're transparent about how we work.
A Placement Example
This is an anonymized, illustrative example of how a placement can work. Every case is different, and outcomes depend on provider acceptance, bed availability, and the patient's specific needs. It is shared to show our process — not as a promise of a particular result.
A hospital discharge planner contacted us about a ventilator-dependent patient whose current care setting was ending. We reviewed the clinical needs described in the referral packet, confirmed the ventilator and nursing requirements with the family and the planner, and reached out to adult family homes in our network with relevant experience and an open bed.
Within the planner's timeframe, the family toured a shortlist, a home whose staffing and equipment matched the patient's needs accepted the referral, and move-in was coordinated. The specifics here are illustrative — the pace and outcome of any placement will vary.
Need Placement Help?
For urgent discharge and complex placement support — whether you're a hospital team that needs a bed now or a family searching for care — we're here to help.
Latest From the Blog
Expert guidance on adult family homes, high-acuity care, and navigating senior care decisions in Washington.
How Free Placement Services Work
If a placement service is free for families, how does it work? Learn how free adult family home placement works, who pays, and what you actually get from a specialized placement service.
Read more →Urgent Adult Family Home Placement
When a loved one needs an adult family home placement quickly, weeks feels like forever. Learn how urgent AFH placement works and how families in Washington can move in days, not weeks.
Read more →Frequently Asked Questions
What is an adult family home?
An adult family home (AFH) is a residential care option licensed to provide room, board, and personal care for 2-6 residents. Unlike large assisted living facilities, AFHs offer a home-like environment with higher staff-to-resident ratios and more personalized attention. In Washington state, AFHs are regulated by the Washington State Department of Social and Health Services (DSHS).
How is your service different from other placement agencies?
We specialize exclusively in high-acuity placements — patients with ventilators, tracheostomies, bariatric needs, and dialysis requirements. While general placement services often can't help with these complex cases, we've built a network specifically for patients who need RN-level care. We place the patients others can't.
How much does your service cost?
Our service is completely free for families. Adult family homes pay us a placement fee, which means you receive expert guidance and support at no cost to you.
How quickly can you find placement?
For most cases, we typically target appropriate options within 48–72 hours, subject to provider acceptance and availability. We understand the urgency — hospital beds are needed, insurance timelines are tight, and families are stressed. Speed is one of our core value propositions.
What does "Private Duty Nursing" mean?
Private Duty Nursing (PDN) is a Medicaid benefit that provides one-on-one skilled nursing care for patients with complex medical needs. Adult family homes with PDN contracts can accept the sickest patients — those requiring ventilator management, tracheostomy care, and other intensive medical support — because they have 24/7 nursing coverage.
Do you work with Medicaid patients?
Yes. We have adult family homes in our network that accept Medicaid, including homes with PDN contracts for high-acuity Medicaid patients. We can help navigate the complex intersection of care needs and payment options.
What areas do you serve?
We provide adult family home and assisted living placement services across Washington state, including King, Snohomish, Pierce, Whatcom, Clark, and Spokane counties — from Seattle and the Eastside to Bellingham, Vancouver, and Spokane. If you're unsure whether we cover your area, please contact us.