Levels & Rates What's Included How Care Is Assessed Planning Ahead Medicaid & Assistance More Resources 📞 (801) 369-6018 Schedule a Free Tour
Care & Pricing Guide

Compassionate Care. Straightforward Pricing.

Choosing an Adult Family Home is a significant decision, and understanding the cost of care shouldn't be complicated. Every family deserves clear pricing with no hidden fees or unexpected add-on costs.

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RN Assessment First

Every resident is assessed before admission to confirm the right level of care.

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No Hidden Fees

One monthly rate covers care, meals, housekeeping, and more.

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Care-Based Pricing

Rates reflect the support a resident needs — not age or diagnosis alone.

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30 Days' Notice

We discuss any rate change with your family well before it takes effect.

Our Approach

Understanding the Cost of Care

At Neighbor Care Homes, every prospective resident receives a comprehensive Registered Nurse assessment prior to admission. This required assessment helps us understand your loved one's unique needs, determine the appropriate level of care, and confirm our home is the right fit for your family.

Because every resident is different, monthly rates are based on the level of care, supervision, and caregiver support required — not simply a medical diagnosis or age. If you're unsure which level of care is appropriate, we're always happy to answer your questions and help you explore the best options for your loved one.

Caregiver sitting with a senior resident, reviewing care details together
Monthly Care Rates & What Each Level Includes

Our Levels of Care

Estimated monthly rate by level, with what's typically included. Your RN assessment will determine which level best fits your loved one's needs — tap a level for details.

Level 1 — Independent LivingLargely independent, benefits from a supportive home environment
Starting at $8,000/mo +

Designed for residents who are largely independent but benefit from living in a supportive home environment.

  • Meals and snacks
  • Housekeeping
  • Laundry
  • Activities
  • Minimal caregiver assistance
Level 2 — Assisted IndependenceOccasional assistance and wellness oversight
$8,500 – $9,000/mo +

Residents remain fairly independent but benefit from occasional assistance and oversight.

  • Medication management
  • Health monitoring
  • Occasional assistance with bathing or dressing
  • Mobility assistance
  • Wellness supervision
Level 3 — Daily Personal AssistanceRoutine hands-on assistance throughout the day
$9,000 – $10,000/mo +

Residents require routine hands-on assistance throughout the day.

  • Bathing and dressing assistance
  • Grooming and hygiene
  • Medication administration
  • Meal assistance
  • Incontinence care
  • Memory cueing
  • Increased supervision
Level 4 — Comprehensive CareExtensive physical, cognitive, or medical support
$10,000 – $12,000/mo +

Residents require extensive physical, cognitive, or medical support.

  • Total assistance with activities of daily living
  • Hoyer lift assistance
  • Advanced dementia care
  • Behavioral support & wandering prevention
  • Diabetes management
  • Catheter and ostomy care
  • Feeding tubes & wound care
  • Nurse Delegation services
  • Complex medication management
  • Frequent nighttime assistance
Level 5 — Hospice & Comfort CareCoordinated with a licensed hospice agency
Individualized +

Residents nearing the end of life may continue living in the comfort of our home while receiving hospice services. Hospice services are provided through a licensed hospice agency, while our caregivers continue providing personalized daily care, comfort, and support in partnership with the hospice team.

Our team works closely with hospice providers, physicians, and families to ensure care remains focused on comfort, dignity, and quality of life.

$1,500
One-Time Admission Fee

This one-time fee covers the comprehensive preparation required for a safe, smooth, and personalized transition into our home.

  • RN assessment
  • Individualized care plan
  • Medication reconciliation
  • Physician coordination
  • Room preparation
  • Staff orientation
  • Nurse Delegation setup
  • Pharmacy coordination
No Surprise Add-Ons

What's Included in Your Monthly Rate

Your monthly rate includes the comprehensive services and support needed for safe, personalized care.

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Nursing & Medication
  • RN oversight, initial & annual reassessments
  • Medication administration & oversight
  • Nurse Delegation for delegated tasks
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Daily Living & Care
  • 24-hour personalized care & supervision
  • Incontinence supplies
  • Routine haircuts & non-diabetic nail care
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Meals & Home Life
  • Three home-cooked meals, tailored to preference
  • Snacks & beverages
  • Housekeeping & laundry
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Engagement
  • Activities & social engagement
  • Furnished common living areas
  • Utilities & Wi-Fi
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Coordination of Care
  • Physicians, pharmacies, home health, hospice & therapy
  • Assistance coordinating transportation
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Family Communication
  • Ongoing updates on your loved one's care
  • A direct line to our team, always
Our Nursing Assessment

How We Determine a Resident's Level of Care

Every resident is unique. Our goal isn't simply to assign a price — it's to ensure each resident receives the level of care that allows them to live safely, comfortably, and with dignity. Our care levels reflect the overall level of care and supervision required, not any single diagnosis.

Our Commitment

Our Commitment to Families

We understand that a resident's care needs may change over time, and we also recognize that temporary illnesses, recovery from hospitalization, or other short-term setbacks do not always represent a permanent change in condition.

Before recommending a change in a resident's level of care or monthly rate, we carefully evaluate whether increased care needs represent a lasting change rather than a temporary illness or recovery period.

If a resident's care needs change over time, we will always discuss our assessment, our recommendations, and the reason for any proposed adjustment with the resident and family before changes to the monthly rate take effect. Whenever possible, we provide at least 30 days' notice, allowing families time to plan, ask questions, and prepare for the transition.

We are committed to providing exceptional care with honesty, transparency, and respect, so you can spend less time worrying about billing and more time focusing on your loved one.

Planning Ahead

What If Circumstances Change?

Many families ask what happens if a resident's financial situation changes after moving into one of our homes.

Neighbor Care Homes was intentionally designed to provide a higher level of support than is typically found in many residential care settings. Our care model includes Registered Nurse oversight, 24-hour awake caregivers, enhanced staffing, personalized care planning, and close coordination with healthcare providers. Maintaining this level of care requires a financial model that allows us to consistently invest in our residents, our caregivers, and the quality of services we provide.

At the same time, we understand that financial circumstances can change over the years. To help balance long-term sustainability with our desire to continue supporting residents who have made our home their home, each Neighbor Care Home may transition one resident to Medicaid after a minimum of three years of private-pay residency, provided Medicaid funding is available and the resident continues to be appropriate for our home.

This approach allows us to preserve the high standard of care our residents and families have come to expect while also creating an opportunity for long-term residents to remain in the home they know and love if their financial circumstances change.

Exploring Your Options

Medicaid & Long-Term Care Options

Finding the right care for a loved one can feel overwhelming, especially when navigating the financial aspects of long-term care. While Neighbor Care Homes is primarily a private-pay community, we want every family to have access to helpful information and trusted resources, regardless of where they ultimately receive care.

If private-pay care is not the right fit for your family, Washington State offers long-term care Medicaid programs that may help cover the cost of care for individuals who qualify based on their financial situation and care needs.

A great place to begin is with Washington State Home and Community Services (HCS) through the Department of Social and Health Services (DSHS). HCS can help determine eligibility for long-term care Medicaid, explain available programs, and guide families through the application process.

Helpful Resources
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Washington State Home and Community Services (HCS)The best starting point for questions about long-term care Medicaid eligibility, services, and the application process.dshs.wa.gov/altsa
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How to Apply for Long-Term Care MedicaidStep-by-step information about eligibility requirements and how to apply for benefits.dshs.wa.gov
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Washington State Long-Term Care ServicesInformation about Medicaid-funded long-term care programs, care settings, and available services throughout Washington.dshs.wa.gov/altsa

If you're unsure where to begin, we're always happy to answer questions, explain the process, and help point you in the right direction—even if Neighbor Care Homes isn't ultimately the right fit for your family. Our goal is for every family who reaches out to leave with greater clarity, confidence, and a better understanding of the resources available to them.

More Resources

Other Topics We Can Help With

Cost is only one part of planning for a loved one's care. Tap any topic below for a quick answer and a trusted place to learn more — and we're always happy to talk through any of these with you directly.

How do I know when it's time for assisted living or an Adult Family Home?Common signs families notice first
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Common signs include needing regular help with bathing, dressing, or medications; recent falls or hospitalizations; missed or mismanaged medications; a noticeable decline in home upkeep or personal hygiene; increasing isolation; or a family caregiver who is feeling overwhelmed or burned out. None of these on its own means a move is required, but together they're worth a conversation. Our free RN assessment can help clarify what level of support is actually needed.

Washington State Community Living Connections gives a free, no-obligation second opinion and can connect you with your local Area Agency on Aging.
1-855-567-0252 · waclc.org

Understanding dementia and memory careWhat changes as dementia progresses
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Dementia is a general term for a decline in memory and thinking that's severe enough to affect daily life; Alzheimer's disease is its most common cause. As it progresses, families often see more wandering or exit-seeking behavior, disorientation, difficulty recognizing loved ones, and a growing need for hands-on supervision and cueing — which is when a dedicated memory care setting, like our Level 4 Comprehensive Care, tends to become appropriate.

The Alzheimer's Association Washington State Chapter offers local support groups, education, and a free 24/7 dementia helpline in over 200 languages.
1.800.272.3900 · alz.org/alzwa

Long-term care insurance resourcesIncluding Washington's own public benefit
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If your loved one has a private long-term care insurance policy, check the daily/monthly benefit amount, the waiting period before benefits start, and whether Adult Family Home care is a covered setting. Washington also runs its own public long-term care benefit, WA Cares Fund — workers who've contributed through payroll deductions can access a lifetime benefit (currently $36,500, adjusted for inflation) that can help pay for care like ours once they qualify.

WA Cares Fund (Washington State DSHS & Employment Security Department) has eligibility details and how to apply for benefits.
wacaresfund.wa.gov

Veterans benefits (Aid & Attendance)A VA pension benefit many families miss
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Aid & Attendance is a tax-free VA pension increase for wartime veterans, or their surviving spouses, who need help with everyday activities like bathing, dressing, or eating, or who are otherwise housebound. It isn't limited to combat veterans or nursing home residents, and the funds can be put toward Adult Family Home care.

The Washington State Department of Veterans Affairs (WDVA) provides free, one-on-one help filing Aid & Attendance and other VA claims through local Veterans Service Officers.
1-800-562-2308 · dva.wa.gov

Hospital discharge planningMoving safely from hospital to home
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When a loved one is hospitalized, Medicare requires the hospital to screen for discharge planning needs and help arrange safe next steps — whether that's home health, a rehab stay, or a residential care setting like ours. Ask to speak with the hospital's discharge planner or social worker early in the stay. We regularly coordinate directly with hospital discharge teams for residents moving into our home.

If you feel a discharge is happening too soon or have concerns about care after leaving a Washington facility, the Washington State Long-Term Care Ombudsman is a free, independent advocate for residents and families.
waombudsman.org

Choosing the right level of careMatching support to actual needs
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The right level of care depends on how much help someone needs with daily activities, supervision, and medical support — not on age or a single diagnosis. We walk every family through this with a comprehensive RN assessment before admission, which is how we determine which of our five care levels fits your loved one, and it's reassessed any time needs change.

See our full breakdown of how we determine level of care above. You can also verify any Washington Adult Family Home's license and inspection history through DSHS Residential Care Services.
dshs.wa.gov — Residential Care Services

Caregiver support groupsYou don't have to do this alone
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Caring for an aging parent or spouse is emotionally and physically demanding, and support groups — in person or online — are one of the most effective ways caregivers avoid burnout. Groups exist for general family caregiving as well as disease-specific situations like dementia or Parkinson's.

Washington's Family Caregiver Support Program, run through DSHS and your local Area Agency on Aging, offers free support groups, training, counseling, and even respite care for unpaid family caregivers statewide.
dshs.wa.gov — Caregiver Resources

Have Questions About Care or Cost?

We're happy to walk through pricing, levels of care, or Medicaid options — no pressure, just honest answers.

📞 Call (801) 369-6018 Schedule a Free Tour