Yes. We provide specialized memory care including structured routines, 24/7 supervision, wandering prevention, and certified dementia-trained caregivers. See our Memory Care and Dementia Care pages for details.

We provide regular updates through scheduled family meetings, phone calls, and written care plan reviews. Families are welcome to visit at any time and are actively involved in monthly care plan updates. If there is any change in a resident's condition, we contact the family immediately.

We serve a maximum of 6 residents at a time, as required by Washington State adult family home regulations (WAC 388-76). This small setting is intentional — it allows for genuinely personalized, consistent care.

Pricing is based on each resident's individualized care plan and level of support needed. We accept private pay, long-term care insurance, and certain Veterans benefits. We are happy to discuss costs transparently during a private consultation and help families explore all available funding options.

We begin with a private tour and conversation. Then we conduct a care assessment reviewing medical history, current needs, and family preferences. We coordinate with existing physicians and create an individualized care plan before move-in.

All caregivers at Harbor View AFH are state-certified CNAs or home care aides who have completed Washington State training requirements, including dementia-specific education. Staff members receive ongoing continuing education and are trained in first aid, CPR, and emergency response protocols.

Many families wait until mid-to-late stage, but earlier transition often produces better outcomes. We're happy to discuss timing and what to expect during a confidential consultation.

Never. We use non-restrictive, compassion-based approaches including environmental design, distraction, and calm redirection.

Yes. We provide care at all stages. We conduct an individual assessment before admission to ensure we can safely and effectively meet each resident's needs.

Our home includes monitoring systems and secured entry points. All exterior doors have safety features, and our overnight staff maintains watchful supervision.

Yes. We regularly support residents with complex regimens involving multiple physicians and specialists, and we maintain thorough documentation for all care transitions.

We notify families of any medication changes ordered by the physician. Our family communication system ensures you're always informed and involved.

Yes. Our caregivers complete state-required dementia training and ongoing professional development in evidence-based memory care approaches.

We provide care across all stages of cognitive decline. We assess each resident's needs individually and maintain close coordination with their physicians.

Yes. All personal care is delivered by state-certified CNAs (Certified Nursing Assistants) and home care aides who meet Washington State DSHS training and certification requirements.

We approach resistance with patience, flexibility, and person-centered techniques. We adapt timing, approach, and communication style to each individual. For residents with dementia, we use specific de-escalation and redirection strategies.

Pets may be considered for an additional charge. Please discuss this with our team during your tour.

Yes. We offer spacious room arrangements for couples and can accommodate situations where partners have different levels of care need.

We follow a gradual transition process that includes pre-move-in visits, personalized room setup with familiar belongings, a dedicated staff member as a point of contact during the first weeks, and flexible scheduling that honors each resident's existing routines. Our small setting makes the adjustment much easier than in larger communities.

We offer regular entertainment programs, social activities, gardening, religious services, computer access, and birthday and holiday celebrations. Activities are always optional and adapted to individual energy levels.

Pricing is based on each resident's individualized care plan and level of support needed. We accept private pay, long-term care insurance, and certain Veterans benefits. We are happy to discuss costs transparently during a private consultation and help families explore all available funding options.

Monthly fees cover a private room, three home-cooked meals daily with snacks, housekeeping, laundry service, social activities, medication monitoring, transportation to medical appointments, and 24/7 staff support. Additional services are discussed individually based on care needs.

Yes. Our transition care management service is designed specifically for this situation. We coordinate with the hospital discharge team, review all medical documentation, prepare the room and care plan before arrival, and ensure medications and equipment are ready on day one. This reduces stress for both the resident and their family.

Yes. Our insurance navigation service helps families understand Medicare, long-term care insurance, Veterans benefits, and prescription assistance programs to maximize available resources.

We begin with a comprehensive geriatric assessment before admission. Care plans are developed collaboratively with the resident, family, and physician. They are reviewed and updated monthly, or sooner if the resident's condition changes.

We develop condition-specific care protocols within each resident's individualized care plan. This includes medication management, dietary planning with therapeutic meals, regular health monitoring, and coordination with specialists. Our small resident count means staff can closely track symptoms and respond to changes quickly.

We assess each situation individually. In most cases, we can adjust care plans and staffing to accommodate increasing needs. For situations requiring skilled nursing beyond our scope, we coordinate transitions and support families through the process.

We offer daily emotional support, companionship, and structured routines that reduce anxiety and depression. For residents with diagnosed mental health conditions, we coordinate with licensed mental health professionals for therapy and medication management. Our team is also trained to recognize early signs of cognitive decline and emotional distress.

Yes. Our trained staff can administer insulin and assist with blood glucose monitoring per physician orders and WAC 388-76 requirements.

We maintain direct communication with each resident's physician and contact them promptly when we observe concerning changes. We document all observations and coordinate follow-up appointments as needed.

We evaluate each prospective resident individually. Some residents with well-managed psychiatric conditions are appropriate for our setting; we discuss this in detail during the initial assessment.

We coordinate with external licensed mental health professionals who can provide therapy visits on-site. Our staff provides daily supportive care and monitors for signs of change.

Yes. We work directly with hospital and rehab discharge planners and social workers. Families can provide our contact information and we handle the coordination from there.

In most cases, we can complete intake within 24–72 hours of discharge when a bed is available. We prioritize transition cases and work quickly to prevent unsafe discharge situations.

Yes. Medicare-certified physical therapists can continue or initiate therapy services within our home. We coordinate scheduling and ensure a safe environment for all therapy sessions.

We coordinate with licensed home health agencies that provide skilled nursing visits on-site. Our resident staff provides 24/7 supervision and personal care; skilled clinical services are coordinated through agency partnerships.

Yes. We partner with multiple local hospice organizations and can recommend providers, or coordinate with a family's chosen hospice agency. Our environment is well-suited for end-of-life care.

Medicare may cover eligible skilled nursing visits, physical therapy, and other qualified clinical services provided through our partnered home health agencies. Our team can help families understand coverage and coordinate directly with providers to ensure services are billed appropriately.

We serve as the central point of communication between physicians, home health agencies, hospice providers, therapists, and families. Our staff maintains detailed care records, schedules all provider visits, and ensures every member of a resident's care team is informed of any changes in condition or treatment.

Our staff is trained in first aid and emergency response. In an emergency, we activate 911 immediately and provide first-response care until paramedics arrive. We then notify the family and coordinate follow-up care. Our location near St. Joseph Medical Center and MultiCare Tacoma General ensures rapid access to hospital services.

Yes. We accommodate family presence at all hours during active hospice care. We want families to be able to be there, without restriction.

We partner with several local hospice organizations and can recommend providers. You may also bring your own — we coordinate with all licensed hospice agencies.

Yes. Palliative care is designed to complement, not replace, curative treatment. A resident can continue chemotherapy, cardiac treatment, or other interventions while also receiving palliative support.

Palliative care is appropriate whenever a serious illness is causing symptoms that affect quality of life — regardless of prognosis or stage. Earlier is usually better.