#1 Freedom Adult Family Home

    21403 4th Pl S, Des Moines, WA 98198
    • Assisted Living

    Skilled compassionate staff; peace restored

    I placed my mother here and feel she's in very capable, loving hands - the facility is clean, owner Nats and the staff are skilled, compassionate and detail-oriented, and medical and hospice care are available on-site. Her blood sugar and appetite have improved with homemade meals, she's treated like family, and I have real peace of mind; I recommend this warm, professional home.

    Loved one of resident
    Jul 2026

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    Reviews

    4.70·(10)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      5.0
    • Staff

      4.9
    • Meals

      5.0
    • Amenities

      4.7
    • Value

      4.7

    Pros

    • Compassionate, attentive caregiving staff
    • Owner-led management with hands-on involvement
    • On-site clinical access (nurse and physician visits)
    • Acceptance and experience with hospice and end-of-life care
    • Homestyle meals prepared from scratch
    • Demonstrated chronic-condition management (improved diabetes control)
    • Clean, welcoming residential environment
    • Family-like, respectful staff–resident interactions
    • Detail-oriented, rule-compliant operations
    • Availability and commitment to high-quality care

    Cons

    • Limited formal activity programming beyond social interaction
    • Small residential scale may restrict access to specialized therapy or equipment
    • Operational continuity risk tied to owner-centric leadership
    • Potential role-boundary ambiguity in a family-style care environment

    Summary of reviews

    Overall impression: The facility is portrayed consistently as a small, owner-operated adult family home that emphasizes warmth, personalized attention, and clinical oversight. Reviewers convey strong confidence in the caregiving team and management, and many cite measurable health improvements and peace of mind for family members.

    Care quality and clinical support: Reviews describe skilled and compassionate care with routine clinical access — nurses and physicians visit the home and the provider accepts hospice, suggesting capacity for both ongoing chronic-disease management and end-of-life support. Several accounts note specific improvements in chronic conditions (for example, better blood-sugar control), which supports the impression of effective medication and care-plan management. The home is presented as detail-oriented and rule-compliant, with staff who are attentive to residents’ needs.

    Staff and culture: Staff are characterized as professional yet family-like: respectful, conversational, and engaging. The owner’s hands-on involvement is described as a strength that contributes to consistent care and a welcoming tone. Families report that residents are treated like family, receive affectionate interaction, and experience social engagement that includes humor and conversation.

    Dining and nutrition: Food is highlighted as homestyle and prepared from scratch; reviewers indicate that residents are eating better and gaining strength. This suggests a consistent approach to meal preparation and attention to nutritional needs, which reviewers link to improved well-being.

    Activities and social life: The social environment is emphasized (warmth, conversation, humor), indicating an informal activity pattern driven by staff–resident interaction. Reviews focus on interpersonal engagement rather than a broad schedule of structured programs, which may reflect the scale and residential model of the facility.

    Facilities and cleanliness: The home is described as clean and welcoming, with reviewers noting comfort and a domestic atmosphere. The residential setting appears maintained and oriented toward a homelike experience rather than an institutional model.

    Management and operational patterns: Management is owner-driven and detail-oriented, which reviewers present as supporting consistent, high-quality care. That owner-centric approach appears to be a core strength but also suggests a potential continuity risk if leadership changes. The family-style culture can foster close relationships and individualized attention; however, it can also create potential role-boundary ambiguity compared with larger, more formalized settings.

    Notable patterns and considerations: The dominant themes are compassionate caregiving, owner involvement, reliable clinical access, effective chronic-disease management, and homestyle meals. Prospective residents and families should weigh these strengths against the inherent characteristics of a small residential home: limited formal activity programming and potentially reduced access to specialized rehabilitation equipment or services that larger facilities often provide. For families seeking a highly personal, hospice-capable, and clinically attentive home environment, this facility’s profile is favorable; those seeking extensive structured programming or on-site specialized therapy may want to verify available services and contingency plans for leadership continuity.

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    Location

    Map showing location of #1 Freedom Adult Family Home

    #1 Freedom Adult Family Home is located at 21403 4th Pl S, Des Moines, WA, 98198.

    About #1 Freedom Adult Family Home

    #1 Freedom Adult Family Home sits near the corner of 4th Pl S and S 214th St in Des Moines, Washington, and provides assisted living and board and care for seniors and retired residents who need help in a family-style home setting with only six licensed beds, making it far more personal and easy to get to know everybody, and right now it has vacancies and is ready to accept new folks, which matters when a safe place is needed without a long wait. The staff is there 24 hours a day and they're trained to handle all sorts of needs, whether that's regular daily support with meals, bathing, and medication, or something much harder like wound care, hospice, feeding tubes, diabetes, dialysis, or behavioral support for people with Alzheimer's, dementia, mental health needs, or developmental disabilities, so nobody has to worry about getting the attention they need, since every room and every care plan is tailored for each individual, so prices start at a minimum for basic care and then change depending on what someone actually needs, which is settled before anything starts. The home has private rooms for memory care, mental health, DDA, and hospice, and folks living there get daily meals prepared for nutrition and taste, with special diets respected, and there's Wi-Fi, high-speed internet, and handicap accessibility, making it pretty easy and comfortable to stay in touch with people and move about safely inside the house. The team looks after everything from catheter, colostomy, ostomy, and incontinence care to regular blood draws, UTI checks, oxygen care, stroke recovery, trach tubes, hearing and vision issues, and range of motion exercise for those who need it, so this is the sort of place where someone whose health has become complicated can settle in without losing a sense of home. There's always a comfort in knowing each person's story matters to the staff, who pay attention to personalities, habits, and priorities, making sure care fits the individual, and they do their best to foster family connections and friendships. Respite stays are welcome for folks who need short-term care, and visiting hours run daily from 9:00am to 8:00pm, making it easy for loved ones to drop by. The place is licensed, keeps clear to current standards, and doesn't take Medicare unless a special certification is in place, which is worth knowing right from the beginning, and it's usually more affordable than most nursing homes, especially for long-term care. You'll find memory support is strong here, with activities and programs made for those with Alzheimer's or dementia, and every effort goes into making sure residents feel accepted, included, safe, and cared for, a simple and warm approach that's a comfort to many families and to the seniors themselves. Website is freedomadultfamilyhome.com for more about the home and its way of going about things.

    People often ask...

    #1 Freedom Adult Family Home offers assisted living and board and care.

    There are 5 photos of #1 Freedom Adult Family Home on Mirador.

    The full address for this community is 21403 4th Pl S, Des Moines, WA 98198.

    No, #1 Freedom Adult Family Home does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Washington, the Department of Social & Health Services licenses assisted living and adult family homes, publishing inspection, investigation, and fire-safety reports.

    License number755888
    StatusOp
    Facility typeAdult Family Home
    Capacity6 residents
    Special certificationMental Health, Dementia, Developmental Disabilities
    View the official license record

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of #1 Freedom Adult Family Home. The information above has not been verified or approved by the owner or operator. For exact information, please contact #1 Freedom Adult Family Home directly. There is no cost for this service. We are compensated by the community you select.

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