Sarenac Home Care AFH

    119 E Salmon Ave, Spokane, WA 99218
    • Assisted Living

    Compassionate professional care in home

    I placed my mom at Sarenac AFH and have been very pleased with the loving, respectful care Ramila and her team provide. The home is spotless, quiet and welcoming, with hot homemade meals, family-style dining, celebrations, attentive daily updates, and staff who treated my mom with dignity and individualized attention. I recommend Sarenac AFH for compassionate, professional, home-like care that helped my mom feel safer, healthier, and part of a family.

    Loved one of resident
    Jul 2026

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    Reviews

    4.82·(22)

    Overall rating

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

      5.0
    • Staff

      4.8
    • Meals

      4.9
    • Amenities

      5.0
    • Value

      1.0

    Pros

    • Compassionate, respectful caregiving
    • Owner hands-on involvement
    • Consistent caregiving staff and continuity
    • Daily family communication and updates
    • Personalized care planning and needs assessments
    • Home-cooked meals and family-style dining
    • Celebration of birthdays and holidays
    • Clean, well-maintained environment
    • Spotless kitchen and private rooms
    • Accessible bathrooms with roll-in showers
    • Engaging activities and socialization opportunities
    • Hospice and end-of-life care capability
    • Assistance with medical appointments and care coordination
    • Attentive monitoring during health changes

    Cons

    • Strict private-pay pricing and contract terms
    • Limited Medicaid-transition flexibility
    • Management communication tone concerns
    • Inconsistent application of outing and visitation policies
    • Limited bed availability and waitlist delays

    Summary of reviews

    Overall impression: Reviews portray Sarenac Home Care AFH as a small, family-run adult family home that emphasizes a homelike environment, individualized attention, and high standards of cleanliness. Families repeatedly cite compassionate, respectful caregiving, often describing staff as attentive, patient, and closely involved in daily needs. Reviewers note clinical benefits for some residents, including improved well-being and active monitoring during health changes; hospice and end-of-life care are also highlighted as areas of competence.

    Care and staff: Care quality is consistently characterized as personalized and continuity-driven. The owner is described as actively involved in day-to-day care, and reviewers frequently mention consistent caregivers who develop relationships with residents. Communication with families—daily updates and thorough needs assessments—is another recurrent positive, and many families credit staff with effectively coordinating outside medical appointments and adjusting care plans to resident needs.

    Dining and activities: Dining is a clear strength. Meals are homemade, served hot and family-style, and menus are described as planned with resident preferences in mind; reviewers also mention special desserts and celebrations for birthdays and holidays. Socialization and activity offerings receive positive mention: residents are depicted as engaged, included in celebrations, and benefiting from a family-like atmosphere that supports social interaction.

    Facilities and housekeeping: The physical home is consistently described as clean, well-maintained, and uncluttered. Private rooms, large windows, and accessible bathrooms with roll-in showers are noted features. Reviewers emphasize a tidy kitchen and spotless common areas, contributing to a comfortable, home-like setting.

    Management and operational patterns: While many families praise the hands-on owner and dedicated caregivers, a pattern of management-related concerns appears. Several accounts describe a direct or brusque communication style from management, and there are questions about the facility’s private-pay policies—specifically pricing levels, multi-year private-pay expectations, and limitations around transitioning residents to Medicaid. Availability is another operational constraint: the home can have a waitlist and limited openings, which may delay placement.

    Notable patterns and decision factors: For prospective residents and families, strengths to weigh include individualized, compassionate care; strong family communication; home-cooked dining; and clean, accessible accommodations. Operational caveats to consider are the facility’s private-pay contract approach, potential limits on insurance transitions, possible variability in how visitation/outings are handled, and limited bed availability. Overall, the facility receives substantial praise for its caregiving and environment, balanced by practical considerations about cost, contract terms, and admissions timing that families should review before placement.

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    Location

    Map showing location of Sarenac Home Care AFH

    Sarenac Home Care AFH is located at 119 E Salmon Ave, Spokane, WA, 99218.

    About Sarenac Home Care AFH

    Sarenac Home Care AFH sits in Spokane, WA, and is a small adult family home licensed by the state with six assisted living units, providing long-term care and different housing setups like 1-bedroom units, communal living choices, and studios for seniors. You'll find private bedrooms, fully equipped apartments, and common spaces such as a dining hall, game room, theatre room, fitness room, barbershop, bistro, library, chapel, and large decks, with landscaped walking trails and gardens outside where folks can walk around and enjoy a bit of nature. There's parking for family and a visiting schedule that runs from 9 in the morning until 8 at night, which works out for most families wanting to see their loved ones.

    The care team supports people with memory care and Alzheimer's needs, diabetes management, development disabilities, mental health support, and other medical needs, including toileting and incontinence care, helping to get dressed, and getting in or out of bed. They handle medication, falls management, and provide 24-hour supervision along with regular health checks for safety. There are custom care plans for each resident, so everybody's got their own way of doing things, and the home welcomes small pets, helping keep the place lively and more like home.

    Sarenac Home Care AFH covers daily chores by providing three home-cooked meals, laundry, and housekeeping services, and they'll help at mealtimes or with reminders if needed. They run activities on and off the property, plus on-site devotional activities and educational events, so nobody just sits around bored. There's a support service for family counseling, massage services on offer, transportation to appointments, a concierge to handle requests, and a resource list for extra help or information related to senior housing.

    Professional and specially trained staff manage personal care and care needs for non-ambulatory folks, including surgery recovery and on-site therapy. The home grounds stay secure, with staff always watching out, and the community's review score is based on several opinions, so you're not only looking at one person's experience. Sarenac Home Care AFH doesn't take Medicare unless CMS certifies it, and it's been open around three years with Ramila Sarenac acting as the lab director, and they work along with LabProspects for lab-related services and registry needs. Amenities and programs here focus on a supportive, home-like environment where seniors feel safe and families have some ease of mind.

    People often ask...

    Sarenac Home Care AFH offers assisted living and board and care.

    There are 16 photos of Sarenac Home Care AFH on Mirador.

    The full address for this community is 119 E Salmon Ave, Spokane, WA 99218.

    No, Sarenac Home Care AFH 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.

    Disclaimer

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

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