Caring Arms Adult Family Home

    16912 118th Ave Ct E, Puyallup, WA 98374
    • Memory Care

    Small home-like care excellent staff

    I placed my dad here and I'm very pleased - the small, home-like house (up to six adults) is clean, comfortable, secure, and has private rooms plus large family/front sitting rooms and a nice kitchen. The owner and staff are wonderful, the caregiver-to-client ratio is excellent, and they serve hand-prepared, home-cooked meals three times daily.

    Loved one of resident
    Jul 2026

    Schedule a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    Reviews

    3.80·(5)

    Overall rating

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

      3.5
    • Staff

      3.2
    • Meals

      3.3
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Clean, well-maintained interior
    • Private resident rooms
    • Small, home-like setting (up to six residents)
    • Low caregiver-to-resident ratio
    • Multiple communal living areas
    • On-site kitchen with hand-prepared three daily meals
    • Secure environment
    • Owner-managed leadership

    Cons

    • Inconsistent caregiving professionalism and communication
    • Gaps in dementia-specific training (Lewy body and related conditions)
    • Inadequate clinical-family notification and care-update processes
    • Variable meal quality and nutritional adequacy
    • Limited organized activities and daytime engagement programming
    • Medication-management and daytime drowsiness concerns
    • Perceived high cost relative to service value

    Summary of reviews

    Caring Arms Adult Family Home presents a mixed picture across several reviews. Physically the house is described as clean, comfortable and well maintained, with private rooms, multiple shared living spaces (family room, front sitting room, kitchen) and a secure, small-home environment that accommodates up to six adults. Ownership and management are noted positively by several families, and the low caregiver-to-resident ratio and small scale contribute to a homelike atmosphere for many residents.

    Care quality impressions vary. Positive accounts describe attentive, compassionate care and good day-to-day support; other accounts raise concerns about the facility’s ability to manage escalating behavioral needs and specific clinical issues. One review cited substantial unintended weight loss and another cited a missed notification about a swelling event; these items suggest a need for clearer clinical-monitoring protocols and more consistent family communication. Several comments also point to inconsistent medication effects manifested as prolonged daytime sleepiness; this indicates a pattern where medication-management oversight and its impact on daytime engagement warrant review.

    Staff and interpersonal dynamics are a notable area of divergence. Owners and some staff are praised, yet multiple comments describe caregivers as rude or unwelcoming, and there are examples of boundary and communication problems (for example, informal or confusing resident naming practices and an inappropriate remark to a family member). There are explicit concerns about staff training for dementia subtypes such as Lewy body disease, and a few families experienced difficulty when residents’ behaviors changed — suggesting gaps in behavioral-support protocols and specialist education.

    Dining and activities present a mixed picture. The facility is equipped with an on-site kitchen and is described by some families as providing home-cooked, hand-prepared meals served three times daily. Conversely, other accounts describe processed or frozen entrees and question the nutritional adequacy of meals, which, combined with reports of weight loss, points to inconsistent meal planning and monitoring. Activity programming is another consistent shortcoming: reviewers noted limited organized activities and low levels of daytime stimulation for residents.

    Overall patterns indicate a small, well-appointed home environment led by engaged owners, with the potential for good individualized care. At the same time, variability in caregiver professionalism, gaps in dementia-specific training, inconsistent clinical-family communication, and questions about meal quality and activity programming are recurring themes. Prospective families should tour the home, ask for details on staff training (particularly in dementia care), review clinical-communication and medication-review policies, and request sample menus and activity schedules to assess alignment with the resident’s needs and expectations.

    Reviews written on Mirador

    We have no reviews to show about Caring Arms Adult Family Home.

    Help other families by writing a review about your experience with this community.

    Location

    Map showing location of Caring Arms Adult Family Home

    Caring Arms Adult Family Home is located at 16912 118th Ave Ct E, Puyallup, WA, 98374.

    About Caring Arms Adult Family Home

    Caring Arms Adult Family Home sits in a quiet cul-de-sac in Puyallup, Washington, and provides adult family home services for up to six residents at a time, keeping the setting calm and personal, and they've got private bedrooms that come with full wheelchair access so people who need mobility help can move around without worry, and if a couple wants to stay together they can combine rooms for a suite. The home's been newly remodeled and has a clean, comfortable feel, and there's a large family room, a kitchen, and a front sitting room that's nice for visitors, which helps the place feel more like a true family home than a big institution. Caregivers with different healthcare skills-including CNAs, LPNs, NARs, and RNs-work all day and night to help residents with day-to-day needs, bathing, dressing, meals, and medications, and medical professionals help create care plans tailored to each person's wishes and needs, which really helps residents keep their dignity and independence. They serve hand-prepared meals three times a day, and they also have services for people living with Alzheimer's or dementia, plus respite care for families who need a break, all with a focus on keeping things safe, clean, and friendly. Caring Arms is owned and operated by Lisa Nelson, President, and Howard Nelson, Vice President, with Lisa Nelson handling more of the day-to-day management, and reviewers often mention the staff's caring attitude and professional touch, which lines up with their mission to give respectful, personalized care that brings peace of mind to families. The house is close to medical offices, shopping, and restaurants, and it's got a calm, home-like vibe that aims to make residents feel both safe and cared for, whether they need long-term help, have memory care needs, or want short-term relief for a primary caregiver. The facility is licensed by the state of Washington as an Adult Family Home under Caring Arms One AFH Inc., and falls under the "Adult Family Homes" category. Review ratings average four to five stars, with many comments about quality of care, cleanliness, and the supportive, non-institutional setting. Visiting hours run from 9:00am to 8:00pm. Each care plan comes with a personal touch designed by medical professionals, and there's always a focus on meeting both physical and emotional needs so residents feel respected, comfortable, and not alone.

    People often ask...

    Caring Arms Adult Family Home offers memory care and board and care.

    The full address for this community is 16912 118th Ave Ct E, Puyallup, WA 98374.

    No, Caring Arms 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 number753814
    StatusOp
    Facility typeAdult Family Home
    Capacity6 residents
    Special certificationMental Health, Dementia
    View the official license record

    Inspection Reports

    2

    Reports

    9

    Citations

    0

    Complaints

    3

    Years

    01 Aug 2025Inspection
    Verified the hot water temperature issue was corrected and the home returned to compliance; additional deficiencies were addressed through consultation.
    • WAC 388-76-10750-6-cSafety and maintenance - hot water temperature
    • WAC 388-76-10485Medication storage
    • WAC 388-76-10463Medication psychopharmacologic
    • WAC 388-76-10315Resident record
    • WAC 388-112A-0050Training and certification requirements for volunteers and long-term care workers
    • WAC 388-76-10198Adult family home personnel records
    • WAC 388-76-10130Qualifications
    28 Aug 2023Inspection
    Identified two deficiencies: hot water temperature at the kitchen sink was initially below the required range but corrected, and a required advocacy poster was not posted in the proper location.
    • WAC 388-76-10750Safety and maintenance
    • WAC 388-76-10525Resident rights postings

    Disclaimer

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

    Are you an owner or operator of this community?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 106 facilities$6,980/mo
    2. 108 facilities$5,692/mo
    3. 63 facilities$6,287/mo
    4. 144 facilities$7,160/mo
    5. 83 facilities$7,902/mo
    6. 63 facilities$5,889/mo
    7. 29 facilities$6,917/mo
    8. 101 facilities$4,927/mo
    9. 150 facilities$7,160/mo
    10. 36 facilities$6,917/mo
    11. 150 facilities$7,160/mo
    12. 36 facilities$4,794/mo
    © 2026 Mirador Living