Caring Arms Adult Family Home

    16912 118th Ave Ct E, Puyallup, WA, 98374
    3.8 · 5 reviews
    • Memory care
    AnonymousLoved one of resident
    2.0

    Small facility poor care overpriced

    I placed my dad in this small, clean, secure, home-like facility with private rooms, a large common room, and a caring owner - the caregiver-to-client ratio felt good and many staff were wonderful. Meals are supposed to be hand-prepared three times daily, but I observed processed food at times and my dad lost 30 pounds. Communication was poor (swelling wasn't reported), staff showed little Lewy Body dementia knowledge, some caregivers were rude, used confusing nicknames, and one made an inappropriate comment about my wife. There were almost no activities and many residents seemed overmedicated and sleeping, so for the high monthly charge I don't feel it's money well spent.

    Pricing

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    Amenities

    3.80 · 5 reviews

    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 facilities
    • Comfortable, home-like environment
    • Small size (up to six adults)
    • Private rooms
    • Large family/common room
    • Kitchen and front sitting room
    • Secure facility
    • Hand-prepared / home-cooked meals
    • Three meals provided daily
    • Good caregiver-to-client ratio
    • Owners/management praised
    • Some families report residents are happy (e.g., “Dad loves them”)

    Cons

    • Significant unintentional weight loss reported (30 pounds)
    • Behavior became unmanageable for one resident
    • One report of processed/frozen meals with low nutritional value
    • Failure to notify family about medical issues (swelling)
    • Staff lacked knowledge of Lewy Body dementia care
    • Caregivers using confusing nicknames for residents
    • Inappropriate staff comment about a resident’s spouse
    • High monthly charge perceived as poor value
    • Caregivers described as extremely rude, not welcoming, antisocial
    • Inconsistent caregiving quality (owners praised, some caregivers criticized)
    • No observed activity programming
    • Reports of residents highly medicated and sleeping / low stimulation

    Summary review

    Overall sentiment in the reviews is mixed, with a clear split between strong approval of the physical environment, ownership/management, and small-home model, and serious concerns about some aspects of daily care, staff behavior, nutrition, communication, and dementia-specific expertise.

    Facilities and environment receive consistent praise. Multiple reviews describe the home as clean, comfortable, secure, and truly home-like, with private rooms, a large family/common room, an on-site kitchen, and a front sitting room. The small capacity (up to six adults) and good caregiver-to-client ratio are repeatedly noted as positives, and several reviewers explicitly say the house feels like a family environment. Comments such as “beautiful home,” “clean facilities,” and “Dad loves them” indicate that for many families the setting and basic living conditions are major strengths.

    Dining and daily routines are described in conflicting ways. Several reviewers report hand-prepared, home-cooked meals served three times daily, which supports the home-like image. However, at least one reviewer cited processed or frozen meals with little nutritional value and linked that to significant weight loss (30 pounds), which is a serious clinical concern. This suggests inconsistency in meal quality or variability over time/staffing; families should verify current menus, food sourcing, and weight-monitoring processes.

    Care quality and staff competence show a notable divide. Owners and management are frequently praised — described as “great,” “wonderful owner,” and credited with taking good care of patients — but frontline caregivers attract mixed to negative comments. Some reviewers call caregivers extremely rude, antisocial, or not welcoming. There are also reports of confusing caregiver practices (using nicknames), an inappropriate comment made about a resident’s spouse, and a lack of documented expertise in managing Lewy Body dementia. These items point to uneven training, inconsistent staff culture, or turnover that affects continuity and professionalism.

    Clinical communication and resident safety concerns appear in several reviews. One family reported not being notified about a resident’s swelling, and another described a resident becoming unmanageable and losing a large amount of weight. There are also multiple mentions that residents appeared highly medicated and sleeping much of the time, combined with concerns about lack of stimulation and no observed activities. Together these items raise potential red flags about medication management, monitoring of weight and new medical signs, and provision of appropriate cognitive/behavioral programming — especially for residents with specific dementia diagnoses like Lewy Body dementia.

    Value and transparency emerge as themes: at least one reviewer explicitly stated the high monthly charge was not money well spent, linking cost concerns to the perceived shortcomings in nutrition, communication, and caregiver behavior. Conversely, families who emphasize the positive aspects (clean, small, secure, loving owner) felt the placement was the right decision. This contrast suggests the experience can vary significantly between residents or across time depending on staffing, case-mix, and management consistency.

    Notable patterns and implications: 1) Strong points are the home environment, cleanliness, small size, and engaged ownership/management. 2) Recurrent negative patterns include inconsistent meal quality and nutrition monitoring, caregiver attitude and professionalism issues, insufficient dementia-specific training (Lewy Body), poor communication about medical changes, and limited activity/stimulation for residents. 3) These negatives are not universal across all reviewers but are serious when they occur — weight loss, over-sedation, and failure to notify families about medical changes require prompt attention.

    For families evaluating this facility, important follow-ups based on these reviews would be: confirm current menu planning and weight-monitoring procedures; ask about staff training in dementia subtypes (including Lewy Body dementia) and how staff are supervised; inquire about activity schedules and how cognitive/behavioral stimulation and behavior management are provided; request clarification of notification policies for medical changes; and meet multiple caregiving staff to assess bedside manner and consistency. The reviews suggest the facility offers many of the desirable attributes of small adult family homes, but also show potential variability in care and communication that families should investigate before committing.

    Location

    Map showing location of Caring Arms Adult Family Home

    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.

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