House of Hope AFH

    759 133rd St S, Tacoma, WA, 98444
    4.2 · 5 reviews
    • Memory care
    AnonymousCurrent/former resident
    2.0

    Clean facility, poor overall care

    I found the staff friendly, the place extremely clean and well-organized (licenses and info binder on the wall), with a tidy outdoor area and good coordination with visiting nurses/therapists. My room was small, dark and cramped, activities were lacking, and the owners-friendly at first-became bossy/rude; care was poor when I was ill (family wasn't notified, language barriers, and dispute over rent/contract). Overall a mixed but ultimately disappointing experience despite helpful staff and good medical coordination.

    Pricing

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    Amenities

    4.20 · 5 reviews

    Overall rating

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

      3.0
    • Staff

      3.5
    • Meals

      4.2
    • Amenities

      3.0
    • Value

      2.0

    Pros

    • Extremely clean facility
    • Tidy, well‑maintained interior
    • Well‑kept outdoor area
    • Organized paperwork and posted licenses
    • Binder with resident information available
    • Availability of hospital bed and appropriate equipment
    • Friendly, engaged staff and owners
    • Helpful with doctor visits
    • Good coordination with visiting nurses and therapists
    • Larger AFH layout with a nice living area
    • Primary caregiver described as a good fit (male caregiver)

    Cons

    • Small, dark, cramped resident rooms
    • Poor or insufficient activities/engagement for residents
    • Reports of poor care when ill (including no family notification)
    • Inappropriate treatment reported during illness
    • Owners initially friendly but later bossy or rude
    • Language barrier: staff speaking Russian in front of resident
    • Refund disputes and rent/contract issues
    • Inconsistent quality of care/experience across reviewers
    • Communication lapses with families

    Summary review

    Overall sentiment across the summaries is mixed, with several reviewers strongly praising the physical environment, organization, and aspects of clinical coordination, while others report serious concerns about care, communication, and management. Multiple sources highlight the facility’s cleanliness and tidy appearance — descriptors such as "extremely clean," "tidy and clean interior," and a "well‑kept outdoor area" recur. Reviewers also note organized administrative details (licenses posted on the wall, a binder with resident information) and availability of clinical equipment such as a hospital bed. These positive points suggest the home maintains high standards of housekeeping, has a level of transparency in documentation, and can accommodate higher‑acuity needs when necessary.

    Care quality and coordination receive polarized feedback. On the positive side, some reviews emphasize "excellent care," helpful coordination with visiting nurses and therapists, and assistance with doctor visits; one reviewer called it "tops" and the "best place," and another noted a male primary caregiver who was a good fit. These comments point to staff members who are capable, attentive, and able to work with external healthcare providers. Conversely, other reviewers report serious lapses: an instance of poor care when a resident was ill, with family not notified and treatment described as inappropriate. This contrast indicates variability in the level of care residents receive — some families experience coordinated, professional care while others report neglectful or unsafe practices.

    Staffing and management impressions are similarly inconsistent. Several summaries describe the staff and owners as friendly, engaged, and helpful; a "nice couple" appears to run the home in some reviewers’ experiences. However, other accounts describe the owners becoming "bossy" or "rude" over time. Communication problems are specifically cited — lapses in notifying family during illness and a broader pattern of inconsistent responsiveness. There is also a noted language issue: staff speaking Russian in front of a resident, which was perceived negatively and could create discomfort or a sense of exclusion for non‑Russian‑speaking residents and families.

    Facilities and living space present a mixed picture. While communal areas and the exterior are described positively (well‑kept outdoor area, nice living area), some residents were housed in "small, dark, cramped rooms." This suggests variability in room size, layout, or natural lighting within the same home. The presence of organizational items such as posted licenses and a resident binder is a strength, and the availability of clinical equipment (hospital bed) indicates the home can manage certain medical needs; prospective families should be prepared to inspect specific rooms rather than assuming uniform room quality.

    Activities and social engagement are a recurring negative theme: reviewers mention residents were "not kept busy" or that activities are "poor." Lack of meaningful programming can significantly affect quality of life in an adult family home setting, particularly for residents with cognitive or mobility limitations. If activities and engagement are priorities, families should ask for an activity schedule and examples of recent programming.

    Administrative and contractual issues were raised as well. One summary mentions a refund dispute over rent and contract issues, indicating potential for disagreements around billing, deposits, or contract terms. Combined with the reported communication lapses and reports of owners becoming rude, this suggests families should carefully review contracts, clarify refund/cancellation policies, and obtain everything in writing before committing.

    Patterns and recommendations: the strongest and most consistent positives are cleanliness, organization, and in some cases competent clinical coordination and staff warmth. The strongest negatives are inconsistency — both in day‑to‑day care and in management behavior — lack of activities, and some troubling reports about care during illness and poor communication with families. For prospective residents and families, it would be prudent to: (1) tour multiple times and inspect the specific room to confirm size, lighting, and condition; (2) ask for recent references and examples of how the home handled medical events and family notifications; (3) review the activity schedule and sample weekly programming; (4) clarify contract terms, refunds, and payment policies in writing; and (5) ask about language use among staff and policies for communicating in front of residents. These steps can help determine whether a particular unit or caregiver within the home aligns with the family’s expectations, since the reviews indicate experience at this facility can vary substantially.

    Location

    Map showing location of House of Hope AFH

    About House of Hope AFH

    House of Hope AFH is an adult family home in Tacoma, Washington, set in a quiet residential neighborhood, and the place feels friendly and calm once you walk in, with staff who've been described as both understanding and helpful when it comes to things like doctor's appointments or figuring out the details of daily care, and the owner's a licensed practical nurse who likes to keep a close eye on things. Residents get private rooms with their own bathrooms, each bathroom set up with wheelchair-accessible showers, and you'll see indoor and outdoor spaces where folks can rest or talk together, sometimes with their pets, and people can choose room service when they don't feel up to going out to meals. Meals are cooked daily, often by Nadia, and residents who need special diets-like gluten-free, vegan, or low-sugar-get those too. Nurses and therapists visit on a regular schedule, whether it's for medical checks, therapy, or even help with tricky care needs like complicated medications, insulin shots, or blood sugar tests, and there's always an awake staff member on-site all day and night if someone needs help getting out of bed, managing tough behaviors, or moving about with a lift. Memory care is a major focus at House of Hope AFH, so there's a separate secure area for residents who have Alzheimer's or dementia, with pretty close watch over anyone who might wander, including technology like bracelets that set off an alarm at the door. People have a say in their daily routines and activities-they offer both planned group events and scheduled off-site outings, sometimes using their own transportation for shopping trips or visits to one of the nearby parks where there are walking paths. It's a place that's designed to help folks with different needs, from those who just need a little help with dressing to adults with complicated health or behavioral challenges, and the steady staff make it possible for most residents to age in place, with care that can grow if they get sicker or need hospice. The reviews often mention that the house is clean and that the caregivers put a lot of thought into the residents' lives, from favorite meals to personal backgrounds, and even though House of Hope AFH is small compared to a big campus, they try to keep life active and familiar, with beauty and barber services onsite, visits to religious services, and enough social and educational events to keep things from getting too quiet. Hospitals, retail shops, and restaurants are just a short drive away, so families can visit and take loved ones out easily during visiting hours, which run from morning to early evening. House of Hope AFH isn't fancy, but it's built to be safe, welcoming, and focused on each person, especially those with health or memory needs that make bigger places more stressful.

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