
We are committed to delivering high-quality services”

24/7 Personalized Care
ADL Support
Social Activities
Housekeeping & Laundry
Home-Cooked Meals
Medication Management
Special Events
Physical Therapy
Indoor Games
Peaceful Retreat
24/7 Personalized Care
ADL Support
Social Activities
Housekeeping & Laundry
Home-Cooked Meals
Medication Management
Special Events
Physical Therapy
Indoor Games
Peaceful Retreat
At Hands On, our mission is to be a trusted partner for families seeking high-quality, affordable care for their loved ones while providing a safe and supportive home for our residents. As a family-run adult home care business, we believe that partnering with families is essential in providing the best possible care for their loved ones. We understand that caring for an elderly family member can be challenging, both emotionally and physically, which is why we aim to work closely with families to ensure that their loved ones receive the best personalized care.
Our mission to our residents it to enrich the aging experience by providing opportunities for active, engaged, and purposeful living. In doing so, we can help our residents to maintain their physical and mental health, enhance their sense of self, and ultimately, improve their quality of life. This benefits not just our residents, but also their families, our staff, and the greater community.

Choosing the right adult family home is one of the most important decisions you can make for your loved one. At Hands On Adult Family Home, we know you are looking for more than basic assistance — you want peace of mind, dignity, and a compassionate environment that truly feels like home.

Every resident has a story. At Hands on Adult Family Home, we provide personalized care that respects the unique needs and life journeys of everyone we serve.
We treat every resident as family, providing attentive, round-the-clock care tailored to individual needs in a home-like setting where dignity is always preserved.
At Hands On Adult Family Home, your loved one receives personalized, round-the-clock care in a warm environment where every resident is embraced as family.
We are committed to enriching the lives of our residents by fostering independence, encouraging social engagement, and providing nutritious, home-cooked meals every day.
At Hands On Adult Family Home, our goal is to redefine community-based care for individuals with complex medical needs by combining clinical expertise with genuine compassion. We envision a future where every resident requiring tracheostomy and ventilator support can live in a safe, loving home environment with dignity and a true sense of belonging.
Through ongoing innovation, personalized care plans, and strong collaboration with families and healthcare professionals, we strive to be a trusted leader in specialized adult care — empowering our residents to enjoy more comfortable, fulfilling, and meaningful lives every single day.
At Hands On, our mission is to be a trusted partner for families seeking high-quality, affordable care for their loved ones while providing a safe and supportive home for our residents. As a family-run adult home care business, we believe that partnering with families is essential in providing the best possible care for their loved ones. We understand that caring for an elderly family member can be challenging, both emotionally and physically, which is why we aim to work closely with families to ensure that their loved ones receive the best personalized care.
Our mission to our residents it to enrich the aging experience by providing opportunities for active, engaged, and purposeful living. In doing so, we can help our residents to maintain their physical and mental health, enhance their sense of self, and ultimately, improve their quality of life. This benefits not just our residents, but also their families, our staff, and the greater community.
Aster Kifle, the owner of “Hands On Adult Family Home Care,” is a highly experienced professional in the medical field with over 20 years of experience at the University of Washington Medical Center, while her husband has many years at Harborview. Aster is selfless and determined, and is willing to go to great lengths to benefit those around her. She is entirely dedicated to helping those who are unable to help themselves. Aster brings a wealth of knowledge and expertise to Hands On. She is committed to providing exceptional care and support to her residents and ensuring that they receive the best possible care. With her years of experience and deep compassion for the elderly and adults with disabilities, Aster is well-suited to provide efficient and thoughtful care to your loved ones.
Source: Oasis Senior Advisors

The voices of our residents and their families reflect the care, trust, and compassion we provide every day.
Their experiences inspire us to continue delivering safe, dignified, and heartfelt support to every individual we serve.

When I was looking for an AFH for a friend, I feel very fortunate to have found this one. The owners and staff are caring and loving, giving wonderful care and attention to the residents, treating them just like family. The facility is clean and bright, an inviting place to live. There is a spacious, enclosed backyard deck and garden, providing a safe place to be outside and enjoy the weather.
We create a safe, uplifting environment where every day is filled with attentive care and meaningful activities.
Stay active, stay connected, and live happy with a perfect blend of fun and companionship.



















Find quick answers to the most common questions families ask about our care, services, and home environment.
We offer personalized daily care, medication management, mobility assistance, trach & ventilator support, and a safe family-style home environment.
Yes. Our adult family home is RN-led, and all caregivers are trained to provide high-quality, clinical and compassionate care.
Absolutely. We provide clean, comfortable private rooms designed to ensure safety, dignity, and a peaceful living experience.
Yes. Our home includes accessible bathrooms, wide hallways, and mobility-friendly spaces to ensure safety and comfort for all residents.
We combine RN-led clinical care with a warm, family-like environment, ensuring residents receive both professional support and genuine compassion.
Yes. We specialize in caring for individuals who require tracheostomy, ventilator support, and other advanced medical assistance.
We maintain open communication with families through regular updates, care-plan reviews, and direct access to our care team.
You can contact us anytime to schedule a visit or speak with our RN. We’ll guide you through every step of the process.
Yes. We prepare nutritious, home-cooked meals and can accommodate doctor-recommended diets, cultural preferences, and individual nutrition needs.
We offer light exercise, social activities, games, outdoor time, and personalized engagement based on each resident’s abilities and interests.
