Adult Family Homes • Assisted Living • Nursing Homes

Payroll, books and taxes for Washington care homes. It's all we do.

A financial team that works only with care homes. We know DSHS rates, Section 131, caregiver payroll and what a six-bed home needs to stay healthy.

Free 30-minute call • No commitment • Call (253) 544-5121

Paying a live-in caregiver a daily rate?

$145a day÷16hours=$9.06an hour The Washington minimum is $17.13
Check your own rate
HIPAA-compliantWashington State licensedIRS Enrolled AgentDSHS familiarRegistered ProviderOne billing agent

Why us

Care homes are all we do.

We don't take restaurants, contractors or retail. Every client is a care home, so everything we build, from our payroll process to our monthly reports, is built for how a care home really runs.

You never explain your business

DSHS rates, caregiver schedules, Medicaid contracts and Section 131 are everyday work for us.

We know the details

Getting the details right is the difference between books that look fine and books that help you run the home.

We run homes too

Members of our team own and operate adult family homes in Washington.

One team, four services

Books, payroll, tax and billing in one place, with one person who knows your home.

Washington adult family home with a wheelchair rampDining table set for residents in a care homeCare home owner working at her kitchen table in the eveningCaregiver pushing a resident in a wheelchair along a hallwayWeekly shift calendar on a care home office wall
18 yearsin caregiving
4services, one point of contact
$100flat payroll per home, no charge per employee
2 to 3 weeksto switch most homes over
Handover at a desk with a laptop, receipts and sticky notes

How it works

Three steps, then you get your evenings back

01

A free call about your home

Thirty minutes to look at your current books, payroll and taxes. You leave with what we found, whether or not you hire us.

02

We take it over

You share documents through our secure portal. We set everything up, move your data and talk to your caregivers about payroll.

03

Clear reports every month

Caregivers paid on time, taxes filed, and a monthly report that shows how your home is really doing.

Secure and simple

Professional results without leaving your home

Everything happens online, so you spend your time with residents, not driving to an office.

Privacy first

Encrypted client portal, multi-factor sign-in, and access limited to the people on your file.

Faster and more convenient

Upload documents any time and get help quickly when something is urgent.

A real person when you need one

A named person for your home, with video calls, phone, email or WhatsApp.

Laptop open in a bright care home office

In their words

What care home owners say about us

“
I’m glad that I came across this wonderful team that help take my business to another level. Very patient and ready to help me in every step. Would be glad to share CarebearBooks to my friends and community. Thanks to Delphine, Lucy and Boaz.
Elizabeth Gitaka
·
Owner, Shalom AFH LLC
“
We’ve partnered with Carebearbooks for over a year now, and the level of professionalism and accuracy they bring is unmatched. Their accounting expertise has helped us streamline operations and improve our financial planning.
Daniel Wainaina
·
Owner, AA Golden Haven
“
We couldn’t ask for a better accounting partner. Carebearbooks provides precise and reliable accounting services, allowing us to focus on the well-being of our residents. They’ve made a significant difference in our day-to-day operations.
Mr. Gathua
·
Executive Director, Heroes Of Faith
“
Carebearbooks has been instrumental in managing our finances and ensuring compliance. They understand the complexities of nursing home accounting and have consistently provided us with top-notch support.
Peter Mburu
·
Owner, Bristol Berry
“
Carebearbooks has been a lifesaver for our nursing home. Their accounting services are not only accurate but also timely. We can focus on providing the best care for our residents while they take care of the numbers.
Mercy S.
·
Owner, MercyCare Homes
“
As a busy Adult family home, we needed an accounting service that understood our unique needs. Carebearbooks delivers exceptional service with attention to detail, and we feel confident knowing our financials are in expert hands.
Ernest Maina
·
Owner, Comfort Haven
“
The team at Carebearbooks provides outstanding service. They are always available to answer questions and offer insightful advice. We can trust them to keep our finances on track, so we can focus on providing the best care possible.
Josephine Otieno
·
Owner, Blessings & Care

Questions

Frequently asked questions

Something else on your mind? Call us or send a WhatsApp message. A real person answers.

Get started today

Our bookkeeping starts at $25 per resident per month, up to $200. Payroll is a flat $100 a month per home, with no charge per employee. Tax preparation starts at $500 a year.

Yes. Caregivers in Washington adult family homes are entitled to overtime at 1.5 times their regular rate for hours worked over 40 in a workweek. Since a July 2026 Washington Supreme Court decision, that includes live-in caregivers.

Section 131 can let some providers exclude part of their Medicaid income from federal tax. Whether it applies, and to how much, depends on how your home is set up. We check that for you.

Most Adult Family Homes are fully switched within 2 to 3 weeks. We handle all the setup, data transfer, and caregiver communication.

We do clean-up work regularly. Bring what you have, in whatever state, and we will tell you what it will take.

Yes. We work with QuickBooks Online and Desktop. If you use something else, tell us and we will confirm before you start.

Free financial analysis

See your home's numbers clearly, before you pay us anything

Tell us a little about your home. We will look at your books, payroll and taxes and show you what we find.

See open times and pick the one that suits you. It takes about a minute.

Prefer to write? Send us a message →

No cost. No obligation. Nothing changes until you decide.