Personalized care plans designed around your loved ones needs

We consult and coordination of services: we work directly with Physicians, Nurses, Therapists, Discharge Planners, Social Workers, Care Management, Guardians, Occupational/Speech and Physical Therapists and Hospitals. We are able to coordinate care with public and private home care agencies, Diabetes Educators, enteral feeding managers and wound care specialists, Home health services, pharmacies, Mental Health service, Geriatric Psychologists, clergy and Behavioral Health in King and Snohomish County.

Our Home has a home like atmosphere with professional caring staff and is suited for a maximum of 6 residence; Unlike larger facilities, needs are addressed much faster due to our small population. Our Environmental approach reduces anxiety, frustration, fearfulness and feelings of unrest. Our care program is centered on your loved ones needs, abilities and personality, we truly feel like home and family.


Beautiful Living Space

Located off Ben Howard Road in Monroe, WA, the views from PATHS are panoramic. The spacious home offers an atmosphere that is serene and gentle, not clinical.


  • Serene Setting
  • Small Community
  • Family Like Atmosphere

Professional Staff

Owner Mariam Zinn, MA, brings a wealth of knowledge and experience to her team of CNA’s, NRA’s, and HCA’s, as well as RND’s and third party professional services.


  • Dimentia
  • Giariatics
  • Diabetes
  • Residential Administration


Personalized Care

We are a residential alternative to Skilled Nursing Facility, Assisted Living, Alzheimer’s Community, Memory care communities, Post- Sub acute & Surgical Rehabilitation & Hospice Facility.


  • Rehabilitation
  • Long Term Care
  • Palliative Care
  • Hospice
  • Respite

Holistic Approach

Our approach is multi-faceted including pain management, family education and mentoring, physical comfort, emotional wellbeing and spirituality.


  • Onsite Skilled Nursing through a Third Party
  • Professional Services
  • Physical, Occupational, and Speech Therapy
  • Wound Care
  • Exercise Programs
  • Mobile X-Ray and Mobile Lab.
  • Diabetes Management
  • Onsite Dental and Pediatry
  • Nutritional Consultation


“I have been an RN for over 20 years. In that time, I’ve met many families and caregivers. I also know how much work it is to provide 24-hour care for an ailing elderly person. Mariam has mastered this art. I would heartily recommend Mariam’s care to anyone needing a skilled, compassionate home for their elderly loved one.”

Debbie Powers, RN, BSN


As a residential alternative to traditional skilled nursing, assisted living or alzheimer’s facilities, PATHS offers an atmosphere that is serene and gentle, not clinical. Located off Ben Howard Road in Monroe, WA, the views from PATHS home are truly panoramic.

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“As a pastor, I am in many places for the elderly and hers is, by far, the best. If I have to someday put my mother in long-term care, Mariam’s place would be first on my list.”

John Stima, Monroe Baptist Church


At PATHS Adult Family Home, we value each of our residents as individuals with unique needs, personalities, preferences and abilities. That is why we take a personal, holistic approach to our residents’ care.

As a “microcommunity,” we have the benefit of providing a small, family like atmosphere for our residents. Our live-in caregivers are able to provide residents a more intimate level of care through the establishment of familiarity and trust. During the day, our additional support staff serve as personal companions, playing board games, reading books, engaging in conversation and reminisce therapy.


For our residents health care needs, we coordinate with a variety of experienced health care professionals and specialists as well as an on-call nurse to provide each resident the specialized care they need.

“We look beyond a person’s diagnosis and take into consideration the family’s goals and the individual’s preferences, abilities and personality. From there we build a care plan around the person, NOT put the person into a care plan.”

Mariam Zinn, MA, NAC


With our experienced onsite residential home administrator, live-in caregivers, loving support staff, on-call nurse, and coordination with a host of other health care professionals and specialists, you can be confident that we can provide the care that your loved one needs.

Residential Care

We create a comprehensive care plan that considers individual personality, preferences, and strengths, and assist with activities of daily living (ADLs) including personal hygiene, grooming, dressing, mobility, meal assistance, and medication assistance and administration (including Insulin).

  • Personalized Care Plan
  • ADL Assistance

Enhanced Care

Through our enhanced care option, we provide all of the benefits of residential care while going further to alleviate the burden of managing your loved one’s special needs. We free you from the struggle of juggling appointments, errands, and paperwork so that you won’t have to choose between conflicting obligations.

  • Personalized Care Plan
  • ADL Assitance
  • Wrap Around Care

Fixed Rate Care

This is our most popular option for families doing estate planning, individuals who are anticipating long term care, or those with frequently changing health needs. With our fixed rate plan, you can lock in this year’s ERC rate. Our fees do not change regardless of increased needs and services.

  • Personalized Care Plan
  • ADL Assistance
  • Fixed Yearly Rate

Download Our Brochure

To learn more the philosophy, services, and accommodations offered at PATHS Adult Family Home, download our free brochure.