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Choosing a long-term care setting:
Compare licensed care services


What do the facilities have in common?

All Oregon licensed facilities must provide:

  • Three meals a day and snacks
  • Housekeeping
  • Laundry
  • 24-hour supervision
  • Planned activities
  • Help with medications
  • Help with dressing and personal grooming
  • Help with bathing
  • Help with toileting
  • Help with walking
  • Help with transferring from one place to another (such as from chair to bed)
  • Help with confusion or forgetfulness
  • Help with finding transportation
  • Sufficient staff to meet resident's needs

Each employee must have passed a criminal record check according to state rules

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What are the differences among facilities?

There are differences in the physical requirements of the buildings, a few of the basic differences include:

  • A foster home is a typical residence that serves five or fewer residents.
  • A residential care facility serves more than five residents who may share bedrooms and common bathrooms.
  • An assisted living facility has a private apartment with a kitchenette and a private bathroom for each resident or couple
  • A nursing facility is hospital-like where residents typically share a room and a common bathroom although there may be some private rooms available

There are also differences in the amount of help you can expect to receive from the different facility types

  • Nursing facilities provide the most comprehensive care of all the facility types including 24-hour nursing care by licensed staff, post-hospital care and, rehabilitation and restorative treatments by licensed physical therapists, speech therapists and occupational therapists.
  • Assisted living and residential care facilities provide care for people who can no longer live independently, yet want to maximize their independence while in the safety of a residential setting .These facilities generally do not offer the comprehensive care provided by nursing facilities.
  • Adult foster care homes provide different levels of care depending on their license. Every adult foster care home provides assistance with daily living activities are offered personal care services, 24-hour supervision and assistance by staff. Generally, staff are not licensed nurses, but some homes that meet more rigorous standards may provide care by licensed nurses. It is important to check with your your DHS or Area Agency on Aging local officeto be sure the adult foster home you are considering is licensed to provide the kind of care you need.
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Each facility type must meet different requirements

  • Nursing facilities are regulated by both federal and state laws and are the only facility type required to provide 24-hour nursing services, physical rehabilitation and restorative services.
  • Assisted living facilities, residential care facilities and adult foster homes are regulated by the state laws and generally are not required to provide services by licensed nurses or other health professionals.

The different services provided by each care setting

Services Provided Adult Foster HomesResidential Care FacilitiesAssisted Living FacilitiesNursing Facilities
24-hour nursing services by RNs and LPNs Not RequiredNot RequiredNot RequiredYes
24-hour awake staffNot RequiredYesYesYes
Aides are required to be certified nursing assistants (CNA) or certified medication assistants (CMA)Not RequiredNot RequiredNot RequiredYes
Physical rehabilitation and restorative servicesNot RequiredNot RequiredNot RequiredYes
Private rooms MayMayYesMay
Private toiletsNot RequiredMayYesNot Required
Private showers/tubsNot RequiredMayYesNot Required
Secure dementia care Not RequiredMayMayMay

See other "Choosing a Long-term Care Setting" sections:

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