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Choosing a long-term care setting:Compare licensed care services
See other "Choosing a Long-term Care Setting" sections: 

All Oregon licensed facilities must provide:

  • Three meals a day and snacks
  • Housekeeping
  • Laundry
  • 24-hour supervision
  • Planned activities
  • Help with:
    • Medications
    • Dressing / Grooming
    • Bathing
    • Toileting
    • Walking
    • Transferring from one place to another (such as from chair to bed)
    • Confusion / Forgetfulness
    • Finding transportation
  • Sufficient staff to meet resident's needs

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

What are the differences among facilities?

Foster Home

  • Serve five or fewer residents.
  • Provide different levels of care depending on their license.

Residential Care Facility

  • Residents may share bedrooms and bathrooms.
  • Allow residents to maximize their independence.

Assisted Living Facility

  • Residents have a private apartment and private bathroom.
  • Allow residents to maximize their independence.

Nursing Facility

  • Hospital-like setting where residents typically share a room and bathroom, although there may be some private rooms available.
  • Provide the most comprehensive care of all the facility types including 23-hour nursing care.

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 Homes Residential Care Facilities Assisted Living Facilities Nursing Facilities
24-hour nursing services by RNs and LPNs Not Required Not Required Not Required Yes
24-hour awake staff Not Required Yes Yes Yes
Aides are required to be certified nursing assistants (CNA) or certified medication assistants (CMA) Not Required Not Required Not Required Yes
Physical rehabilitation and restorative services Not Required Not Required Not Required Yes
Private rooms May May Yes May
Private toilets Not Required May Yes Not Required
Private showers/tubs Not Required May Yes Not Required
Secure dementia care Not Required May May May



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