About Assisted Living in Oregon

While Oregon may be one of the wettest states in the country, it’s also quite diverse with beaches, mountains, and rivers - all within a few hours of each other. The cost of living is significantly higher than the national average, and property taxes are also high, however, Oregon does not tax social security income and it lacks a sales tax, making it a compelling place to retire.

What Options are Available for Assisted Living?

In the state Oregon both residential care and assisted living facilities provide home-like surroundings for seniors or adults with disabilities. An Assisted Living facility has fully self-contained units, while a Residential Care Facility consists of shared or individual units.

about-assisted-living-(20)A resident agreement and disclosure statement must be provided to potential residents, including information regarding the terms of occupancy, policies, payment provisions and costs of additional services, evaluation methods, rights, and scope of services.

All buildings must have an automatic sprinkler system, smoke detectors, and an automatic and manual fire alarm system, as well as written emergency procedures and disaster plan that must be approved by the state fire marshal. Drills and training are also required to prepare both residents and staff for emergency situations.

What are the Alzheimer’s Requirements for Residential Care and Assisted Living in Oregon?

Memory Care Communities must focus on person-centered care, consumer protection, and staff training on topics specific to Alzheimer’s and dementia, while also providing enhanced physical plant and environmental requirements. Memory Care Communities provide separated care that is locked and secure. They are also required to comply with staffing and physical design requirements to comply with licensing rules to help promote safety, encourage dignity and independence, as well as prevent wandering and ensure safety of all residents.

Senior Assisted Living Details and Costs for Cities in Oregon

Listed below are some of the larger cities in Oregon. Each city details page provides details on senior assisted living options, independent living, senior group homes, and memory care. City pages may include details on costs, amenities and services offered, medical care, and other useful information.

What Training is Required for Residential Care and Assisted Living Staff?

All employees must complete an orientation that includes residents’ rights, abuse and reporting, infection control, and fire safety and emergency procedures. Employees must also complete additional training regarding their department, as well as test to ensure they are competent in performing their job duties.

All Memory Care Community staff have required training within the first 30 days of employment, including 4 hours of dementia-specific in-service training annually.

Is an Assessment Required Before Move-In?

Yes. The state uses a standard assessment form to determine the level of service for each resident and whether or not he or she is eligible for Medicaid.

What Care is Available in for Residential Care and Assisted Living?

Both types of facilities may care for residents with various levels of care needs, including room and board, assistance with activities of daily living (ADLs), and supervision.

How is Medication Managed?about-assisted-living-(7)

Medication may be administered by an unlicensed facility employee, as long as that employee has completed the specified training and is under the delegation of a registered nurse. All medication administered by the facility must be reviewed and documented every 90 days by a licensed pharmacist or registered nurse.

What are the Bathroom Requirements for Residential Care and Assisted Living?

Private bathrooms are required in Assisted Living.

What are the Move-In or Move-Out Requirements?

Residential care and assisted living facilities can only admit residents whose needs can be met by the facility, and they may not admit or retain residents who:

  • Require services above ADL services the facility provides specified in the facility’s disclosure.
  • Engages in behavior that interferes with the rights, health and safety of others.
  • Has an unstable, complex, or unpredictable nursing condition.
  • Is unable to evacuate in accordance with Fire and Life Safety standards.
  • Poses a danger to oneself or others.
  • Engages in illegal drug use or commits a criminal act.
  • Does not pay for services.

Is Residential Care and Assisted Living Covered by Medicaid in the State of Oregon?

Yes, but it is a tiered reimbursement system based on the services provided by the facility. A Medicaid home and community-based services waiver covers services for both residents in Assisted Living and Residential Care Facilities.

Who can I contact for more information?

Department of Human Services, Office of Licensing and Regulatory Oversight
Rebecca Mapes
(503) 645-5853