Top Ranked Assisted Living Facilities in Oregon

There are 432 assisted living facilities in OR and the median cost of care is $5,045. The average rating of assisted living facilities in Oregon is 4 out of 5 stars and the top ranked facility is Grande Ronde Retirement Residence.

Although winters can be cold and snowy in Oregon, summer is delightful, with temperatures rarely going above90 degrees. The state also offers a unique combination of forest, mountains, desert, and coastline, which is ideal for those who enjoy the outdoors. 

Despite its higher-than-average cost of living, Oregon hasno sales taxand excludes Social Security income and a portion of pension payments from state income tax. This guide explores various senior living options for people in Oregon and explains in detail what assisted living is its licensing and safety regulations, and the average costs for care.

Oregon Assisted Living: Types Of Senior Housing Options

Oregon is home to a diverse set of landscapes that range from the shores of the Pacific Ocean to the peak of Mount Hood. It truly is an outdoor lover’s paradise with a variety of activities, such as fishing, hiking, bird watching, and boating. With all this diversity, it should be no surprise that older adults in Oregon have access to a wide range of senior care options.

Assisted Living Facilities (ALFs)

When a loved one can no longer live independently, an assisted living provider can be a good option.  Assisted living residences are for residents who would like to, and can, maintain some independence but need help with meals, housekeeping, and some of the activities of daily living (ADLs), such as showering, getting dressed, or personal hygiene.

Assisted living communities in Oregon are specifically designed for older adults who have difficulties living independently but don’t require around-the-clock supervision. On-site caregivers can help seniors with everything from dressing and grooming to medication management to meet each resident’s basic health, social, and daily living needs. The Senior and Disabled Division of theOregon Department of Human Serviceoversees assisted living facilities in Oregon. This agency develops health and safety regulations for assisted living facilities, distributes state licenses, and conducts frequent inspections to ensure compliance.

Difference Between Assisted Living and Residential Care

An assisted living facility is a building or complex that consists of self-contained living units where six or more seniors or adults with disabilities reside in home-like surroundings.  The facility will offer and coordinate a range of services on a 24-hour basis to meet the health and social needs of residents, including assistance with daily living activities.

The key difference between assisted living and residential care facilities is that a residential care facility does not necessarily provide full individual living units.  The units in the residential care facilities may be shared.

Independent Living Communities

Independent living communities are a good housing option for seniors who can still live independently but want to downsize. Each resident or couple lives in a private unit, and most communities offer social programs so residents can meet their neighbors. Housekeeping, chores, and some meals may be provided, although these may incur an additional cost. Unlike the care given in an assisted living community, assistance with activities of daily living and medication management aren't available in these communities. 

Nursing Homes

Nursing homes offer the highest level of care of all senior living options. These communities provide around-the-clock supervision and skilled nursing care, and medical help is available. Generally, people in nursing homes have complex medical issues or need more residential care than is offered in an assisted living facility. Oregon has both skilled nursing facilities (SNF) for people who require 24-hour care and intermediate care facilities (ICF) for people who don’t need as much medical care. Theaverage cost of nursing home carein the state is $10,342 for a semi-private room and $11,113 for a private room.

Continuing Care Retirement Communities (CCRCs)

Many seniors prefer to choose a community that will continue to meet their needs in the future. Continuing care retirement communities have independent living, assisted living, and nursing home facilities on the same property or owned by the same community. This model allows seniors to stay near their friends in familiar surroundings, even as their needs change. The care provided in the assisted living section of a CCRC is the same as in an assisted living community. The difference is that residents can easily move to a skilled nursing room if required. Often, CCRCs are bigger than ACHs, as they encompass more care options. 

Supportive Housing

Supportive Housing is a residential facility designed for older adults or persons with disabilities who are unable to live independently.  These individuals need help with toileting, bathing, dressing, medication management and administration, assistance with meals and housekeeping, and other activities of daily living.  These individuals do not need regular nursing care.  There are several housing options available that range from living in a facility to residents living in their own home or apartment, with community-based support services.

Adult Day Care

Adult day care centers in Oregon provide a safe place for older adults to spend a portion of their day while family members or caregivers are unavailable. These centers offer a variety of activities along with support services, such as medication disbursement and mobility support. TheSenior and Disabled Services Divisionof the Oregon Department of Human Services regulates adult day care centers in the state. These centers must conduct intake screenings and regular assessments to determine needs and develop individualized care plans for each adult.

Because adult day care only provides services during daytime hours and doesn’t offer 24/7 care, its costs are generally less expensive than assisted living costs. As of 2021, the average cost of adult day care services in Oregon is$2,654 per month.

In-Home Care

There are two types of in-home care available in Oregon: homemaker services and home healthcare. Homemaker services generally provide personal care and may also help with errands, chores, and housekeeping. Home healthcare can deliver these services and also offer medical care such as skilled nursing and medication management. Unlike assisted living care, in-home care is provided to people in their homes, making it a good choice for those who prefer to age in place. However, it doesn’t give seniors access to the social and recreational programming of assisted living communities. The average cost of homemaker services is $6,006 and the average cost for home health aides is $6,101 per month.

Largest Providers Of Assisted Living In Oregon

There are over 1,500 assisted living facilities in Oregon with over 31,500 licensed beds.  There are several companies that operate multiple assisted living facilities in the state.  Brookdale operates 10 communities in and around the state, Angel’s Place operates three communities, Farmington Square operates six, Pacifica Senior Living operates four, and Prestige Senior Living operates nine facilities.

Quality and Safety of Assisted Living Facilities in Oregon

The Oregon Department of Human Services Seniors and Disabled Services Division, theOffice of Licensing and Regulatory Oversight, is responsible for issuing licenses for assisted living facilities in Oregon. The agency provides a list of rules and regulations each facility must follow. For instance, these guidelines dictate staffing ratios and training requirements for all staff members. It also includes safety rules, such as the requirement to develop fire and emergency plans for each community.

Assisted living communities in Oregon must also abide by theHome and Community-Based Servicesguidelines, which focus on the development of person-centered service plans. The combination of these regulations helps ensure the safety and well-being of all assisted living residents in Oregon.

Cost Of Assisted Living Care In Oregon

Theaverage cost of assisted living carein Oregon is $5,045 per month. This is $545 higher than the national average of $4,500 per month.  The cost of living in Oregon is 30.1% higher than the national average with healthcare costs nearly 15.7% higher and housing costs 72.6% more than the national average. The exact price of care differs depending on where in the state you’re located. The cost of assisted living ranges from a low of $4,485 in the Corvalis area to a high of $5,623 per month in the Eugene area of Oregon.

How Costs Compare In Nearby States

If you live close to one of Oregon’s borders, you may find assisted living in a neighboring state is an affordable option.   If you live near the Idaho or Nevada border, you may be able to find less expensive assisted living.  Idaho has an average monthly cost of $3,838 and Nevada has an average cost of $3,750, both well below the average cost in Oregon.  Both California and Washington have higher average monthly costs at $5,250 and $6,000 per month.

Paying For Assisted Living Care In Oregon

The average cost of assisted living in Oregon is around $61,000 per year, so, understandably, you or a family member may be wondering how to pay for care. A range of options is available to fund senior housing in the state. 

Private Funds

Selling a home is a common way for seniors to raise funds for assisted living care. Income from pensions and Social Security may also pay for some care. Other examples of private funds include your retirement accounts, mutual funds, and other investments. 

Long-Term Care Insurance

Long-term care insurance covers personal care, residential care, and other long-term support and services. Each plan is different; however, most offer a daily amount based on the policy that pays for assistance with activities of daily living. Most people buy a policy in their 50s or 60s and access it when required. If you or your family member has a policy, read it carefully to see what care it covers. 

Programs For Veterans

Oregon hastwo Veterans Homesaround the state, in Lebanon and the Dalles. These homes provide skilled nursing care to residents of Oregon who served in the military. The state’s Department of Military and Veterans Affairs also has offices around the state where team members can help people obtain benefits and services. This includes the Aid and AttendanceBenefit, which can help qualified veterans fund personal care. 

Elderlife Financial can help you understandhow to pay for assisted living.

What Is Included With Assisted Living Care In Oregon?

The services provided in assisted living communities generally come under three broad categories: personal care, medical care, and amenities. 

Most people move to assisted living communities because they look for easy access to personal care. These services assist with activities of daily living, such as bathing, dressing, walking, and toileting. Communities also provide supervision and can deliver care for unforeseen needs or in cases of emergencies.  

In Oregon, ACHs must provide care and services in the resident’s care plan. This can include coordinating medical care and appointments. Communities may also deliver health services, with 63% of communities providing skilled nursing. Many have healthcare specialists and on-site services, with 49% of communities offering dental care. In addition, 64% of ACHs have hospice services.

ACHs may provide specialized care for people diagnosed with Alzheimer's disease or other forms of dementia. These special care units have additional security measures to ensure residents don't wander, a common symptom of Alzheimer's disease. Typically, they also offer programs designed to improve cognitive function and routines that help lower stress.

Mental health issues are a growing consideration for communities, and services to address these concerns are becoming more common. In Oregon, 81% of communities conduct depression screening, and 46% offer mental health counseling. Social work programs are also found in 45% of ACHs. Social workers can provide counseling, conduct assessments, and help ensure residents have access to all the resources they need.

Amenities refer to other features and services of the community. ACHs offer three meals a day and coordinate activity programs to help residents stay active and connected with their families and the community. Oregon facilities must also provide transportation and laundry services and may offer housekeeping services. 

Wellness Resources in Oregon

Oregon commits to providing older adults health and wellness services. It’s home to 65 licensed hospitals and medical centers spread across its 36 counties. Among these health care facilities is theOHSU Hospital in Portland, one of the country's highest-ranked geriatric hospitals. Other leading health care centers in the state include theProvidence St. Vincent Medical Centerin Portland,St. Charles Medical Centerin Bend, andAsante Rogue Regional Medical Centerin Medford.

Additionally, theOregon Health Authoritymaintains a list of wellness and fitness classes at senior centers and other locations throughout the state. Many of these classes are free to Oregon residents or fall under the Silver Sneaker program.

Mental Health Resources

Oregon Health Authority – Addiction and Mental Health Serviceshost informational events throughout the year and manages the 211 service that is available 24/7 to connect older adults to mental health professionals and resources in their local areas. Additionally, theNational Alliance on Mental Illness – Oregonprovides support and resources to people with mental health disorders.

The Transition Into Assisted Living In Oregon

The decision to move into an assisted living community can be difficult. Generally, you'll notice changes in your loved one that suggest they need some assistance. Signs that this environment could be beneficial include increased isolation, loss of mobility, noticeable weight loss or gain, and signs that they’re neglecting household chores. 

Your older family member may be the one to start talking about assisted living. For many seniors, the idea of moving into a home where cooking, laundry, and other chores are taken care of is appealing. For seniors who realize they need help with daily tasks, the addition of personal care may come as a relief. In Oregon, 36% of residents need help with eating. Other commonly used services include bed transfer (41%), toileting (52%), and walking (64%). Caregivers in ACHs help 60% of residents to dress, and 76% of residents need help bathing.

If you think your family member would benefit from assisted living, start by talking about it openly. Highlight the positives of a move, such as social activities, cooked meals, and easily accessible assistance. Some ACHs provide respite care, which may allow your family member to have a trial run. Remember, this should be a conversation, not a lecture. Stay open to their opinion. If they’re not ready to transition to assisted living, talk about the care they need to stay at home.

Oregon Assisted Living Oversight

TheSeniors and Disabled Services Divisionof the Oregon Department of Human Services oversees assisted living communities in the state. The agency can provide more information about assisted living in Oregon. Older adults and their family members can also reach out to their localArea Agency on Agingoffice for assistance with the transition to assisted living. Additionally, the state’sLong-Term Care Ombudsman Programhandles all complaints or claims of abuse against assisted living communities.

Legal Resources

Oregon’s Department of Human Services maintains aLegal Assistance Development Programfor adults aged 60 and over. In addition to fraud and abuse, the agency can assist people with age discrimination issues, utilities shut-off notices, and denial of benefits. Oregon residents can reach out to their localArea Agency on Agingfor additional information.