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