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The 10 Best Home Care Agencies for Seniors in Portland, OR for 2024

Last Updated: June 5, 2024

Portland sits on the Willamette River and offers a mix of urban and suburban amenities, along with 55 home care agencies. Unlike home health care, a long-term solution for those needing private medical care at home, home care includes nonmedical services, such as custodial support and companionship. In 2024, seniors in Portland will pay around $7,627 per month for this level of care, compared to the state’s median rate of $7,055.

Our directory includes an overview of local home care agencies and features 296 reviews reviews. These reviews indicate a typical quality score of 4.6 out of 5 stars stars.

Home Care Services in Portland, Oregon

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Paying for Home Care in Portland, OR

The Cost of Home Care in Portland, OR

The 2024 Genworth Cost of Care Survey indicates that home care in Portland costs about $7,627 per month. This cost runs $570 over the state norm and more than $1,900 above the national median. Rates in nearby cities run below Portland’s median, including Medford, where seniors pay around $5,720 for care.

Portland

$7,627

Oregon

$7,055

United States

$5,720

Bend

$6,864

Medford

$5,720

Redding, CA

$3,241

The Cost of Home Care vs. Other Senior Care Options in Portland, OR

Home care agencies in Portland charge a baseline monthly rate of around $7,627. This cost is notably higher than the cost of home health care, which is about $4,767 and includes skilled nursing services. Even so, nursing home rates are significantly higher, at about $14,570 and cover around-the-clock medical monitoring and care.

Home Care

$7,627

Home Health Care

$4,767

Assisted Living Facility

$6,370

Nursing Home Care (semi-private room)

$14,570

Financial Assistance for Home Care in Portland, OR

Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.

  • Long-Term Care Insurance: Long-Term Care Insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
  • Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
  • Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
  • Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living.Contact the Department of Veterans Affairs to learn more.
  • Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.

Free & Low-Cost Home Care Resources in Portland, OR

The Portland region has several agencies that provide services and supports to older adults, helping them remain in their homes for as long as possible. Through the following resources, which include the local senior center, Area Agency on Aging and Meals on Wheels, seniors can obtain services to supplement paid home care.  

ResourceContactService
Meals on Wheels(503) 736-6325Meals on Wheels is a nonprofit organization that provides home-delivered meals to qualified individuals in the Portland region. Meals are available on an intermittent or long-term basis. It accepts donations but does not deny anyone meals due to the inability to pay.
Hollywood Senior Center(503) 288-8303The Hollywood Senior Center has case managers who help older adults access community-based services that may help them remain in their own homes. The center also provides congregate meals, referrals for local agencies and a range of recreational and social activities.
Aging and Disability Resource Connection (ADRC)(503) 988-3646The ADRC staffs information specialists who work with seniors to help them determine their care needs and find resources in the community to supplement paid home care. Through the ADRC, seniors may be able to obtain transportation services, home-delivered meals and affordable chore services.
211info2-1-1211info is a free, confidential helpline open to all Portland residents. It staffs information specialists who direct seniors to community providers who may help meet their needs. Through this service, seniors may locate their local PACE program, find durable medical equipment loans and access prescription drug assistance.

Determining Your Loved One’s Need for In-Home Care

Aging can be a difficult process, and loved ones may not always ask for help – oftentimes it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.

Download
Checklist for determining the need for home care
Checklist for determining the need for home care

Guidelines for Talking About In-Home Care

If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.

Download
Talking with Family and Others about a loved one's needs
Talking with Family and Others about a loved one's needs

Frequently Asked Questions

Reviews of Communities Nearby

Home Care

Calvin W_2

I am a current client of this provider

Review of CareGivers NW LLC

The caregivers help me with chores and my medication. I would tell a friend that they have good people working for them.

Read more

Home Care

Anonymous_1712845577

I am a current client of this provider

Review of CareGivers NW LLC

The provider helps me to keep up in the kitchen. I would like to see communication be improved.

Read more

Home Care

Rudy T

I am a current client of this provider

Review of CareGivers NW LLC

They have helped the most by doing anything that we ask them too. I would recommend them because they are in communication with the company, and they are always on time.

Read more

In Home Care near Portland, OR

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The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

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