Assisted Living in Oregon

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Families looking for assisted living in Oregon (OR) have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 358 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 17.11 percent of the population. A resident in an assisted living community in Oregon will pay $4,070 per month on average.

Average Monthly Costs

States near Oregon

$5,611.00 Washington
$5,018.00 Oregon
$4,000.00 US
$3,797.00 Idaho
Genworth lists the average cost of a private, one bedroom unit in an assisted living community in Oregon as $5,018. This places Oregon on the higher end of the scale at about $1,000 over the national average, and about $500 higher than the median cost of assisted living in nearby states.

Compare Monthly Care Costs

When it comes to care options, assisted living is just one of several choices available to seniors. Some care options, like part-time in-home care or independent living, may cost less, while others like memory care or skilled nursing are likely to cost significantly more. Seniors can speak with their medical practitioners to receive guidance on what level of care will best suit their needs and abilities.

Nursing Home Care


In-Home Care


Assisted Living

Average Monthly Costs

Cities in Oregon

$5,889.00 Grants Pass
$5,334.00 Corvallis
$5,272.00 Portland, Vancouver, Hillsboro
$5,052.00 Medford
$4,975.00 Bend, Redmond
$4,846.00 Rest Of State
$4,764.00 Salem
$4,600.00 Albany
$4,398.00 Eugene
When estimating the cost of assisted living, it's important to know that average prices can differ significantly between various parts of Oregon. For example, assisted living rates in areas such as Grants Pass are at least $800 more than the state average of $5,018, but in areas like Albany, you're saving on average $400. The most affordable region in Oregon for assisted living is Eugene at $4,398.

What You Should Know About Assisted Living in Oregon

Assisted living communities in Oregon fall under two categories: assisted living facilities (ALFs), which require an apartment-like unit with a private bath and kitchenette, and residential care facilities (RCFs), which can offer shared rooms and baths. ALFs and the RCFs share the same licensing requirements.

ALFs or RCFs that are classified as memory care communities treat residents who suffer from dementia or Alzheimer's, so they operate under a different set of rules.

Financial Assistance for Assisted Living in Oregon

More Ways to Finance Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Visit our 9 Ways to Pay for Assisted Living page for more information.

Free Assisted Living Resources in Oregon

There are several resources available to Oregon seniors to help with identification of services to meet their needs and explanations of benefits they may use.

Aging and Disability Resource Connection (ADRC)

The Aging and Disability Resource Connection (ADRC) is provided by Oregon's Department of Human Services to help connect seniors with services that meet their needs. The comprehensive ADRC website offers tools to assess current needs, plan for future needs, search for resources and explore available options. ADRC staff are available to help seniors navigate the services available to them and answer any questions they may have.

Seniors who wish to speak with an ADRC representative can use this interactive map to find their local office with contact information.

Assisted Living Laws and Regulations in Oregon

Oregon has established an extensive set of laws and regulations that pertain to the required duties of assisted living communities and the rights of their residents.

Assisted Living Service Plan Requirements

Resident evaluations must be completed before admission and then updated within 30 days after the move-in date. Re-evaluations must be conducted quarterly or anytime there is a change in the resident's condition. Evaluations should cover the following:

  • Risk indicators (such as alcohol or drug use, fall history and medication regimen)
  • Resident routines and preferences
  • Mental and physical health assessments
  • Communication and sensory limitations
  • Nutrition habits
  • Skin conditions
  • The actiities of daily living
  • Nursing needs
The service plan is developed by the service planning team which consists of two or more individuals to aid the resident in determining his or her needs and preferences in regards to care and services. Any needs identified in the evaluation must be addressed in the service plan along with the services proposed to address those needs. The plan should also include who will provide the services, when and how they will be provided and how often they are necessary. This plan will also need to be updated quarterly.Residents who engage in behavior that threatens their health and safety may need to be addressed by a risk management team to decide on a course of action. Risk plans must detail the targeted behaviors and outline the possible consequences, noting risk minimizing services to be provided. In this case, the preferences of the resident are prioritized over those of family members. If the resident is unable to recognize the consequences of the offending behavior, a managed risk plan cannot be developed. Risk plans undergo quarterly reviews or whenever there is a change in the resident's condition.

Assisted Living Admission Requirements

The state of Oregon requires that residents do not exceed the care abilities of the assisted living communities in which they reside. AL facilities can impose an involuntary discharge for the following reasons:

  • Urgent medical and psychiatric needs
  • Undisclosed sex crimes convictions
  • The behavior of the resident puts other residents at risk or interferes with their rights
  • Resident evacuation in the event of fire or life-risking event if impossible
  • Illegal drug use or criminal acts

Assisted Living Scope of Care

At a minimum, assisted living communities must provide laundry services, social and recreational activity programs, assistance with the activities of daily life, medication administration and household services. Social and medical transportation and ancillary services must be arranged or provided by the community.

Health services are required and the assisted living facility must be able to respond to resident needs 24 hours a day. Medical emergency response policies and access to a licensed nurse are also required. Nursing services that must be provided include:

  • Health and well-being assessments for each resident
  • Staff training to perform tasks and delegation of those tasks
  • Service planning team participation when necessary
  • Health care teaching and counseling when required by service plans
  • Intermittent nurse services when necessary
If nursing services can't be provided through the assisted living community, the community must arrange the temporary provision of those services.

Assisted Living Medicaid Policy

The state of Oregon does not provide funding for assisted living facilities. Medicaid waivers are available to help low-income individuals pay for medical costs and case management but room and board is not a covered item.

Assisted Living Facility Requirements

Assisted living communities are required to offer apartment-like units that include a lockable door, a private restroom and a kitchenette. Shared units are only allowed at the resident's discretion. Bathrooms must include a toilet, sink and curb-less shower. Kitchen areas must be equipped with a refrigerator, sink, food preparation surface, storage space and a cooking appliance that can be removed or disconnected. An escape window that opens directly onto a public area or yard is required for safety purposes.

Residential care communities can offer private or shared units with no more than two occupants. If resident units are limited to just a bedroom, the door must open to a climate-controlled common area. Bathrooms must be centrally located for access. Any unit with a bathroom must include a toilet, sink, towel bar and mirror and should be wheelchair accessible. Any provided cooking appliances must be easy to disconnect or remove. If bathroom facilities are shared, there must be one available for every 10 residents with at least one accessible tub or shower.Both types of communities are required to provide three meals each day and snacks.

Medication Management Regulations

Staff at assisted living communities may administer medications with administration systems approved by a physician, registered nurse or pharmacist consultant. Direct care staff can provide medication administration if certified staff members have observed and evaluated their ability to administer medication safely without supervision.

Medications may be kept in a resident's unit if they are capable of self-administration. Those who choose to self-administer prescription medications must have a written order of approval from a physician and submit to an evaluation by the assisted living community to determine their ability to safely self-administer. Two residents who share a unit must undergo a safety evaluation to keep medications in the shared unit.

Staff in charge of administering medication must observe the resident taking it. Psychoactive medications are only to be used as treatment and not at the convenience of the assisted living community. Any staff members tasked with administering psychoactive medications must have a full understanding of the reason for use, potential side effects and what side effects require contacting a medical professional. Any 'as-needed' medications for behavior require a written parameter for use customized to that resident's needs.

Staffing Requirements

A full-time administrator is required for all assisted living communities and caregivers must be on staff to assist with the activities of daily living, resident-focused activities, supervision, medication administration and support. Additional duties, like housekeeping and laundry, are completed by universal workers. Each assisted living community must have a licensed nurse on staff or available as a consultant.

There are no minimum staff-to-resident ratios set but the community must have enough staff to ensure there are enough qualified employees to maintain awake schedules 24 hours a day. Communities are expected to determine their own staffing needs to provide adequate care for their residents. The number of licensed nurse hours should reflect the number of residents and must be scheduled to meet resident needs.

Staff Training Requirements

An orientation must be completed by all staff members and should include an overview of resident rights, discussion of community-based care values, how to identify and report abuse and provide information on infection control precautions, fire safety and emergency procedures. Within 30 days of hire, staff must be familiar with:

  • How service plans aid in individualized resident care
  • Assisting with the activities of daily living
  • Normal changes associated with aging
  • Conditions that require assessment, treatment, observation and reporting
  • Recognizing communication in resident actions and behaviors
  • Supporting residents with dementia
  • Food safety, handling and sanitation
Every staff member is required to be first aid certified and trained in the abdominal thrust. Cardiopulmonary resuscitation training is not required but is recommended.

Administrators are required to complete 20 hours of continuing education each year, and caregivers must complete 12 hours of in-service training.

Background Checks for ALR Staff in Oregon

All staff must submit to a criminal records check. National background checks may require fingerprinting.

Requirements for Reporting Abuse

All staff members at assisted living facilities are required to report any instances of elder abuse. Oregon's Department of Human Services has implemented a Centralized Abuse Management System (CAM) to keep track of abuse reports and investigations. Family members, seniors and care staff may report instances of elder abuse by calling the Department of Human Services' toll free number 1-855-503-SAFE (7233).

Assisted Living Facilities in Oregon



Top-Rated Caring Stars Winners in Oregon’s Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.


Sheldon Park Assisted Living

Eugene, OR $$

33 reviews


Waterford Grand

Eugene, OR Cost Levels

18 reviews


Canfield Place

Beaverton, OR Cost Levels

14 reviews


Forest Grove Beehive

Forest Grove, OR Cost Levels

13 reviews


Courtyard at Mt. Tabor

Portland, OR $$$

13 reviews


Brookdale Redmond

Redmond, OR $$$$

9 reviews

The Aspens

Hines, OR Cost Levels

3 reviews


Avamere at Seaside

Seaside, OR Cost Levels

0 reviews


Pioneer Village

Jacksonville, OR $$

12 reviews