Adult Foster Care Homes


If a senior feels very comfortable in a family home type environment with the same care provider day-in, day-out and is not in need of a lot of socialization, then an Adult Foster Care Home, also known as an Adult Family Home might just be the right situation for that specific senior.

There are approx. 1500 Adult Foster Care/Family Homes through-out Oregon. All are licensed to take care of up to 5 seniors who need help with up to six Activities of Daily Living (ADLs): personal hygiene, mobility, eating, dressing, toileting, and behavior management. The care levels/classes range from 1 to 3.

The owner of the Adult Care Home/and or Resident Manager has to complete the required training through the County in which the Adult Care Home is located. The following are general rules. Please check your own county's rules and regulations.

Level/Class I:
The provider in a class I home has the equivalent of at least one year of verifiable full-time experience within the last three years providing direct care to elderly persons or persons with disabilities or a current CNA certification and the equivalent of at least four months verifiable full-time experience within the last three years. Light care can be provided to people who need assistance with four or fewer ADLs. Residents must be in stable medical condition. No resident who needs skilled or continuous nursing care may be admitted to a Class I Adult Foster Home.

Level/Class II:
The provider in a Class II home has the equivalent of two years of full-time verifiable experience providing direct care to elderly persons or persons with disabilities within the last five years, or a current CNA certification and the equivalent of at least 16 months full-time verifiable experience within the last five years. Moderate care can be provided to people who need assistance in one or all of the six ADLs, but are not totally dependent on more than three activities of daily living. A Class II provider may request an exception from their licensure to provide care to one Class III resident.

Level/Class III:
The provider in a Class III home will have no substantiated complaints of abuse or neglect within the last three years and is either:
(a) a health care professional with a current license, such as a Registered Nurse (RN), a licensed practical nurse (LPN), physician, occupational therapist, or physical therapist: or

(b) has the equivalent of three years' verifiable full time hands-on experience within the last ten years in providing direct care to elderly persons or persons with disabilities who are dependent in four or more ADLs; and

(c) can provide current satisfactory references from at least two medical professionals, such as a physician and Registered Nurse, who have direct knowledge of the applicant's ability and past experience as a caregiver; and

(d) can demonstrate to the ACHP the ability to provide appropriate care to persons dependent in four or more activities of daily living, except that no more than one bed-care or totally dependent person may be in residence at one time.