OHCA 2018 Report

2018 Oregon Long Term Care State Report www.ohca.com 3 Licensed facilities that provide 24-hour skilled nursing for post-acute rehabilitative care or long stay services that are needed due to ongoing and indefinite cognitive or physical impairment(s). Skilled Nursing Facility (SNF) Residential Care (RCF) Licensed 24-hour home and community-based service settings that serve anywhere from six to more than 100 residents. Rooms can be shared by two individuals. Different types of residential care include 24-hour residential care for adults and specialty memory care communities. Registered nurse consultation services are required by regulation. Assisted Living (ALF) Licensed 24-hour home and community-based service settings for six or more residents in individual, private apartments. Services are comparable to residential care communities. Registered nurse consultation services are required under state regulations. Adult Foster Home (AFH) Services are provided in single family home-like settings that are licensed for five or fewer individuals who are not related to the foster home provider. Adult foster homes provide a range of care and service needs. Memory Care Community (MC) Environments where staff care for individuals with Alzheimer’s or dementia who have needs that require a secure setting. Each setting is licensed by the state as a residential care, assisted living, or nursing facility. Memory care communities are required by the state to train staff to care for residents living with dementia and provide specialized services. A Continuum of Care Independent Living (IL)/ Senior Retirement Housing (SRH) Settings including apartments or cottages that offer adults 55+ the conveniences of community living. In general, these communities do not provide health care or assistance with their activities of daily living. Often they offer recreational opportunities, dining, laundry service, and other similar amenities. In-Home Care Agency (IHC) Agencies that employ, assign, and schedule caregivers to provide personal care assistance for clients in their homes or in community settings. Home Health Agency (HHC) Agencies that provide skilled care services in an individual’s home. These services are largely funded by Medicare. Foundational to the long term care system in Oregon is a commitment to home and community-based care (HCBS), where care is provided to individuals in community settings such as individuals’ own homes, assisted living communities, residential care communities, and adult foster homes. Home & Community- Based Care (HCBS) Housing with Services (HWS) An entity that coordinates two or more health and social services for older adults and people with disabilities who are living in publicly subsidized or private congregate settings.