www.ohca.com Oregon Health Care Association 5 A Continuum of Care Licensed facilities that provide 24-hour skilled nursing for short-term 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 Facility (RCF) Licensed 24-hour home and community-based service settings that serve six or more residents. Rooms can be shared by up to two individuals. Different types of residential care include 24-hour residential care for adults and specialty memory care communities. A licensed nurse must be regularly scheduled for onside duties and available for phone consultation. A registered nurse must be available to complete RN assessments, such as assessments for significant change of condition, and nurse delegation. Assisted Living Facility (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. Assisted living facilities have the same nurse requirements as residential care settings. 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 (MCC) These secure settings care for individuals with Alzheimer’s or dementia. 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 with dementia and provide specialized services. Independent Living (IL)/ Senior Retirement Housing (SRH) Communities organized to provide housing and services to senior households. In general, these communities do not provide health care or assistance with 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 and/or companionship for clients in their homes or, sometimes, in community settings. Home Health Agency (HHA) Agencies that provide skilled care services in individuals’ homes. These services are largely funded by Medicare. Foundational to the long term care system in Oregon is a commitment to communitybased care, where care is provided to individuals in community settings with an effort to have a home-like feel, such as assisted living, residential care communities, and adult foster homes. Community-Based Care (CBC) Housing with Services (HWS) An entity that coordinates two or more health and social services for older adults and people living with disabilities, who reside in publicly subsidized or private congregate settings.
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