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www.ohca.com
Oregon Health Care Association
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* Assisted living and residential care communities have the same licensing standards. The primary difference between the
two settings is that residential care communities are allowed to have two individuals share a room and residents at assisted
living communities cannot share rooms. Assisted living communities are also required to provide a private bath and a
kitchenette for each resident.
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.
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 with dementia and
provide specialized services.
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 assisted living, residential care communities, and
adult foster homes.
Home and Community-
Based Care (CBC)
Assisted Living/Residential Care
Skilled Nursing
f
f
Community-based settings
f
f
Assistance with ADLs/IADLs such as bathing & medication management
f
f
Memory care
f
f
Post-acute rehabilitative care
f
f
Intensive, skilled nursing services
f
f
End of life care/hospice