Nursing Homes and Senior Care in Oregon

Nursing Homes by City in Oregon

The Oregon cities with the most CMS-certified nursing homes. All 60 cities are listed below the table. Homes in Oregon average 5.0 hours of nursing care per resident per day; the national median is 3.7 hours.

5-Star Nursing Homes in Oregon

Homes with CMS's top overall rating, ordered by inspection rating. See all highest-rated nursing homes in Oregon.

Assisted Living in Oregon

Oregon Department of Human Services, Safety, Oversight and Quality (Community-Based Care Facility Licensing) licenses assisted living in Oregon. License types: Assisted Living Facility, Residential Care Facility and Memory Care Community. Use the state's search to check a community's license and inspection history.

• Oregon assisted living facility search
• Oregon assisted living rules
• Oregon assisted living licensing (Oregon Department of Human Services, Safety, Oversight and Quality (Community-Based Care Facility Licensing))

Memory Care Rules in Oregon

Oregon's term is "Memory Care Community (endorsement on the facility license)", a separate license or certification. Facilities must give families a written disclosure of their dementia care services.

• Any residential care, assisted living, or nursing facility that offers or provides care to residents with dementias in a memory care community must obtain an endorsement on its facility license (OAR 411-057-0120).
• An endorsed memory care community is a special care unit in a designated, separated area for residents with Alzheimer's disease or other forms of dementia that is locked or secured (OAR 411-057-0110).
• The community must provide a Department designated Memory Care Community Uniform Disclosure Statement (form APD 9098 MC) to each person who requests information about the memory care community (OAR 411-057-0140).
• The administrator must complete and document that at least 10 hours of their required annual continuing education relate to the care of individuals with dementia (OAR 411-057-0140).
• All staff must complete pre-service dementia care training before independently providing personal care or other services, covering the dementia disease process, responding to distressful behavioral symptoms (including reducing antipsychotic use for non-standard uses), meaningful activities, pain, food and fluid, preventing wandering and elopement, and a person-centered approach (OAR 411-057-0155).
• Direct care staff in memory care communities licensed as residential care or assisted living facilities must complete a total of 16 hours of in-service training annually; the six hours of annual dementia care training required under OAR 411-054-0070(6) may be included (OAR 411-057-0155).
• Staffing levels must be sufficient to meet the scheduled and unscheduled needs of residents; nighttime staffing is based on residents' sleep patterns and needs (OAR 411-057-0150).
• Meaningful, person-centered activities must be available during residents' waking hours, with an individualized activity plan for each resident (OAR 411-057-0160).
• Residents must have access to secured outdoor space and walkways they can enter and return from without staff assistance (OAR 411-057-0160).
• Endorsed memory care communities must be located on the ground level of the building (OAR 411-057-0170).
• Locking devices on exit doors must be electronic and release under the conditions the rule lists; non-electronic keyed locks may not be used on entrance and exit doors (OAR 411-057-0170).
• Staff must be trained on elopement response and the egress control systems in use, and the Department and the Office of the Long-Term Care Ombudsman must be notified no later than 24 hours after an elopement (OAR 411-057-0140).

• Oregon memory care rules

Medicaid Long-Term Care in Oregon

Oregon's Medicaid program is Oregon Health Plan (OHP); long-term care eligibility under the Oregon Supplemental Income Program Medical (OSIPM). For nursing home Medicaid (2026), the state lists an income limit of countable income that is equal to or less than 300 percent of the full Supplemental Security Income (SSI) standard for a single individual, or a qualifying trust (OAR 461-155-0250(2)) and an asset limit of $2,000 for a one-person need group and $3,000 for a two-person need group (OAR 461-160-0015). Residents keep a personal needs allowance of $81.28 for clothing and personal incidentals in a nursing facility; $90 for an individual who receives a VA pension based on unreimbursed medical expenses (OAR 461-155-0250(4)).

• K Plan (Medicaid long-term care benefits): in-home care, assisted living and memory care. Services can be provided in a person's home or in a facility; apply through the ADRC at 855-673-2372 or a local office.
• 1915(c) Aged and Physically Disabled Waiver. Includes waiver case management, community transition services and housing support services. Approved through 2026; renewal submitted for Jan. 1, 2027, through Dec. 31, 2031.
• Oregon Project Independence - Medicaid (OPI-M): in-home care and adult day. Income up to $5,217 per month (for one person in 2025), 400% of the Federal Poverty Level; combined savings and assets up to $94,523 (for 2025). Free if you qualify, with no estate recovery.

• Oregon Health Plan (OHP); long-term care eligibility under the Oregon Supplemental Income Program Medical (OSIPM) nursing facility coverage
• Oregon Medicaid long-term care limits

Nursing Home Inspections and Complaints in Oregon

Oregon Department of Human Services, Safety, Oversight and Quality (Nursing Facility Licensing) inspects nursing homes in Oregon for CMS. To file a complaint, call 877-280-4555 or use the state's complaint page.

• Oregon nursing home inspection lookup
• File a nursing home complaint in Oregon

Oregon Long-Term Care Ombudsman

The Office of the Long-Term Care Ombudsman (Long-Term Care Ombudsman program) is a free, confidential advocate for residents of nursing homes and assisted living. Ombudsmen help with complaints, residents' rights and problems with care. Call (800) 522-2602.

• Contact the Office of the Long-Term Care Ombudsman (Long-Term Care Ombudsman program)

Aging Services and Caregiver Support in Oregon

Oregon Department of Human Services, Aging and People with Disabilities (APD) runs Oregon's aging services, delivered through local Area Agencies on Aging. Family caregivers can get help through Family Caregiver Support Program. Adult day services are overseen by Oregon Department of Human Services, Aging and People with Disabilities (registration and certification of adult day services programs).

• Oregon aging services: Oregon Department of Human Services, Aging and People with Disabilities (APD)
• Area Agencies on Aging in Oregon
• Caregiver support in Oregon: Family Caregiver Support Program
• Oregon adult day services

Guides for Your Next Step

See how to choose a nursing home, what memory care is, how Medicaid pays for nursing home care and what Medicare covers. For local help, call the Eldercare Locator at 1-800-677-1116.

Frequently Asked Questions