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Dementia -- Patients -- Care, Alzheimer's disease -- Patients, Congregate housing, Group homes for older people -- Oregon -- Statistics, Group homes for older people -- Oregon -- Social aspects


This report is the fourth in a series prepared by the Institute on Aging to describe Oregon’s assisted living, residential care and memory care service sectors which are referred to by Oregon Department of Human Services as community-based care (CBC) settings. These settings may also be referred to as Home and Community Based Services (HCBS).

Community-based care settings provide a variety of services, including daily meals, housekeeping and laundry, assistance with personal care needs, medication administration, evaluation, coordination, and monitoring of health conditions, communication with residents’ health care providers, and social and recreational activities. As the population of Oregonians aged 65 and older is estimated to increase from 16 percent in 2015 to almost 20 percent in 2030, and nearly 23 percent in 2050 (U.S. Census Bureau, 2017), CBC settings will continue to be an important source of long-term services and supports.

Oregon has been a nationally recognized leader in the development and provision of Home and Community Based Services. It was the first state in the country, over three decades ago, to receive a Medicaid waiver that provided more cost effective alternative settings compared to nursing homes. The AARP Long-term Services and Supports State Scorecard ranks states’ LTSS systems, including affordability and access, choice of setting and provider, quality of life and quality of care, caregiver support, and transitions between settings (AARP, 2017). Oregon has ranked in the top 10 across all three editions of the Scorecard, and in 2017 was ranked fourth in the nation.

The objectives of the report include:

  1. Describe ALF, RCF, and MC setting characteristics, including staffing types and levels, policies, and monthly charges and fees
  2. Describe residents’ health and social characteristics for the report period
  3. Compare current results with prior PSU CBC reports and national studies of similar setting types
  4. Compare setting types for differences that might affect access, quality, or costs

The study findings provide information that state agency staff, legislators, community-based care providers, and consumers might use to guide policy, reimbursement, quality initiatives, and decisions. In addition to describing what we learned about Oregon AL, RC, and MC communities, we compare these findings to national surveys conducted by the National Center for Health Statistics and to relevant published literature. Due to variation in regulations across the United States (U.S.), the national surveys combine residential and assisted living settings and use the term residential care to describe both.


A study completed by The Institute on Aging at Portland State University In partnership with Oregon Department of Human Services

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