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What are Adult Foster Homes?

Adult foster homes are single family residences that offer 24-hour care in a homelike setting. A wide variety of residents are served in adult foster homes, from those needing minimal personal assistance to those residents needing full personal care, or skilled nursing care with the help of community-based registered nurses. Adult foster homes in Oregon are inspected and licensed. The adult foster home provider must meet certain standards to obtain a license. Staff from the Oregon Department of Human Services (DHS) Aging and People with Disabilities (APD) program or the Area Agency on Aging (AAA) offices verify the qualifications of the provider, conduct yearly licensing inspections, and investigate complaints and concerns.

In adult foster homes, medical and personal care are provided to residents in a manner that encourages maximum independence and enhances the quality of their life. Care and supervision are provided to maintain a safe and secure setting. Residents can decide to refuse the care and service offered if it conflicts with their wishes. Adult foster home providers strive to provide good care and services through a cooperative relationship between the care provider and residents.

Services Area:

This website serves Southern Oregon in Jackson and Josephine counties. Contact the Aging and Disability Resource Connection (ADRC) for help in finding placement outside of these areas. Connect to the ADRC by website or by phone 1-855-ORE-ADRC for help with services in other areas.

What are the three classifications of adult foster homes?

Adult foster home classifications in Oregon are primarily based on the experience and/or training of the providers. In each classification, the licensee may only admit residents with a certain number of impairments. These impairments are defined according to six major Activities of Daily Living (ADLs), including:

  • Eating/Nutrition: The ability to eat with or without special equipment;
  • Dressing & Grooming: The ability to dress and undress; to comb one's hair; to file nails, and to use makeup, etc;
  • Bathing & Personal Hygiene: The ability to bathe, wash hair, shave and care for teeth;
  • Elimination: The ability to get to and from the toilet, to wash afterward and to adjust clothing;
  • Mobility: The ability to get around, both inside and outside of the home, using items like canes and wheelchairs, if needed, in addition to the ability to transfer from bed or wheelchair; and
  • Cognition: The ability to understand one's needs in areas such as health and safety. Issues with confusion, disorientation, forgetfulness or wandering may be considered behavior management needs.

Adult foster home classifications are then based on the level of care that potential residents need and the experience and training of the licensee.

CLASS 1: A class 1 license authorizes the licensee to admit residents who may need assistance with up to four of their ADLs. The applicant must pass the department’s basic training course and examination.

CLASS 2: A class 2 license may be issued if the applicant has two or more years of experience providing direct care to adults who are elderly or physically disabled. This AFH may admit residents who require assistance in all ADLs but require full assistance in no more than three ADLs. In addition, the applicant must complete and pass the department’s basic training course and examination.

CLASS 3: A class 3 license may be issued if the applicant has at least three years of experience providing direct care to adults who are elderly or physically disabled and require full assistance in four or more of their ADLs, or is a currently licensed health care professional in Oregon and possesses the following qualification:

  • Has satisfactory references from at least two licensed health care professionals who have direct knowledge of the applicant's ability and experience as a caregiver and completed the department’s basic training course and examination.

Low Income Residents

Medicaid services may be available for low-income residents through a federal and state partnership. To determine eligibility, you will need to talk with one of our Department of Human Services (DHS) eligibility workers. DHS has offices serving Jackson and Josephine counties. Phone interviews are available when needed.

Medford Senior Services
2860 State St
Medford, OR 97504
(541) 776-6222

Medford Disability Services
28 W 6th St D
Medford, OR 97501

Senior & Disability Services Grants Pass
2101 NW Hawthorne Ave
Grants Pass, OR 97526
(541) 474-3110