Senior and Disability Services

Jackson County:
Senior Services Office     (541) 776-6222 1-866-405-6042
Disability Services Office (541) 776-6210

Josephine County:
Senior and Disability Services Office 
(541) 474-3110  1-800-633-6409

Home Page  -  Search for Adult Foster Home Vacancies

See Public Disclosure Statement  Below
Adult Foster Home General Information
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Adult Foster Homes
Adult foster homes are single family residences that offer care in a homelike setting. Adult foster homes in Jackson and Josephine Counties are inspected and licensed. The adult foster home provider must meet certain standards to obtain a license. Staff from Senior and Disability Services (SDS) Rogue Valley Council of Governments (RVCOG) offices verify the qualifications of the caregiver, conduct yearly licensing inspections, and investigate complaints and concerns. 

All adult foster home providers and primary caregivers must:
• Pass a criminal record check;
• Complete a basic training course and pass an exam;
• Be physically and mentally able to provide care; and
• Provide care in a home that meets structural and safety requirements.

The Consumer’s Choice
Adult foster care is often chosen by consumers because care is provided in a homelike setting and can be more affordable than other care facilities. Informal adult foster care has been a part of our society for years. People unable to maintain their health while living alone move in with family, friends or neighbors.

In adult foster homes, medical and personal care are provided to you in a manner that encourages independence and improves the quality of your life. Care and supervision are provided to maintain a safe and secure setting. You can decide to refuse the care and service offered if it conflicts with your wishes. Adult foster home providers strive to provide good care and services in a safe and secure setting. That goal is reached through a cooperative relationship between the care provider and you.

This setting protects and encourages your dignity, choice, and decision-making. Your needs will be addressed in a manner that supports and enables you to maximize your abilities to function at the highest level of independence possible.

As a resident of an adult foster home, you should take an active role to talk to the provider about what it is you want for care. You are encouraged to maintain contact with your family, friends, and community groups as you adjust to your “new home.”

When Adult Foster Care Should Be Considered
Most people would like to remain in their own home as long as possible. However, sometimes it becomes too difficult to do the everyday tasks of life even with the help of others. Adult foster care offers the benefits of care and services in a homelike setting. 

Any combination of the items listed below may mean that you or someone you know could benefit from the services offered in an adult foster home:
• Difficulty preparing meals or maintaining adequate nutrition;
• Forgetting to take medications or taking the wrong amounts;
• Unable to do daily personal needs such as bathing, dressing, shopping, cooking, laundry or transportation;
• Bruising, scratches or other injuries resulting from falls;
• Ongoing illness or a need for rehabilitation;
• Difficulty coping with feelings of depression, anxiety or fear;
• Difficulty remembering people, places or to other things that were once familiar; or
• Family and friends are no longer able to provide adequate care and support.

Services Offered in Adult Foster Homes
• Meals and help with eating;
• Help with dressing;
• Help with grooming and hygiene;
• Help with bowel and bladder care (incontinence);
• Help with walking, getting in or out of bed (mobility);
• Help with behavioral issues (behavior management);
• Help with medications; and
• Activities.

Some providers are able to provide more complex care because of their training and experience and/or help from visiting nurses. A caregiver may receive instruction from a registered nurse to perform a care task specific to a particular resident. Some providers may be able to meet your care needs if you are coming to the adult foster home directly from the hospital after surgery or you are recovering from a serious illness.

Other adult foster home providers have special training to provide care for people with Alzheimer’s disease, brain injuries, AIDS, respiratory failure, or the need for Hospice services.

Short-term Versus Long-Term Needs
The services provided depend on your individual wants and needs. You may only need short-term services to help you return home.

Some adult foster home providers offer short-term care for a few days or weeks. Usually, services are long-term because of a life-long disability or an illness. The adult foster home may be able to provide services for as long as they are needed. Your ability to remain in the adult foster home depends on your choice, your needs, and the provider being able to meet those needs.

The Care Plan
The care plan is developed during the first two weeks you are at the foster home. The care plan is updated on a regular basis to reflect your individual needs and wishes. Input from family members and medical professionals may also be included in the care plan at your request.

The care plan is the provider’s written summary of your needs and abilities. It covers:
• What you can do for yourself;
• What care is needed;
• Who will provide it; and
• When and how often

Adult Foster Home Lists
You can find adult foster homes with vacancies matching criteria you specify on this site, HERE. The list of adult foster homes is available from Senior Services in Jackson County at (541) 776-6222; or Senior and Disability Services in Josephine County (541) 474-3110

Adult Foster Home Public Files
To help you decide which foster home you would like to choose, you can review the public files to obtain information about any foster home. The information includes:
• The location of the adult foster home;
• A description of the home;
• The date the license was first issued;
• The level of care provided in the home;

• A report and date of the last licensing inspection;
• Copies of complaint investigations;
• Corrective action involving the home; and
• Whether or not the licensed provider lives in the home (some employ Resident Managers).

Public disclosure files for each home are available. Please call 541-618-7891 for an appointment. For more information, contact Senior Services in Jackson County at (541) 776-6222; or Senior and Disability Services in Josephine County (541) 474-3110.

Visiting Adult Foster Homes
It is important to visit adult foster homes before making a choice. You and your family may want to visit together. You may want to spend several hours or an entire day, when possible, at the home. Some things to keep in mind while visiting the homes are:

Who provides care in the home:
• The owner lives in the home, or
• The owner does not live in the home and hires a Resident Manager who lives in the home and is the main caregiver.

Other Questions to consider are:
• What are the schedules and/or routines of the home?
• What are the care needs of the other residents?
• Would you feel comfortable living with the other residents and caregivers in the home?

One of the best times to visit a home is around meal time. Meals are an important social time and visiting during that time will allow you to see the kind and quality of food being prepared. You can also see:
• How caregivers relate to the residents; and
• How residents interact with one another.

Although any foster home should be neat, clean and orderly, you should also look for good care. Caring staff who respect the dignity of each resident is important. Select the home that feels right for you!

Payment for Adult Foster Home Care
Cost is an important factor when considering care and services. Most providers charge a monthly amount based on care needs and whether a bedroom is shared with another resident. All adult foster homes must have a contract for residents who are not receiving Medicaid. The contract should include the following:

Basic Monthly Rate **
• Room,
• Meals,
• Laundry, and 
• Specified basic services.

Additional Services **
The provider may also include a fee for each additional service such as:
• Incontinence care,
• Assistance with eating,
• Diabetic care,
• Special diets,
• Transportation,
• Mobility and transfers,
• Skilled nursing tasks,
• Night-time care, and
• Dementia Care.

The Basic Monthly Rate will always require 30 days written notice to the resident before it can be changed. However, the Additional Service fees can be made effective at the time the service becomes necessary, if it has been stated in the contract.

Be sure to review the contract and ask questions before choosing a home. The contract must contain the monthly rate; other service rates, if any; a refund policy; any refundable deposits the provider requires and terms for ending the contract.

** These services and costs vary between homes and must be specified in the contract.

Medicaid Financial Assistance
If you cannot afford to pay for your care and want to know if you qualify for Medicaid assistance, contact one of our Field Offices. For more information or assistance, contact Senior Services in Jackson County at (541) 776-6222; or Senior and Disability Services in Josephine County (541) 474-3110.

You do not need to use all of your assets to qualify for Medicaid assistance. It is important to check with one of our Field Offices when only one spouse needs long term care services. In such cases, a part of the assets of the spouse who is living in their own person home may be protected. When you are considering any of the long term care choices for yourself or for others, it would be good for you to know what choices are available. 

If you are eligible for Medicaid assistance, the local office will determine the total amount the provider will be paid for your care. Based on your income, there will be a decision made as to the amount you will be asked to pay and the amount SDS RVCOG will pay to the foster home provider, if any. The provider must accept the Medicaid payment as payment in full and cannot ask you or any other person to pay more money.

If you become eligible for Medicaid after you are in a foster home and the provider has a Medicaid contract, the provider cannot ask you to move if the amount of payment is lower than what you paid privately. If the provider does not have a Medicaid contract, you may be asked to move. When visiting homes be sure to ask if the provider has a contracts with the State of Oregon to accept Medicaid payment.

The Residents’ Bill of Rights
When you move into an adult foster home, you do no give up any of your civil rights or an rights as an Oregon citizen. Caregivers in adult foster homes must respect your privacy, dignity, independence and your right to make choices. Each adult foster home must post the Residents’ Bill of Rights in the home and discuss those rights with each resident at the time of admission.

Each Resident has the right to:
• Be treated as an adult with respect and dignity;
• Be informed of all resident rights and all house policies;
• Be encouraged and assisted to exercise constitutional and legal rights, including the right to vote;
• Be informed of their medical condition and the right to consent to or refuse treatment;
• Receive appropriate care and services and prompt medical care as needed;
• Be free from mental and physical abuse;
• Complete privacy when receiving treatment or personal care;
• Associate and communicate privately with any person of choice and send and receive personal mail unopened;
• Have access to and participate in activities of social, religious and community groups;
• Have medical and personal information kept confidential;
• Keep and use a reasonable amount of personal clothing and belongings and to have a reasonable amount of private, secure storage space;
• Be free from chemical and physical restraints except as ordered for medical reasons that maximize functioning and only after other alternatives have been tried;
• Manager’s own financial affairs unless legally restricted;
• Be free from financial exploitation;
• Have a safe and secure environment;
• Receive a written agreement regarding services to be provided and agreed upon rates;
• Be free of discrimination in regard to race, color, national origin, sex or religion; and
• Voice grievances without fear of retaliation; and

• Not be transferred or moved out without 30 days written notice and an opportunity for a hearing.

Adult Foster Home Providers
Adult foster home providers lose some privacy when they choose to provide care and services in their homes. However, they have a right to their own personal safety. They also have a right to expect the cooperation of others so they can operate the home in an efficient and effective manner. Cooperation and mutual respect make it easier for the provider to give the quality of care you as a resident deserve. One necessary area of cooperation is fire evacuation drills. For the safety of all, every resident is expected to participate in fire evacuation drills.

Involvement of Family and Friends
Many people rely on the support of family and friends when making a decision to live in an adult foster hoe. Those close to you may offer helpful advice to consider before you move in, but remember, the choice is yours. No one, except a court appointed legal guardian, may select a home against your wishes.

Once you have chosen a home, family and friends may help to make the move as easy as possible. Continue to do the things you enjoy, keep in touch with family and friends and ask them to visit you often.

Problem Solving
People often have an adjustment period when they move to an adult foster home. This adjustment period may affect you, your family, your friends and the foster home household. You may have mixed feelings about moving to an adult foster home. It is common to feel loneliness, resentment, anger or worry about this major life change. Adjusting may take weeks and you may need more support at that time.

Ongoing contact between you, your family, your friends and the provider may help to address concerns before they become problems. Cooperation and a willingness to try to resolve problems are important.

If you have any suggestions or concerns about the adult foster home you have chosen, do not ignore those feelings. Talk about them. It’s your right to voice complaints. There are several ways to do this:
• You can tell your concern to the provider;
• You can ask family or friends to help on your behalf;
• You can contact SDS RVCOG - Senior Services in Jackson County at (541) 776-6222; or Senior and Disability Services in Josephine County (541) 474-3110.;
• You can call the office of the Long-Term Care Ombudsman at their toll-free number: 1-800-522-2602.; and
• You can ask family or friends to help on your behalf.

You may decide you are not satisfied with the home you live in and the services being provided. You have the right to give the adult foster home provider a written notice if you decide to move. Another move may seem difficult but there is help for you. Contact SDS RVCOG or the Office of the Long Term Care Ombudsman.

The Office of the Long Term Care Ombudsman
A major goal of the Long Term Care Ombudsman program is to visit and respond to resident needs and concerns. The program protects the rights and privileges of the residents of long term care facilities and can be helpful to residents, their families and their friends.

Anyone with concerns about the quality of care or the rights of residents at the adult foster home can contact The Office of the Long Term Care Ombudsman at their toll-free number: 1-800-522-2602. You can also contact SDS RVCOG.

Adult Foster Home Classifications
There are three classifications of adult foster home licenses in Oregon. The classifications are based on the experience and/or training of the provider. Each home has a license posted that indicates the classification of the home. 

In each classification, the provider can only admit residents with a certain number of impairments. These impairments are defined according to six major activities of daily living (ADLs). These are eating/nutrition, dressing, personal hygiene, mobility, toileting and behavior management.

Definitions of Activities of Daily Living (ADLs):
• Eating/Nutrition. The ability to eat with or without special equipment.
• Dressing. The ability to dress and undress and to comb one’s hair, file nails, use makeup, etc.
• Personal Hygiene. The ability to bathe, wash hair, shave and care for teeth. 
• Toileting. 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, using items like canes and wheelchairs if necessary; ability to transfer from bed or wheelchair. 
• Behavior Management. The ability to understand one’s needs in areas such as health and safety. Any issues with confusion, disorientation, forgetfulness or wandering may be a behavior management need.

1. A licensee with a Class 1 license may only admit residents who need assistance in no more than four activities of daily living (ADLs).
2. A licensee with a Class 2 license may provide care for residents who require assistance in all activities of daily living, but require full assistance in no more than three activities of daily living.
3. A licensee with a Class 3 license may provide care for residents who require full assistance in four or more activities of daily living.

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Public Disclosure Statement:
Public disclosure files for each home are available. Please call 541-618-7891 for an appointment.

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