ABC Adult Care Placement Agency

Looking for the right type of care for your family or friend? We have the ability to assist you with the search for care.  My experience as a registered nurse in acute care and rehabilitation services helps me understand what level of care and how the care needs can be provided at the appropriate setting.  If you are interested in expert advice for care needs please, call 503-317-3076 and speak with Mihaela Ion RN. 

Adult Care Home

            The adult care home are preferred care settings for elderly that lost their ability to function independently in their home. This provides a homelike setting that is affordable while encouraging safety, independence with activities of daily living, privacy and dignity. Adult foster home providers may help with:
  • eating
  • dressing
  • bowel and bladder care
  • bathing and grooming
  • walking, which may include getting in or out of a bed or a chair
  • behavioral issues as needed
  • laundry
  • medication management
  • meal preparation
  • transportation arrangements.
A wide variety of residents are served in adult foster homes, from those needing only room, board and minimal personal assistance to those residents needing full personal care, or skilled nursing care with the help of community-based registered nurses.


          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: The ability to dress and undress; to comb one's hair; to file nails, and to 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 of the home, using items like canes and wheelchairs, if needed, in addition to the ability to transfer from bed or wheelchair; and
  • Behavior management: 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 might need and the experience and training of the licensee and resident manager or shift caregivers, as applicable.
CLASS 1: A class 1 license authorizes the licensee to admit residents who may need assistance with up to four of their ADL’s. 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 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 for AFH potential licensees; or
CLASS 3: A class 3 license may be issued if the applicant is a currently licensed health care professional in Oregon or if the applicant possesses the following qualifications:
  • Has at least three years of experience providing care to adults who are elderly or physically disabled and require full assistance in four or more of their ADLs. 
  • 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.
In addition, the applicant must complete and pass the department’s basic training course and exam for potential AFH providers.
Staff from the Oregon Department of Human Services (DHS), Aging and People with Disabilities (APD), or the Area Agency on Aging (AAA) offices verify the qualifications of the caregiver and then determine the classification of the adult foster home. Representatives from the local office also conduct annual licensing inspections in the adult foster homes, and investigate complaints and concerns if they arise.
​Adult foster home licensees in Oregon are independent business owners. They are not employees of the State of Oregon. There are two payment options for these types of businesses.
OPTION ONE is private pay, where the resident has a contract with the licensee to pay a certain amount of money each month in return for specific care and services. The contract between the resident and the licensee should include the basic monthly rate (note: these services and costs vary between homes and must be explicit in the contract.) which includes the following:
  • Room
  • Meals
  • Laundry
  • Specified basic services
Additional fees may be assessed for care and services in addition to the basic rate, such as:
  • Incontinence care
  • Assistance with eating
  • Diabetic monitoring
  • Special diets
  • Transportation
  • Mobility and transfers
  • Skilled nursing tasks
  • Nighttime care
  • Dementia care
OPTION TWO is for licensees who agree to care for residents who are eligible for Medicaid, which provides health care insurance for low-income residents through a federal and state partnership.
If the potential resident is eligible for Medicaid assistance, the local DHS office for the licensee's town/city will determine the total amount the licensee will be paid for the potential resident's care. This determination will be based on the resident's care needs. The licensee must accept that amount as payment in full and cannot ask for or accept additional compensation from the resident or any other person.

Assisted Living Facility and Residential Facility

   Assisted living facilities are attractive care options are community based care setting licensed and regulated by Oregon Department of Human Services, Seniors and People with Disabilities. Those facilities are able to provide care, maximize dignity, privacy, independence, choice, safety, encourage family and community involvement. The assisted living facilities may have private units or apartments with a min of 220 sq. ft. of living area, kitchenette with a sink, refrigerator and cooking appliance, a wheelchair accessible bathroom and shower.  The residential care facilities may have shared or private rooms with private or shared bathrooms. Oregon's Assisted Living and Residential Care Facilities and Memory Care Communities are licensed by theOregon Department of Human Services. 

     How do you make the right decision when choosing between an adult care home, assisted living facility or residential care facility?

     My role is to help you find the right place and setting that will ensure proper care and satisfaction with the services that will be provided. My long term experience in patient care will give you informed advice on how the care of your loved one will be met at best. The facilities that we work have a long term excellent reputation and satisfaction in resident care. The goal is that your mom, dad or family member will be cared with dignity, respect for own diversity, compassionate and individualized planing. 


 

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