In Oregon, the license families see for assisted living is "Assisted Living Facility (ALF) and Residential Care Facility (RCF)", issued by the Oregon Department of Human Services, Long-term Care Facility Licensing and Quality Assurance. The state's assisted living rules do not list a physician's exam as a move-in requirement. A facility must give 30 days' written notice, after the state approves it, before an involuntary move-out; shorter notice is allowed only in narrow cases.
Key facts
- The median monthly cost of assisted living in Oregon was $6,874 in CareScout's 2025 Cost of Care Survey, or $82,494 a year, $674 above the national median of $6,200 a month. (CareScout, 2026)
- Oregon Medicaid pays for services in assisted living and residential care facilities that hold a Medicaid contract, so not every facility accepts it. (Oregon Department of Human Services, 2026)
- Oregon Health Authority guidance says TB testing of residents is not required in assisted living or residential care facilities. (Oregon Health Authority, 2022)
- Trained direct care staff may give medicines, and the facility must document within 30 days of hire that it has observed and evaluated their ability to do so safely without supervision. (Or. Admin. Code 411-054-0070, 2026)
- Only a state-endorsed community (OAR chapter 411, division 57) may advertise as memory care, and residents must have a dementia diagnosis and need support, though a spouse, partner or companion without dementia may join under set conditions. (Or. Admin. Code 411-057-0130, 411-057-0140 and 411-057-0160, 2026)
Oregon licenses two types of assisted living: assisted living facilities (self-contained apartments) and residential care facilities (shared or private rooms). The Oregon Department of Human Services licenses both under OAR chapter 411, division 54, and a facility that advertises memory care must also hold a state endorsement under division 57. The facts below cover both license types.
Rules change and communities can set stricter policies. Before you sign, confirm the details with the community and the Oregon Department of Human Services, Long-term Care Facility Licensing and Quality Assurance. This page is general information, not legal advice.
The rules at a glance
| Medical assessment before move-in | The state's assisted living rules do not list a physician's exam as a move-in requirement. Instead, the facility must complete its own in-person resident evaluation before move-in, or within eight hours of move-in if the need is urgent, and update it during the first 30 days. [2] More on this |
|---|---|
| TB test | Oregon Health Authority guidance says TB testing of residents is not required in assisted living or residential care facilities. Licensees must still comply with the state's TB screening recommendations in OAR 333-019-0041. [3][4] More on this |
| Notice before a move-out | A facility must give 30 days' written notice, after the state approves it, before an involuntary move-out; shorter notice is allowed only in narrow cases. Allowed reasons: needs or unstable medical conditions beyond its disclosed services, repeated behavior that interferes with others' rights or safety, danger to self or others, illegal drug use or crime, evacuation problems, and non-payment. [5] More on this |
| Who may give medications | Trained direct care staff may give medicines, and the facility must document within 30 days of hire that it has observed and evaluated their ability to do so safely without supervision. The rules do not name insulin injections; a registered nurse may delegate medication tasks to unlicensed staff under OAR 851-047, and the nurse alone decides whether to delegate. [6][7] More on this |
| Memory care and dementia | Only a state-endorsed community (OAR chapter 411, division 57) may advertise as memory care, and residents must have a dementia diagnosis and need support, though a spouse, partner or companion without dementia may join under set conditions. Each endorsed community must give a memory care disclosure statement (form APD 9098 MC) to anyone who asks for information. [8] |
| Long-term care ombudsman | Oregon's Office of the Long-Term Care Ombudsman advocates for people living in assisted living facilities, residential care facilities and endorsed memory care, and can be reached at 1-800-522-2602. [9] Official page More on this |
| Medicaid help | Oregon Medicaid pays for services in assisted living and residential care facilities that hold a Medicaid contract, so not every facility accepts it. The resident pays a state-set room and board amount from their own income, keeps a personal allowance, and may owe more depending on income. [10][11] Official page More on this |
What assisted living costs in Oregon
The median monthly cost of assisted living in Oregon was $6,874 in CareScout's 2025 Cost of Care Survey, or $82,494 a year, $674 above the national median of $6,200 a month. [12]
A median is the middle of the rates communities reported, so many charge more or less. Rates differ between regions and by the care a resident needs, so ask each community for its full fee list in writing. More: assisted living costs in every state, a monthly budget and the costs that aren't in the base rate.
How to check a community in Oregon
The Licensed Long-Term Care Settings Search lets families find facilities near them and see inspection reports, violations and notices. Complaints about a residential care or assisted living facility can be made at 844-503-4773. Search Oregon's records. [1]
The licensing agency: Oregon Department of Human Services, Long-term Care Facility Licensing and Quality Assurance. [1] Our guide on how to read an inspection report explains what to look for.
Put Oregon's paperwork on a date
Parent Move Plan counts every task back from the move-in day, including the medical assessment and TB screening the community will ask for, so nothing lands in the last week.
Get your first 3 days freeFrequently asked questions
How much does assisted living cost in Oregon?
The median monthly cost of assisted living in Oregon was $6,874 in CareScout's 2025 Cost of Care Survey, or $82,494 a year, $674 above the national median of $6,200 a month. A median is the middle of the rates communities reported, so many charge more or less, and rates differ between regions and by the care a resident needs.
What medical assessment does Oregon require before moving into assisted living?
The state's assisted living rules do not list a physician's exam as a move-in requirement. Instead, the facility must complete its own in-person resident evaluation before move-in, or within eight hours of move-in if the need is urgent, and update it during the first 30 days.
Does Oregon require a TB test for assisted living?
Oregon Health Authority guidance says TB testing of residents is not required in assisted living or residential care facilities. Licensees must still comply with the state's TB screening recommendations in OAR 333-019-0041.
How much notice must an assisted living community in Oregon give before a move-out?
A facility must give 30 days' written notice, after the state approves it, before an involuntary move-out; shorter notice is allowed only in narrow cases. Allowed reasons: needs or unstable medical conditions beyond its disclosed services, repeated behavior that interferes with others' rights or safety, danger to self or others, illegal drug use or crime, evacuation problems, and non-payment.
Who can give medications in assisted living in Oregon?
Trained direct care staff may give medicines, and the facility must document within 30 days of hire that it has observed and evaluated their ability to do so safely without supervision. The rules do not name insulin injections; a registered nurse may delegate medication tasks to unlicensed staff under OAR 851-047, and the nurse alone decides whether to delegate.
Who can help with a complaint about assisted living in Oregon?
Oregon's Office of the Long-Term Care Ombudsman advocates for people living in assisted living facilities, residential care facilities and endorsed memory care, and can be reached at 1-800-522-2602.
Does Medicaid pay for assisted living in Oregon?
Oregon Medicaid pays for services in assisted living and residential care facilities that hold a Medicaid contract, so not every facility accepts it. The resident pays a state-set room and board amount from their own income, keeps a personal allowance, and may owe more depending on income.
Sources
- Oregon Department of Human Services: Long-term Care Facility Licensing and Quality Assurance (2026) (checked October 22, 2026)
- Or. Admin. Code 411-054-0034, Resident Move-In and Evaluation (temporary rule effective 08/10/2026 through 02/05/2027, in the ODHS Division 54 rules), 2026 (checked October 22, 2026)
- Oregon Health Authority: Facilities Required to Test New Health Care Personnel for Tuberculosis upon Hire (updated 07/27/2022), 2022 (checked October 22, 2026)
- Or. Admin. Code 411-054-0025(1)(c), Facility Administration (temporary rule effective 08/10/2026 through 02/05/2027, in the ODHS Division 54 rules), 2026 (checked October 22, 2026)
- Or. Admin. Code 411-054-0080, Involuntary Move-out Criteria (via Cornell LII), 2025 (checked October 22, 2026)
- Or. Admin. Code 411-054-0070, Staffing Requirements and Training, and 411-054-0045, Resident Health Services (0070 is a temporary rule effective 08/10/2026 through 02/05/2027, in the ODHS Division 54 rules), 2026 (checked October 22, 2026)
- Or. Admin. Code 851-047-0030, Delegation, General Provisions (via Cornell LII), 2024 (checked October 22, 2026)
- Or. Admin. Code 411-057-0130, 411-057-0140 and 411-057-0160, Endorsed Memory Care Communities (0140 and 0160 are temporary rules effective 08/11/2026 through 12/27/2026, in the ODHS Division 57 rules), 2026 (checked October 22, 2026)
- Oregon Office of the Long-Term Care Ombudsman: Home page (2026) (checked October 22, 2026)
- Oregon Department of Human Services, Aging and People with Disabilities: CBC Information and Options (updated April 8, 2026) (checked October 22, 2026)
- Or. Admin. Code 411-027-0020 and 411-027-0025, Payment Limitations in Home and Community-Based Services (ODHS Division 27 rules, 0025 amended 06/24/2026), 2026 (checked October 22, 2026)
- CareScout: Cost of Care Survey 2025, Ranked Median Costs by State (2026) (checked October 22, 2026)