Adult foster homes, sometimes called family care homes, are single family residences that offer care in homelike setting, as opposed to a nursing home or assisted living facility. Adult foster homes are smaller facilities, housing only a few people at a time. Around the clock care and services are provided, usually by a live-in caregiver. 

Adult foster care is often chosen by consumers because care is provided in a homelike setting and can be quite affordable. Informal adult foster care has been a part of our society for years. People unable to maintain their health while living alone moved in with family, friends or neighbors. In adult foster homes, medical and personal care are provided to you in a manner that encourages maximum independence and enhances 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 through a cooperative relationship between the care provider and you. The adult foster home 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 possible level of independence. As a resident of an adult foster home, you should take an active role in discussing your care needs with the provider. You are encouraged to maintain contact with your family, friends and community groups as you adjust to your new home.

Residents of adult care homes live in their own rooms, but also have access to shared dining, sitting and recreation rooms, and often, outdoor areas. Personal and health care assistance is provided according to the resident’s individual needs and might include personal care and grooming, medication administration, transportation, meal preparation, housekeeping, laundry and activities.

Adult foster homes are licensed, regulated, inspected and monitored by state and local governments. 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 caregiver, conduct yearly licensing inspections, and investigate complaints and concerns. All adult foster home providers and primary caregivers must: 

  • pass a background check
  • complete a basic training course and pass an exam
  • be physically and mentally able to provide care
  • provide care in a home that meets structural and safety requirements


OACHP is a 501(c)(6) non-profit organization. 

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