What is an Adult Care Home?

When an older adult or an adult with a developmental or physical, or mental health disability can no longer care for themselves in their own home, or do not have family who can care for them, an adult care home is an option. 

Adult care homes are licensed, single family residences that offer 24-hour care for up to five adult residents in a homelike setting. The homes are in residential neighborhoods. An adult care home offers individualized care while supporting and honoring a resident’s independence, cultural needs, preferences and choices.

Each home has one operator who may employ additional caregivers. To be licensed as an operator, you must have hands-on experience providing care to the population you intend to serve. All operators must also participate in on-going training. All homes are licensed annually and monitored quarterly via unannounced home visits by Multnomah County’s Aging, Disability and Veterans Services’ Adult Care Home Program.

Who lives in an Adult Care Home?

Adult care homes are licensed to serve individuals from one of the three following populations:

  • Older Adults and People with Disabilities (APD)
  • Intellectual and Developmental Disabilities (I/DD)
  • Mental Health and Addictions (MHA)

What services do residents receive in an Adult Care Home?

Adult care homes provide 24 hour care and services including:

  • assistance with daily activities like bathing, dressing, walking, eating, and using the restroom
  • medication management
  • meals
  • housekeeping and laundry service
  • arrangement of transportation to appointments and other activities

People looking for an adult care home to live in can search here for adult care homes.

Contact the Adult Care Home Program

Call 503-988-3000, fax to 503-988-5722 or email advsd.adult.carehomeprogram@multco.us

Do not include residents' personal health information or personal identifiers unless you are using a secure email. You must call or email your licenser to ask them to initiate a secure email.

ACHP is now located in the East County Health Center building

600 NE 8th St. Suite 100, Gresham, OR 97030

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