Level 3 is the highest classification Oregon issues.
Adult foster homes are licensed Class 1, 2 or 3 by the Department of Human Services, and the class sets how much help a resident is allowed to need.
What the classification actually means.
Up to four ADLs
Providers with less than two years of experience. Residents may need help with up to four activities of daily living.
Independent in three
Providers with two or more years of experience. Residents may need help across all ADLs but stay independent in at least three.
Four or more, fully dependent
Available to licensed health professionals, or providers with three or more years serving dependent populations. Residents may be dependent in four or more ADLs.
In practice the question is rarely whether we can manage a need — it is whether the house is the right fit for the person.
Activities of daily living.
Eating & nutrition
Full feeding assistance, modified textures, thickened liquids, tube feeding, and monitored intake.
Dressing
Complete assistance including adaptive clothing and dressing around contractures, lines, and equipment.
Personal hygiene
Bathing, oral care, grooming, nail and skin care on a documented schedule.
Mobility
Two-person and mechanical transfers, repositioning schedules, and full assistance with ambulation.
Toileting
Full incontinence care, scheduled toileting, catheter and ostomy management.
Behavior support
Redirection, wandering precautions, and consistent routines for residents living with dementia.
Why the nurse ownership matters here. Delegated nursing tasks are taught and supervised in this house rather than contracted out, which means the person doing wound care or checking a blood sugar was trained on that specific resident by the nurse who owns the home.
We will tell you plainly if we are not the right home. A placement that fails helps no one.
Referrals worth sending us.
Declined elsewhere on acuity
A Class 1 or 2 home that cannot accept four-plus ADL dependency is not a judgement on the person. Send it here.
Post-hospital, still unstable
Someone discharging with new equipment, new orders or a new baseline, where the next few weeks matter.
Outgrown assisted living
A resident whose needs have quietly passed what their current setting is licensed to provide.
Hospice, wanting to stay put
We work alongside the hospice team so the last move is not one more move.