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Authored by Matt Gannon  Imagine if you will, a man. He is age 83 and has been living in a care home for the last several months. Let’s call this man Stanley*. Stanley is living with Alzheimer’s disease. It has reached the later stage, to the point where Stanley can no longer perform actions in sequence, whether it is getting dressed, brushing his teeth, or putting together the necessary steps of having a successful trip to the bathroom, as he is 100% incontinent. Stanley will even use a razor to try and brush his teeth and the shaving cream may take place of the toothpaste if someone isn’t there to prevent it. Stanley is mobile without the use of any type of walking device. He is a very classy guy and very polite, but he has lost the ability to clearly express himself, verbally. That is to say, he can no longer stream full sentences together, so instead, he relies on short replies to what others say: “yes," "no," or "you becha,” or a nod or shake of the head one way or the other. There are also times when he will smile at certain things but say nothing. Stanley’s family is very supportive and visits him daily. I am one of his caregivers. In His Element  One day while I was about to clean the kitchen area after serving Sunday lunch, I found Stanley standing at the sink. Before him was a large number of dishes needing attention and were waiting for me. I always have one side of the sink filled with fresh hot soapy water, and of course, a trusted scrub brush and clean towels for drying. Stanley at the sink unbuttoned and rolled up his black and red striped dress shirt sleeves, and after a few seconds of assessing the situation, he started to dig into the washing, rinsing, and stacking process with the mugs. He was determined and in his element, cranking out clean steaming dishes left and right. Stunned, I joined him at his side and wiped them all clean to put them away. This process continued for at least fifteen minutes and Stanley didn’t miss a beat. In fact, when washing the many coffee mugs he used a technique I was sure he had done countless times before for many years while performing the ever-so joyful act of dishwashing. For each mug, Stanley repeatedly took the mug in his hand, dipped it in the hot steaming soap water, and then filled the mug nearly all the way from the running water in the opposite sink. Stanley then covered the top of the cup with one hand, while placing his other hand underneath, and he shook the water inside back and forth for a thorough cleaning, poured out the water, then refilled once more, repeating the shaking technique, poured the water out once again, then rinsing away any left-over soap residue (not shaking this time) and handing the clean cup over to me. And he repeated the same process until all the mugs were thoroughly rinsed and cleaned. A Driving Force Within What did this experience teach me about Stanley? As I stood witness to this man who just that morning needed all of my help to get himself out of his urine-soaked bed, in and out of the shower, groomed and dressed, I understood that “something” was a driving force within him and it came from both his mind and his body working together as one - with his environment in the moment. I know what muscle memory is and I understand about people living with dementia having lucid moments, but Stanley’s participation in the dishwashing lasted nearly half an hour and I realized he was doing something he knew how to do from a lifetime of experience, the same way he had so many times before, his way, with his technique to get the job done. As I look back, I believe this was a manifestation of consciousness; the consciousness that does not separate between mind and the body, or the person and Alzheimer’s disease, but instead allowed this man for a bit of time to do what would seem impossible given his supposed level of impairment. And, yes, the time to complete the chore in this fluid way is brief in the fullness of a complete day, and then he is in need of assistance and direction once again because he just cannot connect the dots to any new activity, but this moment and experience in time were real, and Stanley did it. I think Stanley experienced what perhaps some artists refer to as “the mind in the hand,” some mysterious force that creates a type of auto-pilot within one’s self. Sort of like driving for 20 minutes and stopping at a red light to think…gosh, I don’t really recall driving to this point, but I somehow did it. It wasn’t Stanley’s mind alone that was trying to get the task done by repetitiously cleaning mugs, soup cups, and plates, but rather his mind and his body connected to the moment in time and to the environment he was in…to himself – and to the meditation of dishwashing. Stanley was Stanley, a man living with late-stage Alzheimer’s disease, and for the sake of getting dirty dishes well done, within himself he realized the chore at hand. Stanley chose to engage and do those dishes, knowing this is something that has to be done, and understanding this is how. Stanley and many others since have taught and reminded me how consciousness matters in dementia care, and in order to truly see the person I am serving, this cannot be left out of the discussion or the person-centered care approach to dementia care. Dementia will take away all kinds of abilities and can alter and distort reality in drastic ways, but consciousness does not go away due to dementia. Dementia will take away all kinds of abilities and can alter and distort reality in drastic ways, but consciousness does not go away due to dementia. While life can become increasingly cloudy and dark at times for people who are living with dementia, and where time and space may not be fully realized, a conscious alignment to the environment, to others, and to one’s self is still a possible part of their individual dementia experience. I have learned to always factor this truth into my dementia care practice, and as a result, I believe the care relationships I’ve had with the people I’ve served have been only strengthened and fully realized. *name and details have been changed
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Article originally published March 2019. Updated December 2021.  When I was an elder abuse investigator several years ago, I investigated a challenging case. Miriam*, who was 87, had eloped from her adult care home the previous day. She had managed to leave out the one door that was not alarmed. She had fairly advanced Alzheimer’s disease, and though her memory and judgement were both strongly affected, she was physically able to maneuver with little issue. This is often the case with individuals who have Alzheimer’s disease. My stomach sank, though, as I continued reading the report. Miriam was still missing. I investigated and hoped for a good outcome, but unfortunately there was no positive outcome for Miriam in this case. I found out a few days later that local law enforcement found Miriam deceased, not far from her care home. This story highlights an extreme outcome of wandering and elopement. Fortunately, most cases end with the resident safely back at home. Still, this story reinforces the importance of not becoming complacent. This situation could have happened to any care home provider. It’s an unfortunate story that illustrates the importance of managing wandering and preventing elopement in adult care homes. Wandering vs. Elopement The terms wandering and elopement are often used interchangeably; however, they are not exactly the same. Wandering is pacing or aimless walking. This generally takes place inside the home or facility, though it can also take place outside. These are the individuals you see who pace up and down the hallway, seemingly without direction. Elopement, on the other hand, is the unplanned exiting of the home or facility. It commonly includes “exit-seeking behavior.” This exit-seeking behavior and elopement from the home puts residents at great risk of harm, as Miriam's story tragically illustrated. According to the Alzheimer’s Association, 60% of people living with dementia will wander at least once. Who is at Risk? According to the Alzheimer’s Association, 60% of people living with dementia will wander at least once. Additionally, according to adult foster home surveys conducted by the Portland State University Institute on Aging, 45% of residents in adult foster homes in Oregon have some type of dementia. Who is most at risk?
Assessing for Elopement Risk What can you do to recognize and reduce the risk of elopement? Your screening process is the first step. It is important to conduct a thorough screening to find out if your potential resident is at risk for elopement and if you have elopement prevention options in place. During your screening interviews, ask if the individual has ever displayed exit-seeking behavior or wandered outside the home or facility. Additionally, if the individual is currently in a facility, review their narratives, care plan, and any incident reports to find out if there is a concern about wandering and/or elopement. Also, be sure to assess for elopement risk both during screening or after the resident has moved to the care home when their condition has changed. It is important to understand, even if you’ve conducted a thorough screening, or the resident has no prior history of wandering or elopement, they could still elope from your home after admission. In these instances, it's vital to put interventions in place and care plan to reduce further risk of elopement. 9 Tips for Keeping Residents Safe How do you keep residents with wandering or exit-seeking behaviors safe? Below are several tips and evidence-informed interventions for keeping residents safe. This is not an exhaustive list, as each resident’s needs and situation are unique, but it is a place to start. Tip 1: Care plan around wandering Recognize and document when a resident is most likely to be at risk, and what possibly triggers their wandering or elopement. Increase the level of observation. Tip 2: Meet the holistic needs of the resident If a resident is confused about where he or she is and insists he or she needs to “go home,” or “go to work,” use non-pharmacological interventions to address his or her underlying feelings and needs. Could she be bored? Might he be lonely? Tip 3: Keep residents active during the day Provide person-centered, meaningful activities and tailor the activities to the cognitive abilities of the resident. Tip 4: Install door alarms on exterior doors of the home Make sure to install alarms on all exterior doors and keep them turned on at all times. Tip 5: Consider using an ID bracelet An example of an ID bracelet is the Alzheimer’s Association Medic Alert + Safe Return® bracelet. Tip 6: Enroll the individual in a local safe return program Ask the resident's legal representative to contact your local sheriff's office or police precinct to find out if they have a registry for individuals at risk, like the Washington County Sheriff’s Office Help Me Home Program. Tip 7: Make changes in the home environment Paint exterior doors a similar color as the wall or consider a mural. Make the home environment comfortable, as well. Tip 8: Provide a space for residents to wander safely inside or outside Residents can wander safely with advanced planning. If a resident wants to walk outside, plan for a caregiver to go with him or her. Tip 9: Include the resident's care team Involve the resident's family and/or legal representative and others to help problem-solve around concerning, exit-seeking behavior. You don't have to do this alone. Awareness, Prevention & Intervention Sometimes you can do everything within your power to keep residents safe, and things will still happen. It is important, then, to recognize the point at which an adult care home may no longer be the safest placement for a resident with exit-seeking behavior who is an elopement risk. Fortunately, what happened to Miriam is a rare outcome in situations when a resident elopes from the home. With awareness, prevention, and intervention, you can keep residents who wander safe. *name and details have been changed
We want to continue to highlight the work of our amazing adult foster care home providers in Oregon. Matt Gannon spent some time talking with Provider Hana Legesse, owner of Furlong Way Adult Foster Home in Beaverton, Oregon. She is both an Aging & People with Disabilities (APD) and Intellectual/Developmental Disabilities (I/DD) provider. Please read below to learn more about Hana. How long have you worked in the adult care home business?  When I was in high school I assisted the teachers in the special education class, and I discovered I truly loved working directly with people where I could make a difference. This stuck with me. When I graduated high school I became a private in-home caregiver where my skills to care for others really took shape. While serving my clients as a private caregiver, oftentimes they would transition from their home to other levels of care, and I would continue to work with them through their transitions. It was during this time I was exposed to what caring for a lot of people in a large place looked like and it felt very busy, to say the least. Between 2014, and 2015 I made a switch from private in-home care to adult foster home care, in both APD and I/DD homes. In 2019, I became a licensed APD care home provider and began Furlong Way Adult Foster Home in Beaverton. Earlier in 2021, I became Co-licensee of a DD-licensed Home in Beaverton. What do you believe makes adult foster care homes special? Care homes are built for companionship. Each day comes with flexibility, creativity, and one-on-one time together in many important ways, allowing the residents’ daily wishes, desires, and needs to be fully met. How the day unfolds is up to what the residents feel like doing or not doing that day. We can adapt to whatever the residents are feeling or needing and also have the time to throw in creative ideas or improvise and adapt to what is best for them at each moment of their day. This is a special way of providing care, and it is special to the residents who benefit from the one-on-one attention. We do virtually everything together, as a home and as a team, and we all are considerate of each other in what we decide to do. Companionship is key to making a difference as a caregiver, and caring for residents in a care home allows your relationships to have real depth, which I feel is special. Companionship is key to making a difference as a caregiver, and caring for residents in a care home allows your relationships to have real depth, which I feel is special. What do you love most about the work you do? This question reminds me again of being in high school and working with a teenager who was in the special education program. This student was living with Down syndrome and could not read. We worked together and tried different creative ways to approach reading, and after working with her for long enough it finally worked! She loved reading and was always wanting to do more and more, and she felt so good about herself. I love working on creative solutions to meet the needs of others, and when it works - the joy you feel is simply amazing. This is exactly what I get to do now with our homes. I also love being a part of resident care and their meaningful activities. We make sure our residents have the opportunity to participate in what matters most to them, and if that means taking a ride in the car with me to the store or going to the beauty salon together, we tailor it to what they like most and we get to do it with them. I love how I get to repeatedly have the same feeling of making a difference in our homes I felt when working in the special education classroom where it all began. What do you believe makes someone’s work successful? What makes someone's work successful is pushing through, even when things seem the hardest and not giving up. Also, staying motivated because you know what you are working toward and the difference it makes for you and all of the people around you. You also must remain positive because there will be times when you face difficult problems and obstacles along the way, but you cannot give up. Believe me, there are mornings I do not want to wake up early to go to the gym, but I push through anyway knowing it is best for me and for those who depend on me so I have the strength and energy I need to be my best. This is how you will find success. You must believe in hard work and how it pays off. You must continue to work hard, do the right thing, have integrity and understand the reason why you are doing what you do; believe in your "why" and believe in yourself. Be your own best friend and push through! You must continue to work hard, do the right thing, have integrity and understand the reason why you are doing what you do; believe in your "why" and believe in yourself. Anything else you’d like us to know about you? Our residents and team really do all enjoy being together and making decisions that best support each other. It's a very harmonious and friendly atmosphere. We are great at teamwork. We are not afraid to get out of our comfort zones to do what it takes to meet the residents’ needs and to support the entire team. We all have individual strengths, and because we recognize this and can work to those strengths, everyone achieves more. We have such a variety of skill sets and experience levels on the team and so we put all of the knowledge to good use in support of each other. I still have staff who began with me on day one. I depend on them for so much, and I recognize how they depend on me too. I invest in them by offering competitive wages, bonuses, vacation days, gifts for self-care, just to name a few. We also celebrate their birthdays and recognize and honor each of their own cultural and religious happenings throughout the year. I cannot be successful and our residents cannot be fulfilled without my team, and I make it a priority to know what they want or need to be successful. We all have each other’s back, which makes all of the difference because no one can have a successful home all on their own.
We want to continue to highlight the work of our amazing adult foster care home providers in Oregon. Matt Gannon spent some time talking with Provider Holly Green, owner of High Lakes Care Homes in Central Oregon. Please read below to learn more about Nurse Holly. How long have you worked in the adult care home business?  We were fortunate to open our first home in Sisters, Oregon in 2019. I studied for my nursing degree at Mt. Hood Community College, which then lead me to work as an ICU Nurse in Portland at the Vibra Specialty Hospital. I later worked as a Nurse Manager in skilled nursing rehabilitation. I also spent time as the director of nursing for a memory care community in Bend. My nursing career began with falling in love with the elderly. Having been in positions to get to know and care for many elderly patients/residents, this made me realize how much I appreciate serving elders; however, I also realized I couldn’t totally give the best care to each of them like I wanted and how I believed they deserved. Sad but true, but when there are too many people in one place needing quality care and you cannot commit to real one-on-one time, you are always left feeling you wished you could have done more. I was then mentored by another licensed care home provider about how nice it is to care for people in care homes, so I became intrigued. We eventually pursued an adult foster care home in Central Oregon and seized the opportunity to make it ours. That decision has allowed our care team to serve people in the one-on-one way I’ve wanted all along. We opened our second home in Bend, Oregon in February 2021. Both of our homes are licensed as level 3 adult foster care homes. What do you believe makes adult foster care homes special? Providers are able to specialize by having a one-on-one all-around service of care. We don’t have to only focus the work on tasks alone, we also are a part of the meaningful activities for our residents, the food they like, the people in their lives who are important to them, and we create individualized care plans specifically for their best interests, in their home-based environment. This makes their experience of care more fulfilling. What do you love most about the work you do? What I love most is when you are consistent with care, and really get to know each of the residents for who they are, you are then in a position to give to them the time they require - it is so rewarding. When we first opened, we had five residents who were all on hospice. With enough time and consistent good care from our team, each resident no longer needed hospice and was discharged. This was a real example of how giving the necessary time to patients or residents, wherever you may work, can really benefit everyone involved. The choice we made to become care home providers has allowed me to be a nurse in the way I always hoped for, where people become more than patients or residents: they become more like family. ...when you are consistent with care, and really get to know each of the residents for who they are, you are then in a position to give to them the time they require - it is so rewarding. What do you believe makes someone’s work successful? Self-care - by being a model of self-care to my team so they know I understand how vital it is and how important it is to me to support their own self-care. If a caregiver is burnt out, everyone loses and it is not fair to them or anyone else. When a caregiver feels they are being taken care of, they can reach their full potential. If they feel taken advantage of, you cannot expect them to perform at a higher level. We decided our starting wages will always be at the top or above the going rate for caregivers. In order to do so, we had to position ourselves to be a highly-rated and respected adult foster care home people want to live in (with an ongoing resident waitlist). We also tell residents and their families from the beginning that all care costs are at a flat rate. There are no extra add-on charges after move-in. We find they appreciate it more this way because it assists in their comfort level and understanding of what a good and fair price is and will remain to be over the course of time. This erases the unpredictability of costs. Anything else you’d like us to know about you? I have learned how having a super supportive partner, family and friends makes all of the difference, and how none of this would be possible without the backing and assistance of my husband who cares for our children and our overall home in such a supportive way. By intentionally building a small village of family and friends who understand the sacrifice our work demands, I can be successful, which ultimately means our team and residents, our entire family, we are all successful, together. By intentionally building a small village of family and friends who understand the sacrifice our work demands, I can be successful, which ultimately means our team and residents, our entire family, we are all successful, together.
 Running an adult foster care home can be stressful enough, but when you expand or remodel, how do you know that the home you and your residents live in is up to, or even built to, current standards and codes for safety? Permits seem like an added hassle and expense, so what are they for? Are they necessary for all work being completed on the home? Why Do I need a Permit? Permits protect you and your home by having experts in the code and construction field verify your home is built to minimum safety standards by licensed, insured contractors. Part of a licensed contractor's responsibility is to know the codes and procedures for obtaining a permit when required. Permits are required by law and may be required for insurance purposes. Additionally, Oregon Administrative Rule requires any remodeling that must have a permit to be permitted. Licensing will request proof of permitted work. Also, if work was done without a permit in your home, you may be required to upgrade the home to current code standards or have the work done without a permit demolished. Building codes have evolved over time and are subject to constant change, so it is important to have a contractor who knows code, as well as the construction knowledge for the work to be performed. Who Oversees Permits? Inspections are performed by individuals who work for the local government. They are referred to as the Authority Having Jurisdiction (AHJ) and are required to have state and national certifications for their respective inspection trades. The inspector will verify the work is completed per approved plans that have been reviewed for compliance with local and state codes that state minimum requirements for structural, mechanical, plumbing, electrical and life safety. There are few exceptions for what does not need a permit, but all work done must still meet the code. Working with a Licensed Contractor Is your contractor licensed? Be sure to check the Oregon Construction Contractors Board to verify a contractor's license status. Ask your licensed contractor about the requirements for construction activities on your AFH, as they should be able to tell you if you need a permit. If you are not sure, or are not satisfied with their answer, call the local building department in your jurisdiction and they can answer your questions. Remember that it is your home and your responsibility to meet all requirements for alterations and modifications to the AFH, so when in doubt, contact your local building department. This will ensure your home meets minimum building code and safety standards, which will help keep all occupants of the adult foster home safe.
We want to continue to highlight the work of our amazing adult foster care home providers in Oregon. Matt Gannon spent some time talking with provider Shannon Carskadon with Silver Cloud Family Homes in Forest Grove. Please read below to learn more about Shannon. How long have you worked in the adult care home business?  Silver Cloud has been family owned since 1989. My husband Ron's mother started the care home in Forest Grove in the late '80s. In fact, Silver Cloud 1 was the longest-running adult family home in the state of Oregon until Ron's mother, Margarita Carskadon, retired around 2016. Ron was opening his own location in 1994 when we met and started dating. I had attended Pacific University and Portland Community College with the intent of becoming a math teacher. In 1996 we bought a home together and planned to move the adult foster home business there. Before we were even moved in, Ron was in an auto accident during the floods of '96, and I was forced into the role of caregiver, as I was part owner of the home. I quickly realized the older adult population was hugely overlooked by the healthcare system. This impacted me in a major way. I understood how these folks needed a voice in the system. They needed someone to advocate on their behalf, and this is what I began doing and have provided to my residents ever since. I never became the math teacher, and instead, I have been in service to our wonderful residents and we now own two homes in Forest Grove. What do you love most about the work you do? I didn't have any grandparents growing up. I do feel it has helped my perspective being a provider, as I feel I can relate to residents more as my friends. This has given me a unique appreciation for spending quality time with the elderly in a way I don't think is common, because I don't have any pre-conceived notions about "taking care of grandparents." I am able to meet the residents where they are in their lives and accept and enjoy them at this stage in their lives, and without expectation of what that relationship should look like. I now feel I have friends who are of grandparent age and not having grandparents as a kid, it gives me a unique appreciation for spending quality time with them in a way I never knew. I love to hear their stories, and I cherish the relationships we've built together. I am honored to be part of their story as a provider. I believe the residents truly get to feel they're surrounded by friends in our homes. I love to hear their stories, and I cherish the relationships we've built together. I am honored to be part of their story as a provider. What do you believe makes someone’s work successful? Loving the elderly is only 10% of the job. The large majority is assuming the responsibility of the work demands and taking that responsibility seriously, at all times. For example, being committed to your word, being a strong communicator, and being diligent with all administrative tasks, from charting to medication administration, and so much more. This is necessary because the margin of error is too small and the risk is too great to ever overlook. People have to have impeccable commitment to all of these things, day-in and day-out. Loving the elderly is only 10% of the job. The large majority is assuming the responsibility of the work demands and taking that responsibility seriously, at all times. Anything else you’d like us to know about you? I went through the Montessori education with my son. My philosophy of care very much lines up with the Montessori Method. This method of education has an emphasis on individuality and following your personal interests. Collaboration with different age groups and levels of ability to complete tasks is highly encouraged. Activities are geared toward the five senses and the abilities of the participant at that specific time. The process is emphasized, rather than the outcome. Focusing on these concepts creates an environment where individuals find peace and gratification from their contributions. I feel anyone who is interested in caring for others, and especially caring for people living with dementia, should read, "The Secret of Childhood" by Marie Montessori. I believe the title could be changed to, "The Secret of Human Beings."
We want to continue to highlight the work of our amazing adult foster care home providers in Oregon. Matt Gannon spent some time talking with provider Catherine Hingson with Sunset Senior Living Center in Depoe Bay. Please read below to learn more about Catherine. How long have you worked in the adult care home business? I began Sunset Senior Living Center at the Oregon Coast in 2016 when my mother had a stroke. I decided to create an environment that my own mother would be content with, where her needs would be fully met. I became licensed in 2017, and we are a class 3 home. Now I have capacity for four residents, and I have two full-time employees and one part-time employee. I live in the home with the residents. Potentially someday, 25 years from now, I may end up a resident myself of Sunset Senior Living Center. I decided to create an environment I would want to live in because I plan to live the rest of my life in the care home. We have property with three lots, and the house sits in the middle. I am going to be expanding the home to make it even larger so it is all one level, and I plan to create a rehabilitation exercise bonus room. What do you love most about the work you do? The thing I love most about this type of work is helping families. When a loved one can no longer be independent and circumstances reach a point where it is more than a family can manage, especially in today's world where they may be raising and homeschooling kids, we can be the option and take in a resident. Our family then grows, and I enjoy serving in that way. I also appreciate being able to give my team employment and help them grow in their lives. I like serving the community as a person staff can turn to, and as an option for people looking for care, other than a larger facility. The thing I love most about this type of work is helping families. What do you believe makes someone’s work successful?  To me, it is all about the whole team. I approach the business as a team experience. I have great employees and I partner with community professionals who benefit the business. We have different professionals who meet the needs of our residents by coming to our home and being involved. For example, we have technology support individuals, a bookkeeper, maintenance workers, a counselor for residents, volunteers, and others who are an extended part of the team. On more than one occasion, former residents' sons and daughters have been so impressed with the mission and quality of care at Sunset Senior Living Center, they actually come back to volunteer and support our efforts long after their parent has passed. We operate with each resident's desires in mind. Residents will take part in writing their care plan so there is a lot of individualized care. My team and community partners cover so much of the care aspects of the residents with a teamwork approach; that way families can enjoy visiting and being with their loved ones and not worry about all the other stuff. This becomes streamlined through teamwork. Sunset Senior Living Center is a "welcoming home" to all people, meaning we do not discriminate and we provide quality care to all of our residents. I pay special attention to gardening. We have a large, organic garden with 14 garden boxes. We grow much of our own fresh produce and pay special attention to nutrition. Gardening is an ongoing, meaningful activity to the extent each resident can participate. Some residents like to get their fingers dirty, while others just like to watch. The garden boxes are all planted and the radishes are the first crop harvested this week. We have a lot of homemade meals and use what we've gardened, which makes it extra special. We have a lot of homemade meals and use what we've gardened, which makes it extra special. Anything else you’d like us to know about you? One thing that sets us apart is how our ratio of caregivers to residents is usually two caregivers to three residents, most of the time. Sunset Senior Living Center has one, new full-time employee, Christopher, rounding out the team and joining caregiver Dee, house manager Dena, and owner-operator Catherine Hingson. The response time when our residents call on us is always less than five minutes, and we take all necessary measures to ensure a secure home. I have a wonderful mobility van for transporting our residents and for outings. The van gives us the freedom to plan and go do whatever we want. It also serves emergency and evacuation purposes. In an emergency situation, all of our residents have an emergency backpack ready to go, which covers up to 72 hours of supplies. We also have a storage unit within walking distance of our home with food and emergency supplies for up to a year. With all the nice weather, our residents have been going out for walks in the neighborhood and recently saw a pod of whales here in Depoe Bay! Sunset Senior Living will have one resident opening coming soon this summer. Please visit Sunset Senior Living Center online at SunsetSeniorLiving.com, or visit their Facebook page. *Photos used with written permission of the residents and staff.
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About Oregon Care Home ConsultingOregon Care Home Consulting & Training is the compass that helps current and future APD adult foster care home licensees successfully navigate the licensing process and have a successful adult foster care home business. ORCHC provides coaching, consultation, training, and ongoing support. This ultimately saves time, reduces stress, and improves compliance, which allows AFH/ACH licensees to focus more time on providing excellent care to seniors and individuals with disabilities.
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Disclaimer: Oregon Care Home Consulting LLC is not affiliated with the State of Oregon or Multnomah County Adult Care Home Program (ACHP). We are not State licensors, therefore we are unable to require compliance or guarantee your adult care home is in full compliance with current state and/or federal requirements. State and/or County licensors make the final determination of compliance. Additionally, we are unable to offer legal or medical advice, and no guidance provided by Oregon Care Home Consulting LLC should be construed as legal or medical advice. Always consult an attorney or doctor, when necessary.
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Disclaimer: Oregon Care Home Consulting LLC is not affiliated with the State of Oregon or Multnomah County Adult Care Home Program (ACHP). We are not State licensors, therefore we are unable to require compliance or guarantee your adult care home is in full compliance with current state and/or federal requirements. State and/or County licensors make the final determination of compliance. Additionally, we are unable to offer legal or medical advice, and no guidance provided by Oregon Care Home Consulting LLC should be construed as legal or medical advice. Always consult an attorney or doctor, when necessary.
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