Best Assisted Living in Oregon

Tierra Rose Care Center is a 76-bed skilled nursing and intermediate care facility in Salem, Oregon, administered by Colleen Rees and operated by CML, Inc., a voluntary non-profit organization affiliated with a church. The facility has operated for over 32 years, licensed since December 6, 1993. The occupancy rate stands at approximately 95 percent with 72 occupied beds out of 76 licensed beds and an average daily census of 72 residents. The facility’s license is active and CMS certified. The facility accepts Medicare and Medicaid.

Tierra Rose holds a CMS Overall rating of 2 out of 5 stars, below Oregon’s state average of 3.1. Health Inspection rating is 2 out of 5 (Oregon average 2.9) and Quality Measures rating is 2 out of 5 (Oregon average 3.5). The facility’s primary strength is staffing, earning 4 out of 5 stars, above Oregon’s average of 3.7. Nursing time averages 5 hours and 23 minutes per resident per day, approximately 4 percent above the Oregon average of 5 hours 12 minutes.

The Oregon Department of Human Services, Aging and People with Disabilities conducted 10 inspections, with the most recent completed November 13, 2025. The facility recorded 73 citations and 94 deficiencies across its inspection history, both figures above Oregon averages of 27 and 31 respectively. No CMS fines and no severe citations appear in the record. The inspection record reflects a pattern of compliance challenges alongside a notably strong staffing profile, warranting direct conversation with facility leadership.

Tierra Rose provides 24-hour skilled nursing care with a doctor on staff and rehabilitation services. The facility is licensed as an Intermediate Care (Nursing) Facility, appropriate for residents whose needs exceed assisted living but do not require acute hospital-level care. The physical environment includes private and semi-private rooms, cable television in common areas, a beauty and barber shop, private dining rooms for family gatherings, and landscaped grounds with walking paths. Three daily meals and lifestyle programming are provided.

Tierra Rose Care Center suits seniors requiring consistent skilled nursing support in a non-profit, church-affiliated, community-focused setting. The above-average staffing level is a meaningful differentiator. However, the below-average ratings in health inspection and quality measures, combined with inspection deficiencies above state averages, warrant careful verification. Families should ask administrators directly about the nature and scope of cited deficiencies in health inspection and quality measure areas, and should verify staffing continuity and staff training protocols before placement.

The Butte, known also as Sapphire at The Butte, is a residential care facility located in Gresham, Oregon at 1250 Southeast Avenue Roberts, Multnomah County, administered by Rebecca Callahan. Sapphire At The Butte LLC owns the facility as a subsidiary of Sapphire Health Services, which operates fifteen communities. The facility has been in operation for approximately 46 years, with its license first issued December 15, 1979. Licensed capacity is 32 beds. Occupancy figures are not publicly available.

The Butte offers seven care types including assisted living, memory care, specialty services, home care, skilled nursing and rehabilitation, hospice, and transitional independent living. A Nursing Aid Training Program operates on-site. Confirmed amenities include chef-prepared meals and daily snacks, social activities, personal care, medication assistance, transportation, and an emergency call system. Pet policy and inclusion of housekeeping, linen services, and utilities require verification during a facility tour.

The Oregon Agency of Human Services, Aging and People with Disabilities conducts unannounced inspections. Four inspections have been logged to date, with the most recent on November 4, last year. The facility accumulated 14 citations and 16 recorded deficiencies. Those are both below Oregon state averages of 27 and 31 respectively. No fines have been issued and no severe citations appear on record. The compliance record suggests performance better than state baseline standards.

The Butte suits families seeking residential care for residents with complex medical, behavioral, or physical needs who require assistance beyond standard independent living but do not require skilled nursing facility-level care. The 46-year operational history and below-average deficiency record indicate stability and consistent compliance. Families should ask administrators during a tour to verify occupancy trends, pet policies, specific services included in daily care, and the scope of specialty programming available for residents with behavioral or cognitive support needs.

Avamere Heart of the Valley Rehabilitation is a dually certified skilled nursing facility at 2750 NW Harrison Boulevard in Corvallis, Oregon, operated by HOV Operations LLC with Roxanne Smith as administrator. The facility has operated since September 2006. There are 87 licensed beds. The facility is part of the Avamere Family of Companies, an Oregon-based operator with more than 25 years of experience in senior care across the Pacific Northwest.

Core service offerings include post-acute and skilled nursing care, in-house rehabilitation, community-based care coordination, and healthcare management. Physical, occupational, and therapy services are available on-site. The facility is oriented around short-term recovery and return-to-home goals for individuals stepping down from hospitalization who require continued medical oversight and rehabilitative support.

The Oregon Department of Human Services, Aging and People with Disabilities conducted one inspection with zero citations issued. No deficiencies, fines, or severe citations appear in the available data. The facility does not have a published CMS star rating. Families should verify current operational and Medicare certification status directly with the facility.

Avamere Heart of the Valley Rehabilitation is suited for individuals requiring short-term post-acute rehabilitation or skilled nursing care following hospitalization. Families interested in amenity offerings and room configurations should contact the facility directly.

Volante of Hillsboro is located at 351 SE 5th Street in Hillsboro, Washington County, Oregon. Historically operating as Harmony Guest Home, the facility is now branded under the Volante name. Oregon classifies it as a residential care facility, not a skilled nursing facility. IHC-Harmony OpCo, LLC owns the facility, with Silvia Iancu serving as administrator. The facility’s license was issued May 1, 1990, putting it at approximately 35 years in operation as of 2025 to 2026.Volante operates two distinct programs serving different resident needs. The open side serves residents who need care and supervision but want some independence. The secured, locked side serves residents who require more intensive daily assistance.

Both programs provide three meals daily and snacks. Staffing is 24-hour with specially trained memory care staff. A 24-hour emergency call system is in place. Care types offered include assisted living, memory care, and independent living. Nine confirmed amenities include dining, social activities and events, fitness groups, transportation, outdoor recreation areas, a library, arts and crafts, a movie theater, and a game room. Medication management, behavior management, housekeeping, personal care, and respite care are confirmed. The grounds include landscaped gardens and common areas. Linen services, utilities inclusion, and pet policy are not specified and warrant direct inquiry.

The Oregon Department of Human Services, Aging and People with Disabilities conducted five inspections to date, with the most recent on March 6, 2024. The facility has accumulated 28 total citations and 32 total deficiencies, both slightly above the Oregon state averages of 27 and 31 respectively. No fines and no severe citations are on record. Licensed capacity is 62 beds. Occupancy figures are not publicly available.Volante of Hillsboro suits residents seeking assisted living or memory care with emphasis on community engagement and meal quality. Reviewers consistently describe staff as attentive and invested in resident well-being. Memory care programming is noted as a particular strength. Families should confirm with administrators directly what utilities and linen services are included, verify the pet policy, and ask about current occupancy and availability before placement.

Cascade Terrace Post Acute is a 105-bed dually certified skilled nursing facility at 5601 SE 122nd Avenue in Portland, Oregon. It is administered by Blake Epp through Cascade Terrace SNF Healthcare, LLC. The facility received its license in September 2024. Its Medicare Quality Measures rating of 4 out of 5 stars is a meaningful credential for a facility at this early stage of operation.

Cascade Terrace specializes in post-acute skilled nursing and short-term rehabilitation with therapy and assessment services provided six to seven days per week and 24-hour skilled nursing coverage. Specialty services include joint replacement and orthopedic rehabilitation, stroke rehabilitation, cardiac rehabilitation with a congestive heart failure protocol, pulmonary care, post-operative care, pain management, intravenous and infusion therapy, vascular wound management, tracheostomy care, renal and digestive disease services, cancer recovery, and bariatric care. Physical, occupational, and speech therapy are provided on-site alongside pharmacy, laboratory, and X-ray services. The facility also offers Left Ventricular Assist Device care, a highly specialized cardiac service rarely available outside major medical center-affiliated skilled nursing facilities. Coordinated palliative and hospice care is available. Private and semi-private rooms, a monthly activities calendar, social services, transportation assistance, and case management with discharge planning are provided.

The Oregon Department of Human Services, Aging and People with Disabilities has conducted 10 inspections of the facility. The facility was licensed in September 2024; families should verify whether 10 complete inspection cycles have acctually been conducted by November 2025, and confirm the citation and deficiency count methodology. According to available information, cumulative totals show 41 citations and 61 deficiencies, both above Oregon state averages of 27 and 31 respectively. The most recent inspection occurred on November 6, 2025. No CMS overall composite star rating was available at the time of this profile.

Cascade Terrace Post Acute suits individuals requiring intensive post-acute rehabilitation or medically complex skilled nursing care, particularly those with advanced cardiac needs. Families should ask administrators to explain the citation and deficiency counts and verify corrective actions before placement.

Farmington Square Medford is located at 1530 Poplar Drive in North Medford, Jackson County, Oregon, about 4.8 miles from the city center. Oregon classifies it as a residential care facility. The registered owner is RSL Medford, LLC, operating under Radiant Senior Living, a family-owned company run by James and Jodi Guffee. The administrator is Joni Shale. The facility’s license was issued January 31, 1994, putting it at roughly 32 years in operation as of 2025-2026. Licensed capacity is 81 beds. Occupancy is not publicly reported.

The Oregon Department of Human Services, Aging and People with Disabilities conducts unannounced survey inspections. Only two inspections are on record for Farmington Square Medford despite its 32-year operating history, which is significantly below typical state inspection frequency. The most recent inspection was December 20, 2023. The facility’s cumulative totals show nine citations and eleven deficiencies, both well below the Oregon state averages of 27 and 31. No fines and no severe citations have been issued.

This is an exclusively memory care facility offering no traditional assisted or independent living services. Two care programs operate on-site. The Transitions Program is designed for residents in early and developing stages of Alzheimer’s or dementia, grouping residents by cognitive ability so people at similar stages live and socialize together. As a resident’s needs progress, they move into the Memory Care program, which adds mobility, bathing, dressing, and incontinence support. Staffing is 24-hour, with access to on-site therapists and doctors. The facility operates single-story, cottage-style residences, each with a private dining room, living space, and enclosed patio. Rooms are furnished by the facility. Shared amenities include an outdoor garden, a game and activities room, communal living areas, three daily meals on a rotating menu, and a full activity schedule covering physical wellness and social programming.

Review data across 38 Seniorly reviews yields an aggregate score of 8.6/10, the highest in this facility series. Reviewers have noted both strengths and trade-offs. Staff attentiveness and the cottage environment are frequently mentioned positively. However, some reviewers have described the facility as a low-budget operation with basic amenities in an older building. Understaffing on some shifts has been reported, with call buttons occasionally unanswered for 10-20 minutes. Providence Medford Medical Center is approximately 4.14 miles away and provides acute care, emergency services, and rehabilitation services. Asante Rogue Regional Medical Center, a Level II trauma center, is also in Medford. The ADRC for Jackson County is administered through the Rogue Valley Council of Governments at 155 North 1st Street in Central Point and can be reached via the statewide line at 855-673-2372.

Farmington Square Medford suits families seeking an exclusively memory care community in Medford with stage-based grouping for residents at different cognitive levels. The cottage-style physical environment distinguishes it from standard memory care settings. However, limited inspection history, staffing gaps on some shifts, and the older building with basic amenities warrant careful verification. Families should ask administrators directly about staffing levels and response times to resident call buttons on all shifts, and verify what maintenance and facility upgrades are planned, before placement.

Holly Residential Care Center is a 42-bed residential care facility located at 1075 Irvington Drive in Eugene, Lane County, Oregon, about 3.9 miles from the city center. The facility is operated by Ohana Ventures under Ohana Eugene Operations, LLC, under the same parent company as Oak Lane Residential Care Facility in Grants Pass. It is described as three-generation family-owned. The current administrator is Christy Kruse. The facility’s license was issued August 15, 1993, though the facility reports opening in 1999; ALM reports 32 years of operation based on the license date.

Holly Residential specializes in adults with traumatic brain injuries and physical or cognitive disabilities rather than primarily serving seniors. The average resident age is 55, with some residents in their twenties and others remaining through late life. The facility received a 2023 Bronze National Quality Award and a 2024 Silver National Quality Award from the American Health Care Association and National Center for Assisted Living, and a 2024 Pinnacle Best in Class Award for customer service. Occupancy is not publicly reported. Staffing is 24-hour with nursing involvement confirmed, though the facility does not publicly specify on-site registered nurse hours.

Confirmed amenities include meals, housekeeping, activities programming, medication management, personal hygiene assistance, and nursing involvement. The physical environment features wide hallways with handrails, fall-prevention carpeting, a central courtyard with raised garden beds and outdoor dining, a large naturally-lit dining room, and a commercial kitchen accommodating dietary and texture requirements. Additional services include an arts room, walking paths, movie nights, and regular field trips. A cleaning crew operates seven days a week.

The Oregon Department of Human Services, Aging and People with Disabilities has conducted four unannounced inspections, most recently June 3, 2024. Cumulative totals show five citations and nine deficiencies, both exceptionally low relative to Oregon state averages of 27 and 31 respectively. No fines and no severe citations have been issued. Reviews are overwhelmingly positive, with staff consistently described as loving, invested, and long-tenured. One reviewer noted their family member had lived there continuously for 30 years. One substantive negative involves a denture-care lapse for a nonverbal resident; the staff were eventually responsive but the initial lapse occurred.

Holly Residential Care Center suits adults of various ages living with traumatic brain injuries, physical or cognitive disabilities, or complex care needs who value a family-owned, award-recognized community with an exceptionally clean compliance record. Families with nonverbal residents should ask directly about oral care protocols. Families should also clarify on-site registered nurse availability and hours, nursing scope of practice, and protocols for medical emergencies before placement.

Pacific Gardens Care Center is a nursing home and skilled nursing facility in Tigard, Oregon at 14145 SW 105th Street, an independent for-profit facility owned by Pacific Gardens Estates, LLC and administered by Brian Teed. The facility has been in operation for approximately 20 years since its license was issued in April 2006. There are 112 licensed beds, placing it in the medium-capacity range. The facility is 1.8 miles from the Tigard city center.

The Oregon Department of Human Services, Aging and People with Disabilities has conducted one inspection on record, which identified one deficiency. Reported nurse hours per resident per day total 5.1, comprising 1.0 RN hours, 0.4 LPN hours, and 1.1 CNA hours. Confirmed programs and services include CARE options, dining services, wellness activities, and gallery tours. Meals are prepared fresh on-site. The residential model is structured around a medium to large shared setting. Pets are not permitted.

The nearest hospital is Legacy Meridian Park Medical Center. Senior resources are available through Washington County Disability, Aging and Veteran Services (DAVS) at 855-673-2372, providing caregiver support, Medicare assistance, benefits connection, in-home services, and veterans’ benefits. The facility is situated within the Tigard senior community near Bridgeport Village, Washington Square, and Cook Park.

Pacific Gardens Care Center suits seniors in Tigard seeking skilled nursing care in a medium-capacity facility. The 20-year operational history and single deficiency on record indicate stable compliance. However, the limited inspection history means families should verify current care practices directly. Families should ask administrators about the nature of the single deficiency on record, current staffing adequacy, specific activity programming, and any changes to operations since the facility’s only inspection before placement.

Vista Specialty Care is a 78-bed skilled nursing facility located at 103 Adams Avenue in La Grande, Union County, Oregon, administered by Mike Jacobs and owned by Evergreen Oregon Healthcare Valley View, LLC. The for-profit facility is part of the Evergreen Healthcare network and is dually certified as both a skilled nursing facility (SNF) and nursing facility (NF) for Medicare and Medicaid. Vista Specialty Care was licensed on November 3, 2004, and has been in operation for approximately 21 years.

Vista Specialty Care provides post-acute and long-term hospital-model acute care focused on medically complex and higher-acuity patients. Confirmed specialty programs include respiratory care, complex wound care, specialized rehabilitation, cardiac care and monitoring, and care for infectious diseases. Staffing includes 24-hour skilled nursing care. Associated clinical staff include physical therapist Kimberly D. Kinkito and mental health counselor Dayneen Koopman, MA, QMHP. Vista Specialty Care is not a general assisted living or memory care community and does not serve residents seeking standard residential care models.

The Oregon Department of Human Services, Aging and People with Disabilities conducted the most recent inspection on June 4, 2024. The inspection identified one deficiency related to general regulatory requirements with no specific resident care or safety issues cited. This compliance picture reflects strong adherence to state regulatory standards.

Vista Specialty Care is suited for medically complex residents in La Grande requiring post-acute or long-term hospital-level skilled nursing care, particularly those with respiratory, wound, or cardiac care needs. Families evaluating Vista Specialty Care should verify current census, staffing capacity, and availability of specialized services for their loved one’s specific clinical needs before placement.

Tigard Rehabilitation and Care, also known as Sapphire at Tigard Rehab, is a dually certified skilled nursing and nursing facility located at 14145 SW 105th Avenue in Tigard, Washington County, Oregon. The facility is owned by Sapphire at Tigard Rehab, LLC, with Jeffrey Zheng serving as administrator. The facility’s license was issued September 1, 2023. It is CMS certified with CCN 385272 and accepts both Medicare and Medicaid.
The licensed bed count is 112. Current occupancy stands at 34.6 percent with 39 occupied beds. Payer mix is 45 percent private pay, 40 percent Medicaid, and 14 percent Medicare. Nursing hours per resident per day total approximately six hours. Staffing runs 15 percent above the state average with skilled nursing confirmed. Care types include skilled nursing, rehabilitation, long-term care, memory care, hospice, post-hospital transitional living, assisted living support, in-home care, and specialized health services.

The Oregon Department of Human Services, Aging and People with Disabilities, along with CMS, has conducted ten inspections reflecting dual SNF oversight. The most recent inspection was November 17, 2025. The facility received 19 citations and 46 deficiencies, plus one recorded fine. The CMS overall rating is one out of five stars, compared to an Oregon average of 3.1 out of five. Health inspection rating is two out of five stars compared to state average of 2.9 out of five. Quality measures rating is one out of five stars compared to state average of 3.5 out of five. The latest inspection identified deficiencies in quality of care, pressure ulcer treatment, pharmacy services, and administrative rules. Earlier inspections show a pattern of abuse and neglect citations, misappropriation, and care planning issues.

Tigard Rehabilitation and Care suits residents requiring short-term skilled nursing or rehabilitation following hospitalization or long-term nursing care needs. However, the one out of five star CMS overall rating and recurring deficiencies in quality of care, pressure ulcer treatment, and care planning warrant careful evaluation. Families should ask administrators specifically about corrective actions taken on quality of care, pressure ulcer management, pharmacy services, administrative rule compliance, care planning accuracy, and abuse and neglect prevention before placement.