How much does a nursing home cost in Oregon?
The median nursing home cost in Oregon is $18,448 per month for a private room and $16,760 per month for a semi-private room, based on the CareScout 2025 Cost of Care Survey released March 2026. That's roughly $221,373 per year for a private room.
Oregon nursing home costs run 7% above the national median.
2026 Oregon senior care costs at a glance
| Care type | Oregon median/month | National median (CareScout 2025) | Difference |
|---|---|---|---|
| Nursing home (private) | $18,448 | $10,798 | +71% |
| Nursing home (semi-private) | $16,760 | $9,581 | +75% |
| Memory care (est) | $8,600 | $7,750 | +11% |
| Assisted living | $6,875 | $6,200 | +11% |
| Non-medical caregiver (hourly) | $40 | $35 | +14% |
See your exact spend-down timeline for Oregon
Enter your savings, income, and care type to see how long your money lasts before reaching Oregon Medicaid asset limits.
Open the Oregon calculator →Nursing home costs by Oregon city
Costs vary by metro area within the state. Urban markets typically run 10–25% above state medians, while rural areas can be 10–20% below.
City-level estimates are based on CareScout 2025 metro-area data. Individual facility costs vary 20–40% from these medians depending on amenities, staffing ratios, and room type.
Oregon Medicaid for nursing home care
Oregon Medicaid covers nursing home care for residents who meet both medical eligibility (need for skilled nursing care) and financial eligibility (limited assets and income). Understanding the rules before you need them can save your family hundreds of thousands of dollars.
Oregon Medicaid 2026 asset limits
Individual applicant: $2,000 in countable assets (2026)
Married couple, one spouse applying: Community spouse may keep up to $162,660 under the federal Community Spouse Resource Allowance (2026 maximum), plus the home, one vehicle, and personal belongings
The 5-year look-back period in Oregon
Oregon Medicaid reviews all asset transfers made within 60 months (5 years) of your application date. Gifts to family, property transfers below market value, or large unexplained withdrawals trigger a penalty period that delays Medicaid eligibility — during which you must private-pay.
Oregon's 2026 penalty divisor is approximately $18,448 per month (~$607 per day). A $50,000 transfer that violates the look-back rule would create roughly a 81-day penalty period during which Oregon Medicaid will not cover care costs.
This is why elder law attorneys consistently advise families to begin Medicaid planning at least 5 years before nursing home care is needed.
Find a Oregon elder law attorney
The National Academy of Elder Law Attorneys maintains a state-by-state directory of certified elder law attorneys.
Find a Oregon attorney →What makes Oregon different
Oregon was one of the first states to implement the Community First Choice option under the Affordable Care Act, branded the K Plan — a 1915(k) state-plan entitlement that pays for personal-care services in nursing facilities, assisted living, residential care facilities, and adult foster homes with no waitlist for eligible residents. Oregon also operates a Spousal Pay Program and Independent Choices Program that allow a spouse to be compensated as a paid caregiver, an option most state Medicaid programs prohibit. The state distinguishes five separate residential settings (Adult Foster Home, Residential Care Facility, Assisted Living Facility, Memory Care, Nursing Facility), each with separate regulations under the Department of Human Services Aging and People with Disabilities division.
Sources: state Medicaid agency program documentation and CMS spousal-impoverishment standards. See our methodology page for the broader data sources used across this site.
How Oregon compares to neighboring states
Cost differences across state lines can be substantial. Some families consider relocating for care, particularly if adult children live across a border.