A refined adult family home where clinical precision meets genuine warmth — serving seniors and families across Gresham, Troutdale, and East Portland.
State Licensed
License #11014
24/7 Oversight
On-site staff
5-Star Reviews
Google · 24 reviews
1:3
Staff-to-Resident Ratio
Personalized attention at every hour of the day.
Oregon Licensed
License #11014 · Since 2015
Oregon DHS certified since August 2015 — 11 years of trusted care.
Memory Care
Neurocognitive Specialists
Evidence-based protocols for dementia and Alzheimer's.
At Grace Care, we believe every person deserves to feel safe, respected, and truly at home. Our boutique adult family home model — with a maximum of five residents — allows us to focus on the whole individual, not just the diagnosis.
“Every detail is curated so your loved ones feel safe, seen, and truly at home.”
Located at 1632 SW Orchard Ave, Gresham OR 97080, we are minutes from Providence Hood River Memorial and Legacy Mount Hood Medical Center, ensuring rapid specialist access when needed.
Location
1632 SW Orchard Ave Gresham, OR 97080
License
Oregon DHS License #11014
Established
August 2015 11 Years of Care
Capacity
Max 5 Residents Boutique Model
Oversight
24/7 On-Call On-Site Staff
Unlike large facilities with 1:10+ ratios, our maximum of 5 residents means your loved one always has a named caregiver who truly knows them.
Fully certified Adult Family Home under Oregon DHS (License #11014). Operating since August 2015 with a 100% compliance record — documentation available on request.
A Registered Nurse supervises all care plans, medication management, and health monitoring — bringing hospital-grade vigilance to a home setting.
Specialized training in Alzheimer's, Lewy Body, and vascular dementia. Our environment and routines are structured to reduce confusion and anxiety.
Every resident receives a detailed assessment before move-in. Activities, nutrition, sleep, and social needs are customized — not standardized.
Every meal is freshly prepared in our home kitchen — nutritious, comforting, and tailored to each resident's dietary needs. Real home care starts at the dinner table.
Our clinical team is trained to manage complex diagnoses that typically require institutional settings — within a dignified, home-like environment in Gresham, Oregon.
Full Services List"Our mission is to eliminate the clinical feel of a hospital while maintaining the highest level of medical vigilance and genuine human connection."
Larisa
Founder & Director of Care, Grace Care LLC
15+ Years
Clinical Experience
Oregon RN
Licensed Registered Nurse
5 Residents
Boutique Capacity
100%
State Compliance Record
From the moment I wheeled my dad into Larisa's home we felt like family. The level of attention and genuine love they show every resident is unlike anything I've seen in any other facility in the Portland area.
Kristi Davidson
Daughter of Resident · Gresham, OR
I cannot recommend By Grace Care Home enough. Larisa, her family, and staff welcomed my mom with open arms. She is well cared for, engaged, and most importantly — happy. This is true boutique senior care.
Denise Erwin-Smith
Daughter of Resident · Troutdale, OR
Larisa and her team cared for my mother-in-law with extraordinary compassion until she peacefully passed. They became her second family. We would not have trusted anyone else with her final chapter.
Tami Erwin
Daughter-in-Law of Resident · East Portland, OR
Answers to the most common questions from families considering assisted living in Gresham and the greater Portland, Oregon area.
Ask a QuestionAn Adult Family Home is a licensed residential care setting with a maximum of five residents, regulated by Oregon DHS. Unlike large nursing facilities, AFHs provide a genuine home environment with a much higher staff-to-resident ratio. Grace Care is a certified Oregon AFH in Gresham.
We maintain a maximum of five residents with a dedicated staff team, providing a 1:3 resident-to-staff ratio. This means personalized attention, continuity of care, and staff who truly know each resident's preferences, routines, and health history.
Yes. We have specialized training in Alzheimer's disease, Lewy Body dementia, vascular dementia, and Parkinson's-related cognitive changes. Our environment, routines, and programming are designed using evidence-based approaches for neurocognitive support.
Our Gresham location is conveniently close to Providence Hood River Memorial Hospital and Legacy Mount Hood Medical Center, and within 20 minutes of multiple Portland-area specialty centers, ensuring rapid access to advanced medical care when needed.
Adult Family Homes may be covered under Medicaid's Oregon Project Independence or K-Plan. Private long-term care insurance is also commonly accepted. We encourage families to schedule a consultation to discuss financial options specific to their situation.
The first step is a no-pressure private tour where you can meet our team and see the home. We then complete a needs assessment and care plan review before any decisions are made. Contact us by phone or through our online form to schedule.
Give your loved one the safety, clinical expertise, and genuine warmth they deserve — in Gresham, Oregon's most intimate boutique care home.
No pressure. Just a friendly conversation about your family's needs.
