Daily living
Compassionate help with bathing, dressing, grooming, eating, toileting, and incontinence care — always with dignity and privacy.
25 years of adult-care experience
Compassionate care, experienced hands, a place that feels like home.
Tess' Adult Care Home is two small, owner-operated care homes in Milwaukie, Oregon — side by side, five residents each — where older adults are cared for with dignity, patience, kindness, and respect.
Licensed Oregon Adult Foster Homes · Owner-operated · day & night support
Two homes, five each
A true small-home ratio
Day & night support
Caregiver on duty by day, on-site & on-call overnight
25 yrsOf adult-care experience
21 yrsOwner-operated care homes
2 homesTwo licensed homes, side by side
5 eachUp to five residents per home
A note from our home
We run our homes the way we'd want our own mother cared for.
When you walk in, it doesn't feel like a facility. It feels like a house — because it is one, and both of our homes are owner-operated.
In 25 years of caring for older adults — 21 of them running our own homes — I've learned that good care is about far more than completing daily tasks. It's about making someone feel safe, comfortable, respected, and at home. With only five residents in each home, we have the time to learn each person's routines, preferences, favorite foods, and the stories they love to tell again.
Our caregivers assist with the everyday things — bathing, dressing, meals, and medications — with patience and real affection. Because we're owner-operated, families have direct communication with the people responsible for their loved one's care, and we work closely with physicians, nurses, therapists, and hospice providers.
If you're looking for a safe, warm place for someone you love, I'd be honored to show you around and answer every question you have.
— TerezaOwner, Tess' Adult Care Home
Personalized Care
Assisted-living support, in a real home.
Every resident has a care plan built around who they are and what they need — from a little help getting dressed to complex, hands-on daily support.
Medication management
Careful administration and management of daily medications, coordinated with each resident's physician and pharmacy.
Memory & neurological care
Patient, consistent support for residents living with dementia, Alzheimer's, or Parkinson's — built on familiar routines and reassurance.
Hospice & respite care
End-of-life support alongside a resident's hospice team, plus short-term respite stays when families need trusted care for a while.
Home-cooked meals
Nutritious meals and snacks prepared fresh in our kitchen, tailored to each resident's diet, needs, and preferences.
Mobility & care coordination
Transfer, mobility, and fall-risk assistance, plus coordination with outside nurses, physical therapists, and occupational therapists.
Experienced care you can trust
Needs we have cared for, again and again.
Over 25 years we've supported older adults through a wide range of physical and cognitive changes, always with a calm, individualized approach.
Dementia & memory care
Alzheimer's disease
Parkinson's disease
Mobility limitations
Fall-risk & transfer assistance
Medication management
Activities of daily living
Incontinence care
Hospice & end-of-life support
Respite & short-term care
Complex care needs
Age-related physical & cognitive change
Why families choose us
What a five-person home gives that a large facility can't.
01
An unhurried ratio
With a maximum of five residents in each home, care is personal and immediate — no waiting, no rotating faces, no being one of forty.
02
Owner-operated
The owner stays personally involved in daily care, so families have direct communication with the people responsible for their loved one — not a call center.
03
A genuine home
Private and semi-private rooms, a shared kitchen and living room, and a garden to sit in — the rhythms of a house, not a hallway.
04
Care that can stay
From assisted living through dementia, Parkinson's, and hospice, residents can remain in a familiar place as their needs change.
Meet the family
Meet the family behind Tess' Adult Care Home.
More than a care home — this is our family home.
Tess' Adult Care Home is truly family-owned, family-operated, and family-centered. Our family doesn't simply come to work here — we live here too.
Our two adult care homes are home to our residents as well as members of our own family. Alex and Olivia live at our Thiessen home, while Tereza, her husband, and their children live at our La Bonita home.
Having our family present in the homes creates the warm, familiar atmosphere we believe makes adult foster care so special. Residents become part of the everyday rhythm of our household — sharing meals, conversations, celebrations, and the simple moments that make a house feel like home.
Along with our dedicated caregivers, our family is personally involved in making sure our residents feel safe, respected, comfortable, and genuinely at home.
When we say "a place to call home," we mean it.
Our two locations
Two homes, side by side in Milwaukie.
Having two neighboring homes lets us match each resident to the right setting and keep every home small, calm, and personal.
Home One
Tess' Adult Care Home
15550 SE La Bonita Way
Milwaukie, OR 97267
Milwaukie, OR 97267
Licensed adult foster home · up to 5 residents · daytime care with overnight on-call support
Home Two
Tess' Adult Care Home 2
4821 SE Thiessen Rd
Milwaukie, OR 97267
Milwaukie, OR 97267
Licensed adult foster home · up to 5 residents · daytime care with overnight on-call support
One phone call reaches both homes — we'll help you find the right fit. Schedule a visit →
A look inside
Comfortable, homelike, and built for safety.
Bright, open living spaces, private bedrooms residents can make their own, and accessible bathrooms and hallways throughout.
Life at Tess'
A comfortable, familiar day.
Mornings that start at your own pace, a warm kitchen, good company, and quiet corners to rest — the everyday comforts of home.
Private rooms
Comfortable private and semi-private rooms residents can make their own.
Fresh meals
Home-cooked breakfast, lunch, and dinner shared around one table.
Garden & deck
Outdoor space to enjoy fresh Oregon air, sunshine, and the garden.
Family always welcome
Visit anytime — families are part of daily life here, not guests on a schedule.
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Good to know
Questions families ask.
Have one that isn't here? Call us — we're glad to talk it through.
What exactly is an adult foster home?
It's a state-licensed home that provides care and room-and-board for a small number of older adults — no more than five per home. It offers the same daily support as assisted living, but in an actual house with a very high caregiver-to-resident ratio.
You have two homes — what's the difference?
Our two homes sit right next to each other in Milwaukie and offer the same owner-operated, 25-years-experienced care. Having two lets us keep each home small and match every resident to the setting that suits them best. One phone call reaches both.
Do you offer short-term or respite care?
Yes. Alongside long-term residents, we provide respite and short-term stays — a trusted option when a family caregiver needs to travel, recover, or simply rest.
Can you care for dementia, Alzheimer's, or Parkinson's?
Yes. We have specialized experience with memory and neurological conditions. Our approach focuses on dignity, familiar routines, reassurance, and a calm home environment, encouraging independence whenever it's safely possible.
How involved are families in a resident's care?
Very. Because we're owner-operated, families communicate directly with the people responsible for care. We work closely with each resident's physicians, nurses, therapists, and hospice providers, and family is always welcome to visit.
Come see for yourself
Let's find the right home together.
Choosing a care home is a personal decision. Call or email Tereza directly, or send a visit request — there's no pressure, just a conversation and a look around.
EmailTessadultcarehome@yahoo.com
Home One15550 SE La Bonita WayMilwaukie, OR 97267
Home Two4821 SE Thiessen RdMilwaukie, OR 97267
Request a visit
Tell us a little about your needs and we'll be in touch to arrange a time.