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Tend · Memory Care · Portland, Oregon

Every Person Here Is Someone’s Whole World

A residential home where trained companions guide people through the fog of Alzheimer’s and dementia — with warmth, honesty, and every detail accounted for.

Fund a Day of CareSee what a Tuesday looks like →
Licensed by Oregon Health Authority·Staff-to-Resident Ratio: 1 to 4·Music Therapy 5 Days a Week·Family Satisfaction: 94%·Last Inspection: Zero Deficiencies·Average Tenure: 4.2 Years·Meals Prepared On-Site Daily·Nonprofit · Est. 2011·Licensed by Oregon Health Authority·Staff-to-Resident Ratio: 1 to 4·Music Therapy 5 Days a Week·Family Satisfaction: 94%·Last Inspection: Zero Deficiencies·Average Tenure: 4.2 Years·Meals Prepared On-Site Daily·Nonprofit · Est. 2011·
Transparency · Daily Life

A Tuesday at Tend

This is a composite of a real resident’s day — details changed for privacy, nothing invented for comfort. This is what we actually do.

7:00 am

Margaret wakes before the alarm. Her companion, Rosa, is already there — has been for ten minutes, sitting quietly with the lamp on low. "Good morning, Margaret." Twice, if needed.

7:30 am

Oatmeal at the right temperature. Brown sugar on the side because she always preferred to add it herself. Rosa notes in the daily log: "Good appetite. Mentioned her garden twice."

9:15 am

Music therapy with James. Today: Patsy Cline. Margaret's foot moves. She doesn't know why, but something in her does. James never calls attention to it.

11:00 am

Her daughter Sarah calls. Rosa stays close. When Margaret says "who is this?" Rosa leans in gently: "It's Sarah, your daughter." The fourth time this morning. It doesn't get easier. It doesn't have to.

1:00 pm

Lunch in the common room. Margaret sits near the window. She watches the birds at the feeder for eleven minutes. No one interrupts her.

3:30 pm

Rest. Rosa checks in at the door without entering. The room is quiet. Outside, the afternoon light is the color of old photographs.

6:00 pm

Dinner. Afterward, Margaret takes Rosa's hand and says something that doesn't quite make sense. Rosa holds her hand anyway. Sometimes sitting quietly is the only kindness left.

"We don’t manufacture warmth for the website. We document what actually happens and let families decide if it’s enough."

— Claudine Okafor, Director of Resident Care

Transparency · Finances

Where the Money Goes

The full daily cost per resident is $256. Here is every dollar, accounted for. We show you the books before we ask for the check.

Figures are averages from our 2025 audited financial statements. Download full report →

Direct Resident CareCompanion hours, personal care, activity programming
$148per resident/day
Meals & NutritionThree meals + two snacks, prepared on-site from whole ingredients
$34per resident/day
Music & Art TherapyLicensed therapists, 5 days/week, individual and group sessions
$28per resident/day
Facility & SafetyMaintenance, secure outdoor spaces, medical equipment
$38per resident/day
AdministrationInsurance, licensing, compliance, family communication systems
$8per resident/day

Why we show this: Families making this decision deserve to know exactly what their contribution funds. 58 cents of every dollar goes directly to the people caring for your loved one. We believe that number should be higher, and we’re working on it.

Transparency · Our People

The People in the Room

Credentials matter. Tenure matters more. Here are both, with no omissions.

4.2yrs

Average staff tenure

Industry average: 1.1 years

1:4

Companion-to-resident ratio

State minimum: 1:8

0

Deficiencies, last inspection

Oregon Health Authority · Nov 2025

94%

Family satisfaction

Annual survey · 47 of 50 families responded

Claudine Okafor

Director of Resident Care

RN, 18 years dementia care

Trained at UCSF Memory & Aging Center

Rosa Delgado-Marsh

Lead Companion

CNA, Certified Dementia Practitioner

9 years at Tend — has never left

James Whitfield

Music Therapist

MT-BC, Board Certified

Published research on music & memory, 2022

Oregon Health Authority License

License No. OHA-RCF-2011-0847 · Expires December 2026

View inspection report →
From Families

What Families Say

“

My mother didn't know my name the last fourteen months of her life. But she knew Rosa's voice. She'd calm the moment she heard it. That's not something you can train. Tend found people who already had it.

Daniel Merritt

Son of a resident · Portland, OR

Mother at Tend: 28 months
“

I live in Boston. I was managing my father's care from 3,000 miles away, running on guilt and conference calls. The first time the care coordinator sent me a photo of him laughing at the bird feeder, I sat in my car and cried for twenty minutes. I hadn't seen him laugh in two years.

Priya Venkataraman

Daughter of a resident · Managing care remotely

Father at Tend: 14 months
“

I was the spouse. Nineteen months without a full night of sleep. The night we moved Gerald in, I went home and slept for eleven hours. I still feel guilty about how good that felt. The Tend team told me that's exactly what's supposed to happen.

Barbara Schreiber

Spouse of a resident · Lake Oswego, OR

Husband at Tend: 3 years

Testimonials are from verified family members, shared with written permission. Names used with consent. We do not edit quotes for tone. Methodology: annual written survey sent to all active families (2025 response rate: 94%).

Support Tend

Fund a Day of Care

You’ve seen the books. You know where it goes. If you’re ready, we’re grateful. Every gift funds something real.

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Your $80 gift: covers a full day of meals for one resident

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