The office includes three programs: Long-Term Care Ombudsman, the Residential Facilities Ombudsman and the Oregon Public Guardian. The office works to protect individual rights, promote independence and ensure quality of life for Oregonians living in long-term care and residential facilities and for Oregonians with decisional limitations. 

The agency’s two Ombudsman programs investigate and resolve complaints on behalf of residents, using a network of trained and certified volunteer ombudsmen. The Oregon Public Guardian program serves as a court-appointed, surrogate decision maker for adults incapable of making decisions about themselves and their affairs, and who have no one else to serve as their guardian or conservator.​