The Butte
Nursing Home · Gresham, OR

Overview of The Butte

The Butte is a 32-bed residential care and memory care community at 1250 SE Roberts Avenue, Gresham, Multnomah County, Oregon, operated by Sapphire At The Butte LLC. The facility offers memory care, respite care, and rehabilitation services alongside standard residential care, with 24-hour staffing and chef-prepared meals.

Kitchen sanitation and resident service documentation stand out as persistent regulatory challenges. Over two years, The Butte logged 16 total deficiencies; an average of eight annually, 19 percent above Oregon’s 6.7-deficiency benchmark.

The November 4, 2024, routine inspection documented one deficiency covering kitchen sanitation failures: splatters, spills, debris, and an ice machine leak. A March 25, 2024, complaint investigation cited two deficiencies in resident services: improper physical contact with a combative resident and undocumented personal incidental funds; staff termination and audits followed. The June 27, 2023, comprehensive inspection identified ten deficiencies spanning reasonable precautions, service plan completeness, change of condition monitoring, acuity-based staffing tool accuracy, environmental disrepair, resident unit key access, housekeeping and laundry standards, and wiring system hazards; many were corrected by October 14, 2023, revisit. An April 27, 2023, kitchen inspection revealed three sanitation deficiencies involving equipment cleanliness and food preparation; some were corrected by October 2023.

Complaint investigations did not yield substantiated findings. No fines or license suspensions appear in the record. The trajectory suggests active work on environmental and safety issues, yet kitchen sanitation and documentation gaps remain recurrent themes.

The facility operates 24-hour staffing, chef-prepared meals, daily snacks, enriching activities, personal care, medication support, and transportation. Nursing care averaged 11 percent above the Oregon state benchmark, signaling stronger staffing depth. The 32-bed size enables personalized attention. Private pay is required; Medicaid and Medicare are not accepted.

Families should verify corrective actions following the March 2024 resident services complaint and current kitchen sanitation protocols and staffing practices before placement.

Bed community size
32-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
46 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 47 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

License Details

Facility TypeResidential Care Facility
StatusActive
IssuanceDecember 15, 1979
CountyMultnomah
License Number50M092

Ownership & Operating Entity

The Butte is administrated by Rebecca Callahan.

Owner NameSapphire At The Butte LLC

Safety & Compliance

Emergency SystemsYes
Safety FeaturesEmergency call system available.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

5 services
Specialty Care
Home Care
Skilled Nursing & Rehabilitation Care
Hospice
Transitional Independent Living

Contact Information

Amenities & Lifestyle

24/7 Care
Chef-Prepared Meals
Daily Snacks
Enriching Social Activities
Personal Care
Medication Support
Transportation
Specific ProgramsEmployment, Nursing Assistant Training Program, payment portal, Family Portal

Dining & Nutrition

Food DescriptionChef-prepared meals and daily snacks are provided.

Contact The Butte

Inspection History

In Oregon, the Department of Human Services, Aging and People with Disabilities performs unannounced surveys and regular inspections to ensure resident safety in all care settings.

Since 2023 · 3 years of data 14 deficiencies 4 inspections

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Oregon state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. Oregon state average
Overall vs. OR average 0 Worse No metrics in this bucket. 4 Better Metrics better than Oregon average:
• Total deficiencies (55% below)
• Deficiencies per year (54% below)
• Deficiencies per inspection (20% below)
• Total inspections (43% below)
Latest Inspection November 4, 2024

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityOR Averagevs. OR Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1431 This facility has 55% fewer total deficiencies than a typical Oregon nursing home (14 vs. OR avg 31).↓ 55% better
Deficiencies per year Info Average deficiencies per year since 2023. 4.710.3 This facility has 54% fewer deficiencies per year than a typical Oregon nursing home (4.7 vs. OR avg 10.3).↓ 54% better
Deficiencies per inspection Info Average deficiencies per inspection. 3.54.4 This facility has 20% fewer deficiencies per inspection than a typical Oregon nursing home (3.5 vs. OR avg 4.4).↓ 20% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityOR Averagevs. OR Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 47 This facility has 43% fewer total inspections than a typical Oregon nursing home (4 vs. OR avg 7).↓ 43% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on November 4, 2024, found deficiencies related to kitchen sanitation, including splatters, spills, debris, and an ice machine leak. Earlier inspections also noted issues with food sanitation and kitchen cleanliness, as well as multiple deficiencies involving resident service plans, monitoring of resident conditions, environmental maintenance, and safety precautions. Complaint investigations in March 2024 identified problems with resident services and documentation, leading to staff termination and audits, but no fines or enforcement actions were listed in the available reports. Most complaints were unsubstantiated or addressed through corrective actions, and prior kitchen and environmental deficiencies were partially corrected by follow-up visits. The inspection history shows ongoing challenges with food sanitation and resident service documentation, with some improvement in environmental and safety issues over time.

Read the full inspection reports for this facility, including detailed findings and corrective actions.

Show Inspection Reports

Places of interest near The Butte

Address 0.9 miles from city center Info Estimated distance in miles from Gresham's city center to The Butte's address, calculated via Google Maps.

Calculate Travel Distance to The Butte

Add your location

Address

Financial Assistance for
Nursing Home in Oregon

The Butte is located in GRESHAM, Oregon.
Here are the financial assistance programs available to residents in Oregon.

Get Financial aid guidance

Oregon Project Independence (OPI)

OPI

Age 60+
General Oregon resident, at risk of nursing home but not Medicaid-eligible.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
OR

Cost-sharing required; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Adult day care (~$70/day) Transportation (~5 trips/month)

Oregon Medicaid Community-Based Care

OR Medicaid CBC

Age 65+ or disabled
General Oregon resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
OR

High demand in urban areas (e.g., Portland).

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Program of All-Inclusive Care for the Elderly (PACE)

Oregon PACE (e.g., Providence ElderPlace)

Age 55+
General OR resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OR

Available in 11 counties (e.g., Multnomah, Washington); Providence ElderPlace dominant provider.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Oregon Medicare Savings Program

Age 65+ or disabled
General OR resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
OR

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Oregon Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; OR resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
OR

15 regions; rural priority; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Oregon VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General OR resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
OR

High veteran demand; Oregon Veterans’ Homes option.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Senior Property Tax Deferral Program

Oregon Property Tax Deferral for Disabled and Senior Citizens

Age 62+
General OR resident, homeowner 5+ years, low-income.
Income Limits (2025) ~$58,000/year household, adjusted annually
Asset Limits Home value < county median; equity > 15%.
OR

Deferred taxes accrue 6% interest; repaid upon sale/death.

Benefits
Tax deferral (~$1,000-$3,000/year avg., varies by county)

Elderly Nutrition Program (ENP)

Oregon Elderly Nutrition Program

Age 60+
General OR resident (or spouse of any age); no income limit.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
OR

Includes Meals on Wheels; prioritizes homebound/low-income.

Benefits
Home-delivered or congregate meals (~$5-$7/meal value, 5 meals/week avg.)

Compare Nursing Home around Gresham

The information below is reported by the Oregon Department of Human Services, Aging and People with Disabilities.

4 facilities compared · CMS & OR Dept. of Health data

Filter by care type
Regency Gresham
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Gresham (Powell Valley)128 68.5% +4%5.22 +1%0%$0217.0-92A+ 21 David Stroud$23.0M$10.6M46.1%385015
Fairlawn Health and Rehabilitation of Cascadia
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Gresham (Northeast)82 73.2% +11%4.85 +103%-8%$0273.4265- 46 Cascadia Oregon Operations LLC$9.5M$5.1M53.6%385133
Powell Valley Assisted Living and Memory Care Community
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Gresham (Southeast 182Nd Avenue)103 64.7% -2%5.24 -37%0%$4.2k389.5166A+ 73 Timothy Hazen$16.3M$7.8M48%385068
Gresham Post Acute Care and Rehab
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Gresham (City Central)78 86.3% +31%4.73 +79%-10%$116.8k488.0572- 92 Andy Becker$20.2M$9.6M47.3%385190

Frequently Asked Questions about The Butte

Who is the owner of The Butte?

The legal owner and operator of The Butte is Sapphire At The Butte LLC.

Is The Butte in a walkable area?

The Butte has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of The Butte?

According to OR state health department records, The Butte's license number is 50M092.

What is the best email address for The Butte?

The team at The Butte can be reached at [email protected].

Who is the administrator of The Butte?

Rebecca Callahan is the administrator of The Butte.

How many beds does The Butte have?

The Butte has 32 beds.

Has The Butte had any recent deficiencies or citations?

The Butte has had 14 recently reported deficiencies.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Explore Open Rooms
1 Contact details
2 What type of senior care service are you looking for?
3 What budget do you have in mind for senior care?
4 How soon do you need to find care?
5 Additional details

Thank you for your interest!

Our team will be in touch shortly to help with next steps.