Callahan Court Memory Care Community

Last inspection

February 26, 2025

Inspections

4, 9 deficiencies cited

Substantiated abuse

7

Substantiated licensing violations

6

Regulatory actions

0

Fines assessed

$2,308.00 (7 violations)

Current owner since

February 1, 2024

Inspections

• February 26, 2025: Change of Owner, 9 deficiencies cited report
  • C0200: Resident Rights and Protection - General severity level 2, scope L2 Pattern
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  • C0290: Res Hlth Srvc: On- and Off-Site Health Srvc severity level 2, scope L2 Isolated
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Isolated
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
  Show all 9

  • H1510: Individual Rights Settings: Privacy, Dignity severity level 2, scope L2 Pattern
  • Z0142: Administration Compliance severity level 2, scope L2 Widespread
  • Z0162: Compliance with Rules Health Care severity level 2, scope L2 Pattern
  • Z0164: Activities severity level 2, scope L2 Pattern
• July 11, 2024: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• August 15, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• February 14, 2022: Validation, 0 deficiencies cited report
  • Z0000: General Comments severity level 0

Substantiated abuse or neglect

• March 24, 2026: Failed to provide safe environment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $1,013.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for their care. AV and W1 are known to seek each other out often and have a history of inappropriate sexual contact with each other. According to an investigation, on or about August 3, 2025, W1 was observed touching and fondling AV in the common areas. The facility failed to provide appropriate services, to include adequate care planning and/or the implementation of effective interventions, to prevent continued inappropriate sexual contact, which is a violation of resident rights, is neglect of care which constitutes abuse as defined in OAR 411-020-0002(1)(b)(A)(ii).

• December 27, 2025: Failed to provide service Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $225.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for their care. AV is a high fall risk with a history of falls. AV is known to walk away from their walker. AV is care planned for staff to provide full assistance with walking needs and to remind AV to use assistive devices and if seen without walker. According to an investigation on or about December 27, 2025, AV was found lying on the floor on AV’s left side in the common area, bleeding from the front of the head. AV did not have AV’s walker or wheelchair next to them. AV was seen previously walking around the community appearing anxious. AV was sent to the hospital and returned with staples to the forehead. The facility failed to provide appropriate services, relating to care planning, following the care plan and/or implementing appropriate interventions, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 27, 2025: Failed to provide service Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $225.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for their care. AV is a high fall risk with a history of falls. AV is known to walk away from their walker has a history of misjudging distances when sitting. AV is care planned for staff to provide full assistance with walking needs, to remind AV to use assistive devices and if seen without walker, staff is to sit AV down and get the walker for AV. According to an investigation on or about December 22, 2025, AV experienced a fall in the dining room. AV stated AV tried to sit down and missed something. AV was seen twenty minutes before the fall walking towards the dining room table. The facility failed to provide appropriate services, relating to care planning, following the care plan and/or implementing appropriate interventions, posing a risk of harm to AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• July 1, 2025: Failed to provide safe environment Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $169.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care. AV has a history of resident-to-resident incidents and is known to wander around the facility and into other residents’ rooms. According to an investigation, on or about July 2, 2025, staff heard yelling coming from W1’s room and found W1 dragging AV by the hair out of W1’s room. AV experienced scalp irritation and unreasonable discomfort. The facility failed to provide a safe environment, which is a violation of resident rights, is neglect of care and constitutes abuse.

• May 3, 2023: Failed to protect resident from inappropriate sexual contact Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $169.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) resides in the memory care and Witness #1 (W1) resides in the assisted living. W1 is known to have inappropriate behaviors with residents and his/her visits to the memory care are to be in the common area only and staff are to keep W1 in sight. On or about May 3, 2023, W1 was let into the memory care unit to visit another resident and was found in AV's room with his/her hand inside AV's shirt. The facility's failure to ensure AV's safety is a violation of resident rights, is considered neglect of care and constitutes abuse.

• December 18, 2022: Failed to follow care plan Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $169.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General); 411-054-0070 (Staffing Requirements and Training)
  State’s findings

  The Alleged Victim (AV) is a known fall risk and was care planned to be checked on 16-24 times per shift. On or about December 18, 2022, AV was found on the floor approximately 5:30 am by another resident. AV suffered a cut to his/her lip. The last check on AV was at approximately 2:30 am. The facility was short staffed due to one staff member going home ill. The facility's failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.

• June 4, 2022: Failed to provide safe environment Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $338.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services)
  State’s findings

  On or about June 4, 2022, Witness #4 (W4) entered the Alleged Victim's (AV) room and was observed to have his/her genitalia out of his/her pants and was fondling AV's chest. Staff removed W4 from AV's room, however, later W4 was again in AV's room doing the same thing as he/she was found doing earlier in the day. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Substantiated licensing violations

• December 2, 2024: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  The facility failed to consistently staff to the levels, intensity and qualifications indicated by the Acuity-Based Staffing Tool (ABST). Inconsistencies were identified between the staffing schedule and the data produced by the ABST. Facility was not staffing to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules.

• November 18, 2024: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  The facility failed to consistently staff to the levels, intensity and qualifications indicated by the Acuity-Based Staffing Tool (ABST). Inconsistencies were identified between the staffing schedule and the data produced by the ABST. Facility was not staffing to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules.

• November 2, 2024: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  The facility failed to consistently staff to the levels, intensity and qualifications indicated by the Acuity-Based Staffing Tool (ABST). Inconsistencies were identified between the staffing schedule and the data produced by the ABST. Facility was not staffing to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules.

• October 29, 2024: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  The facility failed to consistently staff to the levels, intensity and qualifications indicated by the Acuity-Based Staffing Tool (ABST). Inconsistencies were identified between the staffing schedule and the data produced by the ABST. Facility was not staffing to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules.

• September 22, 2024: Failed to staff as indicated by ABST Licensing Violation; Level 3 - Moderate harm or potential for serious harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  The facility failed to consistently staff to the levels, intensity and qualifications indicated by the Acuity-Based Staffing Tool (ABST). Inconsistencies were identified between the staffing schedule and the data produced by the ABST. Facility is not currently staffing to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules.

• September 22, 2024: Failed to staff as indicated by ABST Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
  State’s findings

  The facility failed to consistently staff to the levels, intensity and qualifications indicated by the Acuity-Based Staffing Tool (ABST). Inconsistencies were identified between the staffing schedule and the data produced by the ABST. Facility is not currently staffing to the levels as indicated by the ABST to meet the scheduled and unscheduled needs of residents. An investigation determined this is a violation of Oregon Administrative Rules.

Read the full record on the state’s site →

ODHS lists only substantiated violations: “either a substantiated instance of abuse or a licensing violation. Open investigations and complaints that are being appealed by the provider are not listed.” Oregon counts neglect as a form of abuse; see the state’s definitions of abuse. Each violation shows the level ODHS gives it, in the state’s words (for example “2 - Minor harm or potential for moderate harm”), and any fine ODHS assessed. Inspection citations show the state’s severity level and scope, and the date ODHS recorded the problem as corrected when it lists one. Rule names come from the Oregon Administrative Rules. ODHS: “Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license.” This community is licensed for 48 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Oregon Department of Human Services, Long-Term Care Licensing, data as of October 15, 2026, showing the last five years. Always visit in person and ask the community about anything listed here.