Donham Place

Last inspection

October 17, 2025

Inspections

5, 35 deficiencies cited

Substantiated abuse

0

Substantiated licensing violations

2

Regulatory actions

3

Current owner since

July 1, 2011

License conditions and other regulatory actions

• November 20, 2025 to December 31, 2025: License Condition, Failed to provide safe environment RCFCD25-01369; incident: CALMS - 00093754
  ODHS conducted a Relicensure Survey, 50M048 - RL007360 Visit, on or about October 17, 2025, and determined the facility was not in substantial compliance with Oregon Administrative Rules. Failure to comply with Oregon Administrative Rules constitutes a threat to the health, safety, and welfare of its residents.
  Rules: 411-054-0025 (Facility Administration); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General); 411-054-0037 (Acuity-Based Staffing Tool); 411-054-0040 (Change of Condition and Monitoring); 411-054-0045 (Resident Health Services); 411-054-0050 (Infection Prevention and Control); 411-054-0055 (Medications and Treatments); 411-054-0065 (Administrator Qualifications and Requirements); 411-054-0070 (Staffing Requirements and Training); 411-054-0090 (Fire and Life Safety); 411-054-0200 (Residential Care Facility Building Requirements)
• March 1, 2023 to July 5, 2023: License Condition, Failed to use an ABST RCFCD23-00251; incident: CALMS - 00038805
  The facility failed to complete an Acuity-Based Staffing Tool (ABST) assessment for each resident and update the ABST quarterly. This is a repeat citation.
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)
• September 23, 2022 to November 21, 2022: License Condition, Failed to use an ABST RCFCD22-01428; incident: CALMS - 00031880
  The facility failed to implement an Acuity-Based Staffing Tool (ABST).
  Rules: 411-054-0037 (Acuity-Based Staffing Tool)

Inspections

• October 17, 2025: Re-Licensure, 25 deficiencies cited report
  • C0150: Facility Administration: Operation severity level 2, scope L2 Widespread
  • C0152: Facility Administration: Required Postings severity level 2, scope L2 Widespread
  • C0155: Facility Administration: Records severity level 2, scope L2 Widespread
  • C0156: Facility Administration: Quality Improvement severity level 2, scope L2 Widespread
  • C0242: Resident Services: Activities severity level 2, scope L2 Widespread
  Show all 25

  • C0260: Service Plan: General severity level 2, scope L2 Isolated
  • C0270: Change of Condition and Monitoring severity level 2, scope L2 Pattern
  • C0280: Resident Health Services severity level 2, scope L2 Widespread
  • C0295: Infection Prevention & Control severity level 2, scope L2 Widespread
  • C0300: Systems: Medications and Treatments severity level 2, scope L2 Widespread
  • C0303: Systems: Treatment Orders severity level 2, scope L2 Pattern
  • C0310: Systems: Medication Administration severity level 2, scope L2 Pattern
  • C0320: Systems: Medication & Treatment-General severity level 2, scope L2 Widespread
  • C0350: Administrator Qualification and Requirements severity level 2, scope L2 Widespread
  • C0355: Administrator: Administrator Requirements severity level 2, scope L2 Widespread
  • C0363: Acuity Based Staffing Tool - Updates & Staffing Plan severity level 2, scope L2 Widespread
  • C0365: Staffing Rqmt and Training: Training Rqmts severity level 2, scope L2 Pattern
  • C0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Pattern
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
  • C0510: General Building Exterior severity level 2, scope L2 Widespread
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread
  • C0540: Heating and Ventilation severity level 2, scope L2 Widespread
  • L0152: Facility Administration: Required Postings severity level 2, scope L2 Widespread
  • L0370: Staffing Requirements and Training ? Pre-service severity level 2, scope L2 Isolated
• September 24, 2025: Kitchen, 1 deficiency cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
• October 31, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• September 6, 2022: Validation, 8 deficiencies cited report
  • C0000: Comment severity level 0
  • C0152: Facility Administration: Required Postings severity level 2, scope L2 Widespread, corrected November 6, 2022
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected March 20, 2023
  • C0260: Service Plan: General severity level 2, scope L2 Isolated, corrected March 20, 2023
  • C0355: Administrator: Administrator Requirements severity level 2, scope L2 Widespread, corrected November 6, 2022
  Show all 11

  • C0361: Acuity-Based Staffing Tool severity level 2, scope L2 Widespread, corrected March 20, 2023
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Isolated, corrected November 6, 2022
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Isolated, corrected November 6, 2022
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Widespread, corrected September 1, 2023
  • C0513: Doors, Walls, Elevators, Odors severity level 2, scope L2 Widespread, corrected September 1, 2023
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected November 6, 2022
• February 25, 2022: Complaint Investig., 1 deficiency cited report
  • C0160: Reasonable Precautions severity level 2, scope L2 Widespread

Substantiated licensing violations

• February 10, 2022: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  The facility failed to exercise reasonable precautions against any condition that may threaten the health, safety, or welfare of the residents.

• December 20, 2021: Failed to provide safe environment Licensing Violation; Level 2 - Minor harm or potential for moderate harm; report
  Rules: 411-054-0025 (Facility Administration)
  State’s findings

  The facility failed to exercise reasonable precautions against any condition that may threaten the health, safety, or welfare of the 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 13 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.