All states › Oregon › Astoria › Clatsop Care Center
646 16th Street Astoria, OR 97103 · Clatsop County
CMS certification number 385144 · See this home on Medicare Care Compare
Is Clatsop Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Clatsop Care Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Oregon average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 5.22 hours per resident per day at Clatsop Care Center, above the Oregon median of 4.98 (US median: 3.72). About 0.70 of those hours are from registered nurses. On weekends it falls to 4.64 hours, 11% below its all-week average. 68.4% of nursing staff left within a year (Oregon median 40.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Clatsop Care Center: Medicare and Medicaid
Clatsop Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Oregon's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 30, 2026 and found 3 deficiencies. In total, inspectors issued 23 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 23 citations at Clatsop Care Center across 4 inspection dates, 1 of them from complaint investigations. 4 were at the actual-harm level (G–I), most recently on July 18, 2024. The most common areas cited were quality of life and care (6) and pharmacy service (5). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level G, July 18, 2024).
January 30, 2026 · 3 citations
FEnsure residents have reasonable access to and privacy in their use of communication methods.
DProvide care or services that was trauma informed and/or culturally competent.
DEnsure medication error rates are not 5 percent or greater.
September 13, 2024 · 5 citations
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 18, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
June 14, 2023 · 14 citations, includes actual harm
GEnsure services provided by the nursing facility meet professional standards of quality.
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GProvide enough food/fluids to maintain a resident's health.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DObserve each nurse aide's job performance and give regular training.
DPost nurse staffing information every day.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Questions to ask on a tour of Clatsop Care Center
- Inspectors cited the home at the actual-harm level on July 18, 2024 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- Nursing staff turnover was 68.4% a year. How many of the staff come from agencies?
- The home averages about 48% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 4/5 | 3/5 |
| August 2026 | 4/5 | 4/5 | 4/5 | 3/5 |
Add this rating badge to your websiteFree. Shows Clatsop Care Center's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Clatsop Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.5 mi
Columbia Memorial Hospital AstoriaEmergency roomMedian ER visit 2h 3m for patients treated and sent home
-
13.3 mi
Ocean Beach Hospital IlwacoEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 1m for patients treated and sent home
-
14.2 mi
Providence Seaside Hospital SeasideEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 28m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Clatsop Care Center › All nursing homes in Astoria ›
Compare Clatsop Care Center with the 3 closest homes side by side ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.