facebook tracking Clatsop Care Center, Astoria OR: CMS Ratings & Inspections
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Clatsop Care Center

All states › Oregon › Astoria › Clatsop Care Center

646 16th Street Astoria, OR 97103 · Clatsop County

(503) 325-0313

Accepts Medicare Accepts Medicaid 71 certified beds Government

CMS certification number 385144 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 23 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 3 out of 5.

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.

Nursing care per resident per day 5.22 hours
Above the Oregon median of 4.98 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.70 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.64 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 68.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 66.7% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds71
Residents per day 34 About 48% of beds filled, on average
OwnershipGovernment - City/county
Payment acceptedMedicare and Medicaid
Certified sinceNovember 1979
Legal business nameCLATSOP CARE CENTER HEALTH DISTRICT

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0576 · Deficient, Provider has date of correction (Feb 27, 2026)

DProvide care or services that was trauma informed and/or culturally competent.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Deficient, Provider has date of correction (Feb 27, 2026)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Feb 27, 2026)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Oct 18, 2024)

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Oct 18, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Oct 18, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Oct 18, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Oct 18, 2024)

July 18, 2024 · 1 citation, includes actual harm · includes complaint inspection

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Past Non-Compliance (Nov 20, 2023)

June 14, 2023 · 14 citations, includes actual harm

GEnsure services provided by the nursing facility meet professional standards of quality.

Actual harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jul 9, 2023)

GProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jul 9, 2023)

GProvide enough food/fluids to maintain a resident's health.

Actual harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Jul 9, 2023)

FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Deficient, Provider has date of correction (Jul 9, 2023)

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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Jul 9, 2023)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Jul 9, 2023)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jul 9, 2023)

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Jul 9, 2023)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jul 9, 2023)

DProvide safe, appropriate dialysis care/services for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (Jul 9, 2023)

DObserve each nurse aide's job performance and give regular training.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0730 · Deficient, Provider has date of correction (Jul 9, 2023)

DPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Jul 9, 2023)

DEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Jul 9, 2023)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jul 9, 2023)

Questions to ask on a tour of Clatsop Care Center

  1. 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?
  2. Nursing staff turnover was 68.4% a year. How many of the staff come from agencies?
  3. The home averages about 48% of its beds filled. Are any units closed?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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 monthOverallInspectionStaffingQuality
October 2026 4/5 4/5 4/5 3/5
August 2026 4/5 4/5 4/5 3/5
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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 Astoria
    Emergency room
    Median ER visit 2h 3m for patients treated and sent home
  • 13.3 mi
    Ocean Beach Hospital Ilwaco
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 1m for patients treated and sent home
  • 14.2 mi
    Providence Seaside Hospital Seaside
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median 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

Nehalem Valley Care Center Wheeler · 34.7 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 50 beds · Medicaid
Saint Helens Post Acute Saint Helens · 53.4 mi away ★★☆☆☆ Inspection 1/5 · Staffing 4/5 92 beds · Medicaid
Avalon Care Center - Scappoose Scappoose · 54.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 40 beds · Medicaid
Marquis Forest Grove Post Acute Rehab Forest Grove · 58.3 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 63 beds · Medicaid
Forest Grove Post Acute Forest Grove · 58.5 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 114 beds · Medicaid

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.

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https://www.nursinghomesineachstate.com/oregon/astoria/clatsop-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.