Clatsop County, Oregon · Nursing home
Clatsop Care Center
4 of 5 overall from CMS
646 16th Street, Astoria, OR 97103
At a glance
- Overall rating 4 of 5 Above the state average of 3.1
- Nurse time per resident, per day 5.04 hours Above the state average of 5.03
- Nursing staff who left in a year 67.9% Above the state average of 47.4%
- Health citations, last 3 inspection cycles 23 4 at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 47.7% of 71 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Clatsop Care Center is a 71-bed nursing home in Astoria, Oregon (Clatsop County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 5.04 nurse staffing hours per resident per day, above the Oregon average of 5.03. CMS lists no fines in the past three years.
- Certified beds
- 71
- Residents per day (average)
- 33.9
- Certified since
- 1979 (47 yrs)
Government - City/county Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Clatsop Care Center
Chosen from this home's public data.
- Nursing staff turnover is 67.9%, above the Oregon average of 47.4%. How often would the same aides care for my relative?Turnover in CMS data
- About 47.7% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- Registered nurse time is 0.72 hours per resident per day; the Oregon average is 0.72. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Oregon average 3.1
- Health inspections 4 of 5 Oregon average 2.8
- Staffing 4 of 5 Oregon average 3.9
- Quality measures 3 of 5 Oregon average 3.5
The vertical line marks the Oregon average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 5.04 h Oregon average 5.03
- Nurse aides 3.45 h Oregon average 3.40
- Licensed practical nurses 0.86 h Oregon average 0.91
- Registered nurses 0.72 h Oregon average 0.72
- All staff, weekends 4.60 h Oregon average 4.51
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Oregon average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover67.9%
- Oregon average47.4%
- Registered nurse turnover50.0%
- Oregon average51.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Oregon and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Oregon | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 5.5% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 9.5% | 4.7% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 9.0% | 2.0% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.1% | 4.9% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% | 2.4% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.2% | 95.2% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | Too few residents or stays to report | 20.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.2% | 12.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.0% | 95.2% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.2% | 5.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.8% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 25.3% | 13.9% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.10 | 1.48 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 5.18 | 2.35 | 1.78 |
Short-stay residents
| Measure | This home | Oregon | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% | 85.6% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 8.8% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.0% | 81.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 13.1% | 21.4% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 27.9% | 16.1% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 23 health deficiencies in the three most recent inspection cycles. Of these, 4 involved actual harm; the rest were graded as no actual harm. 1 was cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 18, 2024: Ensure that residents are free from significant medication errors.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 30, 2026 | 3 | 3 |
| Sep 13, 2024 | 5 | 1 |
| Jun 14, 2023 | 15 | 1 |
Oregon homes averaged 9.2 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (23)
-
FPotential for more than minimal harm, widespread
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights · Deficient, Provider has date of correction (Feb 27, 2026)
-
DPotential for more than minimal harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 27, 2026)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Feb 27, 2026)
-
EPotential for more than minimal harm, pattern
Honor 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.
Resident Rights · Deficient, Provider has date of correction (Oct 18, 2024)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 18, 2024)
Show 18 more
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 18, 2024)
-
DPotential for more than minimal harm, isolated
Ensure 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.
Pharmacy Service · Deficient, Provider has date of correction (Oct 18, 2024)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 18, 2024)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Past Non-Compliance (Nov 20, 2023)
-
GActual harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 9, 2023)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 9, 2023)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 9, 2023)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Jul 9, 2023)
-
FPotential for more than minimal harm, widespread
Have 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.
Nursing and Physician Services · Deficient, Provider has date of correction (Jul 9, 2023)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Jul 9, 2023)
-
DPotential for more than minimal harm, isolated
Honor 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.
Resident Rights · Deficient, Provider has date of correction (Jul 9, 2023)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 9, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 9, 2023)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 9, 2023)
-
DPotential for more than minimal harm, isolated
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · Deficient, Provider has date of correction (Jul 9, 2023)
-
DPotential for more than minimal harm, isolated
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Jul 9, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Jul 9, 2023)
-
DPotential for more than minimal harm, isolated
Ensure 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.
Pharmacy Service · Deficient, Provider has date of correction (Jul 9, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Oregon homes averaged 0.8 fines and $27,522 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Oregon
- Size81 of 128 by certified beds
- Oregon average residents per day58.1
- ChainNone listed
- Resident or family councilResident
- Homes in Clatsop County1
Common questions
What is the CMS star rating for Clatsop Care Center?
Clatsop Care Center has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 4 and quality measures is 3.
How many beds does Clatsop Care Center have?
Clatsop Care Center has 71 certified beds. It averages 33.9 residents per day, about 47.7% of its certified beds.
How much nursing care do residents get at Clatsop Care Center?
The home reports 5.04 hours of nurse staffing per resident per day, including 0.72 hours from registered nurses. The Oregon average is 5.03 hours and 0.72 hours from registered nurses.
Has Clatsop Care Center been fined?
CMS lists no fines for this home in the past three years.
Does Clatsop Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Willapa Harbor Care 60beds 78.0%in use 3.68nurse hours a day
- 3 of 5 Nehalem Valley Care Center 50beds 52.2%in use 4.78nurse hours a day
- 4 of 5 Americana Health and Rehabilitation 74beds 66.6%in use 3.93nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Clatsop County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 385144. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.