Oregon › Clatsop County › Astoria
Clatsop Care Center
646 16th Street, Astoria, OR 97103
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Clatsop Care Center is a Government, city/county nursing home in Astoria, Oregon, certified for 71 beds and caring for about 34 residents a day.
CMS gives it 4 of 5 stars overall, above the Oregon median of 3; the health inspection rating is 4, staffing 4 and quality measures 3.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (3, 5, 15 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 32.4 per 100 beds, about the same as the state median of 40.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 5.0 hours per resident per day (0.7 RN), close to the Oregon median of 5.0; nursing staff turnover is 67.9%.
Compared with county, state and nation
| Measure | This facility | Clatsop Co. median | Oregon median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 23 | 32 | 28.7 |
| Citations per 100 beds | 32.4 | 32.4 | 40.0 | 26.8 |
| Total nurse hours per resident day | 5.0 | 5.0 | 5.0 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.6 | 0.7 |
| Nursing staff turnover | 67.9% | 67.9% | 45.9% | 45.8% |
| Fines listed | $0 | $0 | $4,194 | — |
County and state figures are medians across facilities (1 in the county, 128 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Oregon average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jan 2026, 13 Sep 2024.
Severity mix: G ×4 D ×15 E ×1 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Jan 2026 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 27 Feb 2026 |
| 13 Sep 2024 | F0584 | 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. | E | Standard survey | 18 Oct 2024 |
| 13 Sep 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 18 Oct 2024 |
| 13 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 18 Oct 2024 |
| 13 Sep 2024 | F0761 | 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. | D | Standard survey | 18 Oct 2024 |
| 13 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 18 Oct 2024 |
| 18 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 20 Nov 2023 |
| 14 Jun 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0727 | 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. | F | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0584 | 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. | D | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0732 | Post nurse staffing information every day. | D | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 9 Jul 2023 |
| 14 Jun 2023 | F0761 | 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. | D | Standard survey | 9 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Oregon average. Turnover: nursing staff 67.9%, RNs 50.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Oregon median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.5% | 14.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 9.0% | 1.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 8.8% | 1.0% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.3% | 13.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, city/county. Legal business name: Clatsop Care Center Health District.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Aidan Health Services Inc | Operational/managerial control | NOT APPLICABLE | 04/01/2017 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Clatsop Care Center been cited for?
23 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Oregon median is 32 per facility.
Has Clatsop Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Clatsop Care Center compare?
Reported total nurse staffing is 5.0 hours per resident per day against a Oregon median of 5.0 and a national average of 3.9.
Who operates Clatsop Care Center?
Ownership type is government, city/county. Organisations in the CMS ownership record include Aidan Health Services Inc. Individual owners and managers are not listed on this site.
When was Clatsop Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 30 Jan 2026; the most recent standard health survey was 30 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.