Oregon › Tillamook County › Wheeler
Nehalem Valley Care Center
280 Rowe Street, Wheeler, OR 97147
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.
Certified for 50 beds, Nehalem Valley Care Center serves Wheeler in Tillamook County, Oregon and has taken Medicare and Medicaid residents since 1994.
CMS gives it 3 of 5 stars overall, equal to the Oregon median; the health inspection rating is 3, staffing 3 and quality measures 2.
Inspectors recorded 42 health deficiencies across the three most recent survey cycles (7, 14, 21 by cycle, most recent first), none at the actual-harm level. That is 84.0 per 100 beds, more than the state median of 40.0.
CMS lists 1 penalty in the period covered: fines totalling $17K.
Reported nurse staffing is 4.8 hours per resident per day (0.4 RN), close to the Oregon median of 5.0; nursing staff turnover is 63.2%.
Compared with county, state and nation
| Measure | This facility | Tillamook Co. median | Oregon median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 42 | 32 | 28.7 |
| Citations per 100 beds | 84.0 | 84.0 | 40.0 | 26.8 |
| Total nurse hours per resident day | 4.8 | 4.8 | 5.0 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.6 | 0.7 |
| Nursing staff turnover | 63.2% | 63.2% | 45.9% | 45.8% |
| Fines listed | $16,801 | $16,801 | $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: 26 Jun 2025, 7 Mar 2024.
Severity mix: D ×22 E ×16 F ×4
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 |
|---|---|---|---|---|---|
| 19 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 25 Sep 2025 |
| 26 Jun 2025 | 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 | Complaint investigation | 15 Aug 2025 |
| 26 Jun 2025 | 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 | 15 Aug 2025 |
| 26 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Aug 2025 |
| 26 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Aug 2025 |
| 26 Jun 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 15 Aug 2025 |
| 26 Jun 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 15 Aug 2025 |
| 12 Nov 2024 | 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. | E | Complaint investigation | 1 Jan 2025 |
| 7 Mar 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 | 26 Apr 2024 |
| 7 Mar 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 26 Apr 2024 |
| 7 Mar 2024 | 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. | E | Standard survey | 26 Apr 2024 |
| 7 Mar 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 26 Apr 2024 |
| 7 Mar 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. | E | Standard survey | 26 Apr 2024 |
| 7 Mar 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 26 Apr 2024 |
| 7 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Apr 2024 |
| 7 Mar 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 26 Apr 2024 |
| 7 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 26 Apr 2024 |
| 7 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 26 Apr 2024 |
| 7 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Apr 2024 |
| 7 Mar 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 | 26 Apr 2024 |
| 7 Mar 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 26 Apr 2024 |
| 10 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 1 Apr 2023 |
| 10 Feb 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. | E | Standard survey | 1 Apr 2023 |
| 10 Feb 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. | E | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 1 Apr 2023 |
| 10 Feb 2023 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 1 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 7 Mar 2024 | Fine | $16,801 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Oregon average. Turnover: nursing staff 63.2%, RNs —; 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 | 20.8% | 14.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | 1.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 2.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 34.0% | 19.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.9% | 5.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.8% | 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: non-profit, other. Legal business name: Wheeler Care Center Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nehalem Bay Health District | 5% or greater direct ownership interest | 100% | 01/01/2011 |
| Aidan Health Services Inc | Operational/managerial control | NOT APPLICABLE | 01/01/2017 |
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 Nehalem Valley Care Center been cited for?
42 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Oregon median is 32 per facility.
Has Nehalem Valley Care Center been fined?
Yes. CMS lists fines totalling $17K in the period covered.
How does staffing at Nehalem Valley Care Center compare?
Reported total nurse staffing is 4.8 hours per resident per day against a Oregon median of 5.0 and a national average of 3.9.
Who operates Nehalem Valley Care Center?
Ownership type is non-profit, other. Organisations in the CMS ownership record include Nehalem Bay Health District and Aidan Health Services Inc. Individual owners and managers are not listed on this site.
When was Nehalem Valley Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 19 Feb 2026; the most recent standard health survey was 26 Jun 2025.
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.