Clatsop Care Center
646 16th Street, Astoria, OR 97103 · Clatsop County · (503) 325-0313
71 certified beds, about 34 residents a day · Government - City/county · Medicare and Medicaid since 1979
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 385144 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 30, 2026, inspectors cited 3 health deficiencies (the Oregon average is 9.2, the national average 9.2).
Of 23 health citations since June 2023, 4 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.04 hours per resident per day, against 5.03 across Oregon and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.
67.9% of nursing staff left within the year CMS measured (Oregon average 47.4%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1406/23
107/24
509/24
301/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
4G
0H
0I
Potential for more than minimal harm
15D
1E
3F
Potential for minimal harm
0A
0B
0C
January 30, 2026Standard inspection · 3 citations
- F Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on interview and record review it was determined the facility failed to have a system in place to deliver mail on Saturdays for 1 of 1 Resident Council reviewed. This placed residents at risk for lack of timely written communications.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on observation, interview, and record review it was determined the facility failed to ensure a resident with a history of trauma received trauma informed care for 1 of 1 sampled resident (#6) reviewed for mood and behavior. This placed residents at risk for re-traumatization.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview and record review, it was determined the facility failed to ensure a medication error rate of less than five percent. There were 2 errors out of 25 medication administration opportunities resulting in an 8% error rate. This placed residents at risk of receiving a sub-therapeutic medication dose and reduced medication efficacy.
September 13, 2024Standard inspection · 5 citations
- E 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.
Inspectors wroteBased on observation and interview it was determined the facility failed to maintain a homelike environment with window cleanliness for 1 of 1 facility reviewed for a homelike environment. This placed residents at risk for an unclean homelike environment.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on interview and record review it was determined the facility failed to comprehensively assess 3 of 7 sampled residents (#s 8, 25 and 83) reviewed for medications, behavior and mood. This placed residents at risk for inaccurate or incomplete assessments and unmet care needs.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to follow physician orders for medication administration and implement bowel care timely for (1 of 5) sampled residents (# 17) reviewed for medications. This placed residents at risk for adverse side effects and constipation.
- D 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.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure medications were labeled with administration instructions for 1 of 5 residents (#11) for whom medication administration was observed. This placed residents at risk for decreased medication efficacy.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure records were complete and accurate for 1 of 5 residents (#8) reviewed for medications. This placed residents at risk for inaccurate medical records.
July 18, 2024Complaint inspection · 1 citation
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview and record review it was determined the facility failed to properly administer anticoagulant medication to 1 of 2 sampled residents (#2) reviewed for medications. As a result, Resident 2 was hospitalized and required Vitamin K infusion (used as reverse the effects of blood thinning medications).
June 14, 2023Standard inspection · 14 citations
- G Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure nursing professional standards of practice were followed for 1 of 1 sampled resident (#33) reviewed for hospitalization. This resulted in Resident 33 being transported to the hospital and placed in the ICU on a ventilator. This also placed other residents at risk for hospitalization.
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review it was determined the facility failed to follow physician's orders and the plan of care for 3 of 8 sampled residents (#s 16, 20 and 33) reviewed for hospitalization, dialysis and medications. This resulted in Resident 33 being transported to the hospital where the resident was placed in the ICU on a ventilator and died three days later. This also placed other residents at risk for hospitalization and unmet needs.
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review it was determined the facility failed to promptly intervene when a resident experienced severe weight loss for 1 of 3 sampled residents (#30) reviewed for nutrition. This resulted in an unplanned severe weight loss for Resident 30 and placed residents at risk for unplanned weight loss.
- F Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to ensure sufficient staffing to meet resident care needs for 1 of 1 facility reviewed for sufficient and competent staffing. This placed residents at risk for delayed and unmet care needs.
- F 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to staff a registered nurse for 8 consecutive hours per day 7 days per week for 14 out of 103 days reviewed for staffing. This placed all residents at risk for unmet assessment needs.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview and record review it was determined the facility failed to immediately notify a resident's physician of a severe unplanned weight loss for 1 of 3 sampled residents (#30) reviewed for nutrition. This placed residents at risk for unmanaged weight loss.
- D 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.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure a resident's missing personal property was addressed for 1 of 1 sampled resident (#17) reviewed for personal property. This placed residents at risk for loss of personal items.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on interview and record review it was determined the facility failed to comprehensively assess a resident's nutritional status for 1 of 3 sampled residents (#30) reviewed for nutrition. This placed residents at risk for unassessed needs.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation and interview it was determined the facility failed to ensure the residents' environment was free from hazards for 1 of 1 facility randomly observed. This placed residents at risk for injury and blood borne infection.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to conduct post dialysis assessments of resident's condition for 2 of 2 sampled residents (#s 20 and 27) reviewed for dialysis. This placed residents at risk for potential unmet care needs upon return from dialysis.
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure CNA staff annual performance reviews were completed for 2 of 5 sampled CNA staff (#s 19 and 23) reviewed for staffing. This placed residents at risk for a lack of competent staff.
- D Post nurse staffing information every day.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure the Direct Care Staff Daily Report (DCSDR) postings were accurate for 32 of 45 days reviewed for staffing. This placed residents at risk for incorrect staffing information.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview and record review it was determined the facility failed to ensure residents were free from unnecessary medications for 2 of 5 sampled residents (#s 16 and 84) reviewed for medications. This placed residents at risk for diarrhea, skin breakdown, dehydration and weight loss.
- D 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.
Inspectors wroteBased on observation, interview and record review it was determined the facility failed to store drugs and biologicals in locked compartments for 2 of 2 treatment carts and 2 of 2 medication carts observed during this survey. This placed residents at risk for medication diversion and accidents.
Fire safety inspections
5 fire safety citations on file: 3 on January 30, 2026, 1 on September 13, 2024, 1 on June 14, 2023.
Every fire safety citation5 citations
- F Address patient/client population and determine types of services needed.
- F Establish procedures for tracking staff and patients during an emergency.
- F Establish policies and procedures including evacuation.
- E Have proper medical gas storage and administration areas.
- F Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Oregon | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.04 | 5.03 | 3.86 |
| Registered nurses | 0.72 | 0.72 | 0.69 |
| All nursing staff on weekends | 4.60 | 4.51 | 3.42 |
| Nurse aides | 3.45 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 67.9% | 47.4% | 45.8% |
| Registered nurse turnover | 50.0% | 51.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.74 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.21 on weekdays and 4.60 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.25 in April to June 2025 to 5.04 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.04 | 0.72 | 5.21 | 4.60 | 6.3% | 2 of 90 | 34 |
| Oct to Dec 2025 | 5.44 | 0.77 | 5.68 | 4.83 | 8.3% | 0 of 92 | 32 |
| Jul to Sep 2025 | 5.12 | 0.68 | 5.27 | 4.72 | 14.0% | 0 of 92 | 32 |
| Apr to Jun 2025 | 5.25 | 0.51 | 5.39 | 4.86 | 30.4% | 8 of 91 | 33 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oregon, Jan to Mar 2026 | 4.91 | 0.64 | 5.12 | 4.40 | 6.2% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oregon | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.5 | 14.9 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 9.0 | 2.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 2.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 8.8 | 1.4 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 5.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.3 | 13.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.1 | 21.4 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 27.9 | 16.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 5.2 | 2.4 | 1.8 |
Owners and operators
Legal business name: CLATSOP CARE CENTER HEALTH DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Miller, David | W-2 managing employee | Individual | 07/31/2018 | |
| Aho, Michael | Corporate director | Individual | 07/01/2017 | |
| Crandell, Linda | Corporate director | Individual | 09/01/2018 | |
| Devaney, Jacqueline | Corporate director | Individual | 07/01/2018 | |
| Little, Roy | Corporate director | Individual | 10/10/2008 | |
| Meyer, Charles | Corporate director | Individual | 07/01/2019 | |
| Radu, Paul | Corporate director | Individual | 07/01/2012 | |
| Aidan Health Services Inc | Operational/managerial control | Organization | 04/01/2017 | |
| Remley, Mark | Operational/managerial control | Individual | 04/01/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on January 30, 2026: "Provide care or services that was trauma informed and/or culturally competent."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on January 30, 2026: "Ensure medication error rates are not 5 percent or greater."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on January 30, 2026: "Ensure residents have reasonable access to and privacy in their use of communication methods."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on September 13, 2024: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
Oregon contacts for a concern about a nursing home
These are the official offices in Oregon. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oregon Department of Human Services, Nursing Facility Licensing, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oregon Office of the Long-Term Care Ombudsman, (800) 522-2602. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Oregon Licensed Long-Term Care Settings Search, where Oregon publishes its own records on licensed homes.
Common questions
- What is Clatsop Care Center's Medicare star rating?
- CMS rates Clatsop Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Clatsop Care Center get at its last inspection?
- 3 health deficiencies at the standard inspection on January 30, 2026. The Oregon average is 9.2.
- Has Clatsop Care Center been fined?
- CMS lists no fines in the last three years.
- Does Clatsop Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Clatsop Care Center?
- CMS lists 9 owners and managers. Legal business name: CLATSOP CARE CENTER HEALTH DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.