Clatsop Care Retirement Village

Last inspection

August 13, 2025

Inspections

3, 17 deficiencies cited

Substantiated abuse

5

Substantiated licensing violations

0

Regulatory actions

0

Fines assessed

$2,813.00 (5 violations)

Current owner since

October 25, 2000

Inspections

• August 13, 2025: Re-Licensure, 8 deficiencies cited report
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread
  • C0372: Training Within 30 Days of Hire ? Direct Care Staff severity level 2, scope L2 Pattern
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread
  • C0422: Fire and Life Safety: Training for Residents severity level 2, scope L2 Widespread
  • C0435: Emergency and Disaster Planning severity level 2, scope L2 Widespread
  Show all 8

  • C0610: General Building Exterior severity level 2, scope L2 Widespread
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread
  • C0622: Common Use Areas: Social severity level 2, scope L2 Pattern
• December 18, 2023: State Licensure, 0 deficiencies cited report
  • C0000: Comment severity level 0
• May 16, 2022: Validation, 9 deficiencies cited report
  • C0000: Comment severity level 0
  • C0240: Resident Services Meals, Food Sanitation Rule severity level 2, scope L2 Widespread, corrected August 20, 2022
  • C0252: Resident Move-In and Eval: Res Evaluation severity level 2, scope L2 Isolated, corrected August 20, 2022
  • C0260: Service Plan: General severity level 2, scope L2 Pattern, corrected November 6, 2022
  • C0370: Staffing Requirements and Training – Pre-Serv severity level 2, scope L2 Pattern, corrected August 20, 2022
  Show all 11

  • C0372: Training Within 30 Days: Direct Care Staff severity level 2, scope L2 Pattern, corrected August 20, 2022
  • C0374: Annual and Biennial Inservice For All Staff severity level 2, scope L2 Pattern, corrected August 20, 2022
  • C0420: Fire and Life Safety: Safety severity level 2, scope L2 Widespread, corrected August 20, 2022
  • C0455: Inspections and Investigation: Insp Interval severity level 2, scope L2 Pattern, corrected November 6, 2022
  • C0610: General Building Exterior severity level 2, scope L2 Widespread, corrected August 20, 2022
  • C0613: General Building: Doors-Walls, Cleanable severity level 2, scope L2 Widespread, corrected August 20, 2022

Substantiated abuse or neglect

• March 3, 2026: Failed to administer medication as ordered Abuse: Neglect; Level 3 - Moderate harm or potential for serious harm; fine $500.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General); 411-054-0055 (Medications and Treatments)
  State’s findings

  The Alleged Victim (AV) relied on the facility for care, medication administration, and medication management. Between February 27, 2026, and March 3, 2026, AV was not administered medications prescribed to treat depression and anxiety as well as a sleep aid, due to the medications not being available. AV was eventually sent to the hospital for high anxiety. The facility failed to administer medication as ordered, which is a violation of resident rights is considered neglect of care and constitutes abuse as defined by Oregon Administrative Rule 411-020-0002(1)(b)(A)(i).

• January 18, 2025: Failed to provide service Abuse: Neglect; Level 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance; fine $1,500.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  The Alleged Victim (AV) relies on the facility for his/her care. AV was noted to require assistance with incontinence and noted to be at risk for falls related to impaired balance. According to an investigation, AV experienced approximately three unwitnessed falls between December 15, 2024, and January 3, 2025. On or about January 18, 2025, the AV was found in their bathroom, bent over their walker with their head stuck upside down in a shower chair. The AV’s face was covered in mucus and there was dried urine and feces on the floor. The AV was not able to respond to staff and was sent to the hospital. The facility failed to provide appropriate services according to AV’s needs, relating to care plans and lack of appropriate interventions and instructions, to mitigate the risk of injury due to AV's increase in falls, which is a violation of resident rights, is neglect of care, and constitutes abuse.

• June 18, 2024: Failed to provide service Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $375.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0030 (Resident Services); 411-054-0036 (Service Plan – General)
  State’s findings

  Both the Alleged Victim (AV) and Witness 1 (W1) rely on the facility for care. W1 has a history of getting overstimulated which results in aggression and is care planned to be monitored when around other residents. On or about June 18, 2025, AV and W1 wheelchairs became entangled. W1 slapped AV in the head two times and hit/scratched another person. According to an investigation, AV and W1 have been in previous altercations, and AV is known to be an instigator, but this is not reflected in AV's care plan. The facility failed to provide services, to include implement interventions and / or follow W1 care plan and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• November 5, 2023: Failed to properly plan care Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $188.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0036 (Service Plan – General)
  State’s findings

  According to the documentation, the facility failed to properly care plan for Witness 4’s (W4) known verbally abusive towards other residents. On or about November 5, 2023, W4 was verbally abusive towards the Alleged Victim (AV) resulting in the AV to targeted and uncomfortable around W4, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

• March 17, 2023: Failed to provide a safe medication administration system Abuse: Neglect; Level 2 - Minor harm or potential for moderate harm; fine $250.00; report
  Rules: 411-054-0025 (Facility Administration); 411-054-0027 (Resident Rights and Protections); 411-054-0028 (Reporting and Investigating Abuse and Other Actions Affecting Resident Welfare); 411-054-0055 (Medications and Treatments)
  State’s findings

  According to the documentation, the facility failed to provide a safe medication administration system for the Alleged Victim’s (AV) sliding scale insulin. The failure resulted in the AV’s blood sugar to crash causing them to pass out and required medical treatment at the hospital, which is a violation of resident rights, is considered neglect of care and constitutes abuse.

Read the full record on the state’s site →

ODHS lists only substantiated violations: “either a substantiated instance of abuse or a licensing violation. Open investigations and complaints that are being appealed by the provider are not listed.” Oregon counts neglect as a form of abuse; see the state’s definitions of abuse. Each violation shows the level ODHS gives it, in the state’s words (for example “2 - Minor harm or potential for moderate harm”), and any fine ODHS assessed. Inspection citations show the state’s severity level and scope, and the date ODHS recorded the problem as corrected when it lists one. Rule names come from the Oregon Administrative Rules. ODHS: “Formal regulatory actions can range from a condition placed upon a license due to non-compliance or a notice to revoke a license.” This community is licensed for 80 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Oregon Department of Human Services, Long-Term Care Licensing, data as of October 15, 2026, showing the last five years. Always visit in person and ask the community about anything listed here.