Nursing home
Clatsop Care Center
646 16Th Street, Astoria, OR 97103 · Map
Government - City/county · 71 certified beds
Clatsop Care Center is a Medicare-certified nursing home in Astoria, Oregon. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 5.12 hours per resident per day, above the Oregon average of 4.95. Its most recent inspection on Sep 13, 2024 cited 5 deficiencies.
- 1 fine totaling $23,777In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Clatsop Care Center compares
This facility vs. the Oregon and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Oregon avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.12 | 4.95 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.68 | 0.68 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.74 | 3.37 | 2.34 | above avg |
| Nursing staff turnover | 63.0% | 49.1% | 46.4% | above avg |
| Deficiencies cited, last inspection | 5.0 | 10.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 30, 2026 inspection was corrected by February 27, 2026
Penalties in CMS records: 1 fine totaling $23,777, 1 total penalty.
What inspectors found at Clatsop Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
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 Deficiencies · Sep 13, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · Sep 13, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 Deficiencies · Sep 13, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Sep 13, 2024 · Full report (PDF) - Potential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Sep 13, 2024 · Full report (PDF) - Actual harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jul 18, 2024 · Full report (PDF) - Actual harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Jun 14, 2023 - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 14, 2023 - Actual harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jun 14, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 646 16Th Street
Astoria, OR 97103 - CMS certification #
- 385144
- Ownership
- Government - City/county
- Certified beds
- 71
- Avg residents/day
- 32.1
- Provider type
- Medicare and Medicaid
- First certified
- 1979-11-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Clatsop Care Center using Google Maps.
Other public records
- Workplace safety 3 OSHA workplace safety inspections since 2016, 9 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Nov 26, 2024: programmed (planned) inspection, complete (safety). Case closed Aug 15, 2025. 2 violations cited (1 serious, 1 other). Penalties: $2,766 proposed, $2,766 now. OSHA record. OSHA recorded the employer as 317738649 - Clatsop Care Center Health District.
Details
- Serious: Floors and walking surfaces (slips, trips and falls) (1910.22(a)(2)). Penalty $2,766 proposed, $2,766 now. To be fixed by Nov 26, 2024.
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Jun 3, 2025.
- Apr 21, 2016: programmed (planned) inspection, complete (safety). Case closed Sep 28, 2016. 2 violations cited (1 serious, 1 other). Penalties: $270 proposed, $270 now. OSHA record. OSHA recorded the employer as 317712165 - Clatsop Care Center Health District.
Details
- Serious: Lockout of equipment during maintenance (1910.147(c)(1)). Penalty $270 proposed, $270 now. To be fixed by Jun 16, 2016.
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Jun 16, 2016.
- Apr 21, 2016: programmed (planned) inspection, complete (health). Case closed Nov 16, 2016. 5 violations cited (2 serious, 3 other). Penalties: $270 proposed, $270 now. OSHA record. OSHA recorded the employer as 317712160 - Clatsop Care Center Health District.
Details
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(1)(i)). Penalty $270 proposed, $270 now. To be fixed by Aug 16, 2016.
- Serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Aug 16, 2016.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(h)(3)(iv)). Penalty $0 proposed, $0 now. To be fixed by Aug 16, 2016.
- Other than serious: Cited rule OAR. Penalty $0 proposed, $0 now. To be fixed by Aug 16, 2016.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(e)(1)). Penalty $0 proposed, $0 now. To be fixed by Aug 16, 2016.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Columbia Memorial Hospital, Astoria. 0.6 miles away, straight line.
- Nearest Medicare nursing home
- Willapa Harbor Care, Raymond. 34.0 miles away, straight line.
- Nearest home health agency office
- Adventist Health Home Care Services - Tillamook, Tillamook. 50.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Paramount Drug Co.. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 97103 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Pnrs-North Coast Dialysis Clinic, Astoria, 0.4 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 97103.
Lower Columbia Hospice, office in Astoria, 0.6 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Kaiser Foundation Health Plan Of The Northwest, Vancouver. 65.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively moderate, coastal flooding relatively high, wildfire very low, tornado very low, heat wave relatively low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Clatsop Care Center a good nursing home?
CMS gives Clatsop Care Center an overall rating of 3 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Clatsop Care Center staffed?
Clatsop Care Center reports 5.12 total nurse hours per resident per day, compared with the Oregon average of 4.95.
Has Clatsop Care Center had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Clatsop Care Center have?
Clatsop Care Center is certified for 71 beds.