Clatsop Care Center
646 16th Street · Astoria, OR · 97103 · 5033250313
71 certified beds Government - City/county
Why this verdict
- 4 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 77 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.77 | 0.55–0.75 |
| Weekend hours / resident-day | 4.83 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · F January 30, 2026
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · D January 30, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · D January 30, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected February 27, 2026 · Pharmacy Service
-
Potential for harm · E September 13, 2024
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.
Corrected October 18, 2024 · Resident Rights
-
Potential for harm · D September 13, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected October 18, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 13, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 18, 2024 · Quality of Life and Care
-
Potential for harm · D September 13, 2024
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.
Corrected October 18, 2024 · Pharmacy Service
-
Potential for harm · D September 13, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 18, 2024 · Resident Assessment and Care Planning
-
Actual harm · G July 18, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected November 20, 2023 · Pharmacy Service
-
Actual harm · G June 14, 2023 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 9, 2023 · Resident Assessment and Care Planning
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Actual harm · G June 14, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 9, 2023 · Quality of Life and Care
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Actual harm · G June 14, 2023 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected July 9, 2023 · Quality of Life and Care
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Potential for harm · D June 14, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 9, 2023 · Quality of Life and Care
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Potential for harm · D June 14, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 9, 2023 · Resident Rights
-
Potential for harm · D June 14, 2023 · found via complaint
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.
Corrected July 9, 2023 · Resident Rights
-
Potential for harm · D June 14, 2023 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected July 9, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D June 14, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 9, 2023 · Quality of Life and Care
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Potential for harm · D June 14, 2023 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 9, 2023 · Quality of Life and Care
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Potential for harm · F June 14, 2023 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 9, 2023 · Nursing and Physician Services
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Potential for harm · F June 14, 2023 · found via complaint
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.
Corrected July 9, 2023 · Nursing and Physician Services
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Potential for harm · D June 14, 2023 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected July 9, 2023 · Nursing and Physician Services
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Potential for harm · D June 14, 2023 · found via complaint
Post nurse staffing information every day.
Corrected July 9, 2023 · Nursing and Physician Services
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Potential for harm · D June 14, 2023 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 9, 2023 · Pharmacy Service
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Potential for harm · D June 14, 2023 · found via complaint
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.
Corrected July 9, 2023 · Pharmacy Service
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385144 · certified since November 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.