Clatsop Care Center

Nursing Home, Assisted Living, Home Care, Memory Care & Respite Care · Astoria, OR

CMS overall rating

646 16Th Street, Astoria, OR 97103 View map

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Clatsop Care Center accepts Medicare, Medicaid, and private pay.

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Clatsop Care Center accepts Medicare, Medicaid, and private pay.

Overview of Clatsop Care Center

Located on 16th Street in Astoria, Oregon, Clatsop Care Center is a skilled nursing home operated by Aidan Health Services Inc. The home has been serving the local community for 32 years. Its very walkable location has a Walk Score of 82. Visiting family members can conveniently get around on foot. Medicare, Medicaid, and private pay are accepted, giving families flexible options for covering care costs.

The 71-bed facility provides an average of 4 hours and 30 minutes of nursing care per resident each day. Registered nurses, nurse aides, and licensed practical nurses work together to support short-term rehabilitation and longer-term nursing care.

The average length of stay for residents is 98 days, which includes post-acute rehabilitation residents as well as residents who require continued skilled nursing care. For residents recovering from a hospital stay or surgery, the home’s rehabilitation services and stable staffing provide a strong foundation for recovery.

Rehabilitation services are a core part of the home’s care model. Respite care is available to assist families in managing care transitions or providing temporary support during periods of caregiving. Additional programs and on-site services are part of the home’s care offerings.

State inspections have focused on areas such as medication administration, staffing requirements, and record-keeping. Families considering the facility should take a tour to learn how these areas are managed and to get a better sense of the care environment.

Facility Direct Line (503) 325-0313 info@clatsopcare.org

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 30m per day

vs avg

1 of 6 metrics below state avg

Standout metric Physical Therapist is +26% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	46m per day	▲ 13% State avg: 41m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	46m per day	▼ 15% State avg: 54m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	3h 54m per day	▲ 16% State avg: 3h 22m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	4h 50m per day	▲ 10% State avg: 4h 23m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	6m per day	▲ 26% State avg: 5m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	28m per day	▲ 7% State avg: 26m per day · National avg: 28m per day

Capacity and availability

98 days

71-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

32 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 82 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

42%

Lower than the Oregon average: 65.7%

Occupied beds

30 / 71

Average occupied beds in Oregon homes 55 beds

Facility TypeSkilled Nursing Facility / Nursing Facility Dual Certification

StatusActive

IssuanceNovember 3, 1993

CountyClatsop

CMS Certification Number385144

Clatsop Care Center is administered by Kendra Webb.

Owner NameClatsop Care Center Health District

Staffing

Key information about the people who lead and staff this community.

ContactMrs. Nicole Williams, Chief Executive Officer

Rehabilitation Services

Respite Care

In-Home Services

Email kwebb@clatsopcare.org

Fax(503) 325-0115

Since 2022 · 4 years of data 15 deficiencies 10 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Oregon state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Oregon state average

Overall vs. OR average

Latest Inspection September 13, 2024

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	OR Average	vs. OR Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	15	31	This facility has 52% fewer total deficiencies than a typical Oregon assisted living residence (15 vs. OR avg 31).↓ 52% better
Deficiencies per year Average deficiencies per year since 2022.	3.8	7.8	This facility has 51% fewer deficiencies per year than a typical Oregon assisted living residence (3.8 vs. OR avg 7.8).↓ 51% better
Deficiencies per inspection Average deficiencies per inspection.	1.5	4.4	This facility has 66% fewer deficiencies per inspection than a typical Oregon assisted living residence (1.5 vs. OR avg 4.4).↓ 66% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	OR Average	vs. OR Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	10	7	This facility has 43% more total inspections than a typical Oregon assisted living residence (10 vs. OR avg 7).↑ 43% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

September 13, 2024 re-licensure inspection found nine deficiencies including medication errors, staffing ratio violations, incomplete assessments, and failure to maintain a homelike environment.
July 18, 2024 complaint investigation confirmed medication administration failure causing resident hospitalization and cited four deficiencies including medication errors and rule violations.
Multiple inspections from September 2023 through February 2024 repeatedly cited failure to report complete COVID-19 data to CDC’s NHSN, with one deficiency each time.

Show Inspection Reports

Inspections since 2022

Total health inspections 4

State average N/A

Last Health inspection on Sep 2024

Total health citations

State average N/A

Citations per inspection

6.25

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

9 of 25 citations resulted from standard inspections; 2 of 25 resulted from complaint investigations; and 14 of 25 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

4 serious citations State average: N/A

21 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 years)

Pharmacy moderate citation Sep 13, 2024

Corrected

Quality of Care moderate citation Sep 13, 2024

Corrected

Care Planning moderate citation Sep 13, 2024

Corrected

Care Planning moderate citation Sep 13, 2024

Corrected

Total staff 76

Employees 54

Contractors 22

Staff to resident ratio 2.30 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 25

Average shift 8.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 18,742

Nursing staff breakdown

11 hours

11.2 hours

8 hours

Contractor staffing

2,370 contractor hours this quarter

Certified Nursing Assistant: 7 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Licensed Practical Nurse: 2 Registered Nurse: 1 Qualified Social Worker: 1 Physical Therapy Assistant: 1 Medical Director: 1 Speech Language Pathologist: 1 Occupational Therapy Aide: 1 Feeding Assistant: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	22	7	29	7,681	92	100%	8
Nurse Aide in Training	12	0	12	2,859	91	99%	8.4
Licensed Practical Nurse	7	2	9	2,263	90	98%	11.2
Registered Nurse	3	1	4	1,457	84	91%	11
Medication Aide/Technician	2	0	2	1,059	90	98%	10.8
Other Dietary Services Staff	2	0	2	519	67	73%	6.9
Nurse Practitioner	1	0	1	512	64	70%	8
Administrator	1	0	1	472	59	64%	8
Dietitian	1	0	1	466	59	64%	7.9
Clinical Nurse Specialist	2	0	2	326	62	67%	5.1
Respiratory Therapy Technician	0	3	3	313	45	49%	6.8
Physical Therapy Aide	0	2	2	303	54	59%	5.6
Physical Therapy Assistant	0	1	1	181	46	50%	3.9
Mental Health Service Worker	1	0	1	102	19	21%	5.3
Qualified Social Worker	0	1	1	81	31	34%	2.6
Speech Language Pathologist	0	1	1	80	45	49%	1.8
Occupational Therapy Aide	0	1	1	43	8	9%	5.4
Medical Director	0	1	1	9	3	3%	3
Feeding Assistant	0	1	1	9	3	3%	3
Occupational Therapy Assistant	0	1	1	7	1	1%	6.5

29 Certified Nursing Assistant

% of Days 100%

12 Nurse Aide in Training

% of Days 99%

9 Licensed Practical Nurse

% of Days 98%

4 Registered Nurse

% of Days 91%

2 Medication Aide/Technician

% of Days 98%

2 Other Dietary Services Staff

% of Days 73%

1 Nurse Practitioner

% of Days 70%

1 Administrator

% of Days 64%

1 Dietitian

% of Days 64%

2 Clinical Nurse Specialist

% of Days 67%

3 Respiratory Therapy Technician

% of Days 49%

2 Physical Therapy Aide

% of Days 59%

1 Physical Therapy Assistant

% of Days 50%

1 Mental Health Service Worker

% of Days 21%

1 Qualified Social Worker

% of Days 34%

1 Speech Language Pathologist

% of Days 49%

1 Occupational Therapy Aide

% of Days 9%

1 Medical Director

% of Days 3%

1 Feeding Assistant

% of Days 3%

1 Occupational Therapy Assistant

% of Days 1%

View All Staffing Data

Total fines amount $24K

60% lower than State average

State average: $60K

Number of fines 1

41% fewer fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.1

Fines amount comparison

This facility $24K

State average $60K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 8.2

22% better than State average

State average: 10.5

Functional decline score 24.2

15% worse than State average

State average: 21.1

Long-stay resident measures

Below average State avg: 3.4

Need for Help with Daily Activities Increased 19.2%

18% worse than State average

State average: 16.3%

Low Risk Residents with Bowel/Bladder Incontinence 29.3%

29% worse than State average

State average: 22.6%

Falls with Major Injury 0.0%

100% better than State average

State average: 2.4%

High Risk Residents with Pressure Ulcers 5.4%

22% better than State average

State average: 6.9%

Urinary Tract Infection 6.4%

209% worse than State average

State average: 2.1%

Lost Too Much Weight 8.1%

55% worse than State average

State average: 5.3%

Depressive Symptoms 2.2%

52% better than State average

State average: 4.6%

Antipsychotic Use 23.7%

79% worse than State average

State average: 13.2%

Pneumococcal Vaccine 95.7%

In line with State average

State average: 95.7%

Influenza Vaccine 96.0%

In line with State average

State average: 95.2%

Hospitalizations per 1,000 days 0.67

52% better than State average

State average: 1.40

ED visits per 1,000 days 2.72

8% worse than State average

State average: 2.52

Short-stay resident measures

Average State avg: 3.2

Pneumococcal Vaccine 92.7%

7% better than State average

State average: 86.2%

Antipsychotic medication increase 3.1%

68% worse than State average

State average: 1.8%

Influenza Vaccine 77.1%

5% worse than State average

State average: 81.2%

Re-hospitalized after SNF stay 15.9%

26% better than State average

State average: 21.6%

Emergency department visits 26.0%

72% worse than State average

State average: 15.1%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 45.6%

15% worse than State average

State average: 53.7%

Successful return to home or community 62.1%

23% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

73% of new residents, usually for short-term rehab.

Typical stay 29 days

Private pay

13% of new residents, often for short stays.

Typical stay 5 - 6 months

Medicaid

13% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 33

Medicare

30.3% of residents

Medicaid

60.6% of residents

Private pay or other

9.1% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Clatsop Care Center from 2012–2024, based on CMS SNF Cost Reports.

Occupancy Rate 41.7% ↑ 1.3pp vs 2023

Net Patient Income -$277.3K ↓ ~$17.8K vs 2023

Payroll Costs $3.0M ↑ ~$376.7K vs 2023

Operating Margin -4.9% ↑ 0.2pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	83.7%	76.4%	70.9%	64.6%	51.9%	32.4%	39.8%	37.6%	39.1%	36.0%	36.7%	40.4%	41.7%
Beds	71	71	71	71	71	71	71	71	71	71	71	71	71
Net Income	$216,165	-$597,489	$535,674	$68,769	$252,004	$321,876	-$42,457	$468,017	$666,547	-$316,669	$756,767	$318,726	$1,373,926
Gross Revenue	$6,458,511	$6,444,267	$6,123,104	$5,522,983	$4,681,398	$3,211,390	$4,722,457	$4,361,144	$4,492,442	$4,469,023	$4,466,422	$5,127,925	$5,461,457
Operating Expenses	$7,182,816	$7,703,900	$6,779,189	$5,822,361	$5,549,110	$3,870,218	$4,387,257	$4,354,733	$4,438,570	$4,721,766	$4,611,139	$5,384,255	$5,974,230
Net Patient Income	-$517,623	-$1,230,693	-$238,694	-$25,094	-$717,470	-$692,478	-$221,944	-$555,937	-$421,890	-$630,355	-$409,864	-$259,447	-$277,286
Net Patient Revenue	$6,665,193	$6,473,207	$6,540,495	$5,797,267	$4,831,640	$3,177,740	$4,165,313	$3,798,796	$4,016,680	$4,091,411	$4,201,275	$5,124,808	$5,696,944
Payroll Costs	$4,030,764	$3,901,258	$3,888,405	$3,417,059	$2,967,391	$2,205,054	$2,408,971	$2,435,896	$2,603,291	$2,424,827	$2,537,568	$2,620,861	$2,997,551
Operating Margin %	-7.8%	-19.0%	-3.7%	-0.4%	-14.9%	-21.8%	-5.3%	-14.6%	-10.5%	-15.4%	-9.8%	-5.1%	-4.9%
Medicare %	20.3%	26.1%	22.5%	25.5%	24.6%	25.0%	26.8%	19.7%	18.7%	27.8%	20.2%	18.3%	20.0%
Medicaid %	46.3%	48.5%	53.3%	50.0%	47.3%	55.0%	59.4%	69.2%	69.5%	61.9%	61.9%	54.6%	57.8%
Private %	33.4%	25.4%	24.2%	24.5%	28.1%	20.0%	13.7%	11.0%	11.8%	10.4%	17.9%	27.1%	22.2%
Net Patient Revenue/Day	$307	$327	$356	$346	$358	$378	$404	$390	$395	$439	$442	$489	$526
Cost/Day	$330	$389	$369	$348	$412	$461	$425	$447	$436	$506	$485	$514	$551
Avg Length of Stay	65.1 days	59.8 days	86.3 days	69.7 days	96.3 days	85.7 days	78.8 days	88.6 days	109.3 days	68.6 days	100.0 days	112.7 days	97.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$5.7M

Net patient income

-$277.3K

Government City/County

Net patient revenue

$5.7M

Net patient income

-$277.3K

Other income

$1.7M

Payroll costs

$3.0M 52.6% of net patient revenue

Other operating costs

$3.0M

Total costs

$6.0M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (73% of admissions), and a typical Medicare stay runs around 29 days.

Coverage residents most often arrive under.

Medicare 73%

Private pay 13%

Medicaid 13%

Coverage residents most often leave under.

Medicare 62%

Private pay 24%

Medicaid 14%

0.0 miles from city center Estimated distance in miles from Astoria's city center to Clatsop Care Center's address, calculated via Google Maps.

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The information below is reported by the Oregon Department of Human Services, Aging and People with Disabilities.


Clatsop Care Center	NH AL HC MC RC	Astoria	-	71	-	82	-
EmpRes Hillsboro Health and Rehabilitation Center	NH AL	Hillsboro (Northeast Cornell Road)	-	78	-	75	Studio / 1 Bed
Avamere at Hillsboro	NH AL IL MC RC	Hillsboro (Southeast 30Th Avenue)	-	24	-	60	Studio / 1 Bed / 2 Bed
Country Meadows Village	NH AL IL	Woodburn (Country Meadows Village)	-	50	-	55	Studio / 1 Bed / 2 Bed
Rose Linn Care Center	NH AL MC RC	West Linn (Willamette)	-	71	-	33	-

Nursing Home Explorer

Who is the owner of Clatsop Care Center?

Clatsop Care Center is legally operated by Clatsop Care Center Health District, and administered by Kendra Webb.

Is Clatsop Care Center in a walkable area?

Clatsop Care Center has a walk score of 82. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the occupancy rate at Clatsop Care Center?

Clatsop Care Center's occupancy is 42%.

What is the best email address for Clatsop Care Center?

The team at Clatsop Care Center can be reached at kwebb@clatsopcare.org.

Is Clatsop Care Center a government-operated facility?

Clatsop Care Center is a government-operated nursing facility in OR.

Who is the administrator of Clatsop Care Center?

Kendra Webb is the administrator of Clatsop Care Center.

How many beds does Clatsop Care Center have?

Clatsop Care Center has 71 beds.

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Clatsop Care Center

Overview of Clatsop Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Therapy & Rehabilitation

Additional Services

Contact Information

Contact Clatsop Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Oregon state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

29 Certified Nursing Assistant

12 Nurse Aide in Training

9 Licensed Practical Nurse

4 Registered Nurse

2 Medication Aide/Technician

2 Other Dietary Services Staff

1 Nurse Practitioner

1 Administrator

1 Dietitian

2 Clinical Nurse Specialist

3 Respiratory Therapy Technician

2 Physical Therapy Aide

1 Physical Therapy Assistant

1 Mental Health Service Worker

1 Qualified Social Worker

1 Speech Language Pathologist

1 Occupational Therapy Aide

1 Medical Director

1 Feeding Assistant

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Clatsop Care Center

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