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Nursing Home

Clatsop Care Center

Nursing Home

Clatsop Care Center

646 16th Street, Astoria, OR 97103 View map
Overview of Clatsop Care Center
Clatsop Care Center Health District has been providing Clatsop County with exceptional senior care for over 40 years. It offers a graduated care approach with services including In-Home Services, Memory Care, Assisted Living, and Skilled Nursing. The organization is dedicated to serving the needs of the community first.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
2/5
Oregon average: 3.1/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5
Oregon average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
1/5
Oregon average: 3.7/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
3/5
Oregon average: 3.4/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 30m per day

This home provides 14% less nursing time per resident than the Oregon average.

Oregon average: 5h 13m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 71

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Oregon average
Occupancy rate 41.7%
Residents per day (avg) 33
Occupancy rate
41.7%
Residents per day (avg)
33

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

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

Might be optimal for
Short stays Recovery Medicare-covered care

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

Finances and operations

Governmental community
Home revenue
$7.1M
Surplus of revenue
$1.4M
Governmental community
Home revenue
$7,112,669.00
Surplus of revenue
$1,373,926.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.4M
34.2% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.3M
Total costs $5.7M
Bed community size
71-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
32 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

About this community

Occupancy

Occupancy rate
42%
In line with Oregon average
Occupied beds
30 / 71
Average residents 55 per day

License details

Facility type
Snf/nf Dual Cert
Status Active
Issuance November 3, 1993
County: Clatsop

Additional licensing details

CMS Certification Number: 385144

Ownership & operating entity

Clatsop Care Center is administrated by Kendra Webb.

Owner name: Clatsop Care Center Health District

Staffing

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

Leadership

Contact: Nicole Williams

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Licensed Nurses/CNAs

All Levels of Care

In-Home Services
Skilled Nursing
Assisted Living
Memory Care
Respite Care

Contact Information

Fax: (503) 325-0115

Programs & Activities

Specific Programs
In-Home Services, Skilled Nursing, Assisted Living, Memory Care, Respite Care, Classes, Events, Dining, Membership
Contact Clatsop Care Center

Inspection History

In Oregon, the Department of Human Services, Aging and People with Disabilities performs unannounced surveys and regular inspections to ensure resident safety in all care settings.

10 visits/inspections

Latest inspection

Date:September 13, 2024

15 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Oregon average: 34 citations

21 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Health Inspection History

Inspections
Total health inspections 4

Oregon average 5.1


Last Health inspection on Sep 2024

Total health citations 25

Oregon average 34

Citations per inspection
6.25

Oregon average 6.86


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 3 years)
Critical Health citations More info 0
100% better than Oregon average

Oregon average: 0.5


Serious Health citations More info 4
233% worse than Oregon average

Oregon average: 1.2

0 critical citations More info Oregon average: 0.5

4 serious citations More info Oregon average: 1.2

21 moderate citations More info Oregon average: 32.1

0 minor citations More info Oregon average: 0.2
Citations history (last 3 years)
Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Sep 13, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Sep 13, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Sep 13, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Sep 13, 2024
Corrected

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

5 facilities compared · CMS & OR Dept. of Health data · Updated Apr 2026

Avalon Care Center – Scappoose
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Scappoose
40
63.5%
-3%
4.77
-1%
-9%
0
12
1
31
-
-
Eea Company
-
-
-
385283
Avamere Court at Keizer
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Keizer
229
77.1%
+17%
4.47
-48%
-15%
0
18
0
52
-
76
Ari Cbc Llc
$14,1M
$5,3M
37.7%
385233
Clatsop Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Astoria
71
41.7%
-37%
4.50
-45%
-14%
1
25
4
33
-
-
Aidan Health Services Inc
$5,5M
$2,4M
44.6%
385144
Alpine House Senior Skilled Care Living
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Portland
-
-
-
-
-
-
-
-
-
0
0
0
-
A+
41
-
-
-
-
-
Avamere at Seaside Residential Care Facility
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

SEASIDE
40
-
-
-
-
-
-
-
-
0
0
0
-
-
-
-
-
-
-
-

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Address 0.0 miles from city center

Address 646 16th Street, Astoria, OR 97103

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 104
Employees 48
Contractors 56
Staff to resident ratio 3.15:1
8% better than Oregon average

Oregon average ratio: 2.92:1

Avg staff/day 24
Average shift 8.3 hours
6% better than Oregon average

Oregon average: 7.8 hours

Total staff hours (quarter) 18,173
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.7 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 12.1 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 47
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

32.5%

5,904 contractor hours this quarter

Certified Nursing Assistant: 25 Respiratory Therapy Technician: 9 Physical Therapy Assistant: 7 Speech Language Pathologist: 3 Registered Nurse: 2 Licensed Practical Nurse: 2 Occupational Therapy Aide: 2 Qualified Social Worker: 1 Medication Aide/Technician: 1 Medical Director: 1 Feeding Assistant: 1 Occupational Therapy Assistant: 1 Physical Therapy Aide: 1
Staff by category
Certified Nursing Assistant2225479,43191100%8.5
Licensed Practical Nurse6282,35491100%12.1
Nurse Aide in Training6061,2197886%7.5
Medication Aide/Technician3141,0268391%11.8
Registered Nurse3257235358%11.7
Nurse Practitioner1015126470%8
Speech Language Pathologist0334836875%6.5
Administrator1014485662%8
Dietitian2023664954%7.3
Mental Health Service Worker2023485459%5.9
Physical Therapy Assistant0773385662%4.8
Clinical Nurse Specialist1012874044%7.2
Other Dietary Services Staff1012835358%5.3
Respiratory Therapy Technician0992034448%4.2
Qualified Social Worker011803033%2.7
Occupational Therapy Aide0222989%3.6
Occupational Therapy Assistant0111967%3.2
Medical Director011933%3
Feeding Assistant011933%3
Physical Therapy Aide011722%3.4
47 Certified Nursing Assistant
% of Days 100%
8 Licensed Practical Nurse
% of Days 100%
6 Nurse Aide in Training
% of Days 86%
4 Medication Aide/Technician
% of Days 91%
5 Registered Nurse
% of Days 58%
1 Nurse Practitioner
% of Days 70%
3 Speech Language Pathologist
% of Days 75%
1 Administrator
% of Days 62%
2 Dietitian
% of Days 54%
2 Mental Health Service Worker
% of Days 59%
7 Physical Therapy Assistant
% of Days 62%
1 Clinical Nurse Specialist
% of Days 44%
1 Other Dietary Services Staff
% of Days 58%
9 Respiratory Therapy Technician
% of Days 48%
1 Qualified Social Worker
% of Days 33%
2 Occupational Therapy Aide
% of Days 9%
1 Occupational Therapy Assistant
% of Days 7%
1 Medical Director
% of Days 3%
1 Feeding Assistant
% of Days 3%
1 Physical Therapy Aide
% of Days 2%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
33 residents
Residents by payment source
Medicare
10 residents (30.3%)
Medicaid
20 residents (60.6%)
Private pay or other
3 residents (9.1%)
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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 8.2
22% better than Oregon average

Oregon average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 24.2
15% worse than Oregon average

Oregon average: 21.1

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.2%
18% worse than Oregon average

Oregon average: 16.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 29.3%
29% worse than Oregon average

Oregon average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than Oregon average

Oregon average: 2.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.4%
22% better than Oregon average

Oregon average: 6.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 6.4%
209% worse than Oregon average

Oregon average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.1%
55% worse than Oregon average

Oregon average: 5.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.2%
52% better than Oregon average

Oregon average: 4.6%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 23.7%
79% worse than Oregon average

Oregon average: 13.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.7%
In line with Oregon average

Oregon average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.0%
In line with Oregon average

Oregon average: 95.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.7%
7% better than Oregon average

Oregon average: 86.2%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.1%
68% worse than Oregon average

Oregon average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 77.1%
5% worse than Oregon average

Oregon average: 81.2%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $24K
60% lower than Oregon average

Oregon average: $60K

Number of fines 1
41% fewer fines than Oregon average

Oregon average: 1.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Oregon average

Oregon average: 0.1

Fines amount comparison
Fines amount comparison
This facility $24K
Oregon average $60K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 14, 2023
$24K

Last updated: Jan 2026

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Financial Aid for Oregon Seniors

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Oregon Project Independence (OPI)

OPI

Age 60+, Oregon resident, at risk of nursing home but not Medicaid-eligible.

~$2,000/month (individual, varies).

$5,000 (individual).

Cost-sharing required; rural/urban balance.

Oregon Medicaid Community-Based Care

OR Medicaid CBC

Age 65+ or disabled, Oregon resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High demand in urban areas (e.g., Portland).

Program of All-Inclusive Care for the Elderly (PACE)

Oregon PACE (e.g., Providence ElderPlace)

Age 55+, OR resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$2,000 (individual), $3,000 (couple) for Medicaid enrollees.

Available in 11 counties (e.g., Multnomah, Washington); Providence ElderPlace dominant provider.

Medicare Savings Program (MSP)

Oregon Medicare Savings Program

Age 65+ or disabled, OR resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Oregon LIHEAP

Age 60+ prioritized, OR resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers gas, electric, oil; emergency aid via Oregon Energy Fund (OEF).

Family Caregiver Support Program (FCSP)

Oregon Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; OR resident; functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

15 regions; rural priority; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

Oregon SCSEP

Age 55+, unemployed, low-income, OR resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; Easterseals/AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Oregon VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, OR resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand; Oregon Veterans’ Homes option.

Senior Property Tax Deferral Program

Oregon Property Tax Deferral for Disabled and Senior Citizens

Age 62+, OR resident, homeowner 5+ years, low-income.

~$58,000/year (household, adjusted annually).

Home value < county median; equity > 15%.

Deferred taxes accrue 6% interest; repaid upon sale/death.

Elderly Nutrition Program (ENP)

Oregon Elderly Nutrition Program

Age 60+, OR resident (or spouse of any age); no income limit.

None; donations encouraged.

Not assessed.

Includes Meals on Wheels; prioritizes homebound/low-income.

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