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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 67th out of 78 homes in Oregon.| Staff type | Hours / day | 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.
| 41m per day | ■ Avg 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.
| 42m per day | ▼ 22% 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 44m per day | ▲ 11% State avg: 3h 22m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 52m per day | ▲ 11% 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.
| 9m per day | ▲ 80% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 27m per day | ▲ 4% State avg: 26m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
73% of new residents, usually for short-term rehab.
13% of new residents, often for short stays.
13% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #64 / 73Payroll — state benchmarkedThis home is ranked 64th out of 73 homes in Oregon.Shows total annual staff payroll benchmarked to the Oregon average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the Oregon average: 65.7%Clatsop Care Center is administrated by Kendra Webb.
Key information about the people who lead and staff this community.
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.
The data displayed corresponds to the last 4 years.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
Oregon average: 27 citations
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Oregon average: 31 deficiencies
The most recent inspection on September 13, 2024, identified multiple deficiencies including issues with maintaining a homelike environment, comprehensive assessments, medication administration, drug labeling, resident records accuracy, and staffing ratios. Earlier inspections showed repeated deficiencies related to medication errors, reporting COVID-19 data to the CDC’s NHSN, and administrative rule compliance. Complaint investigations were not listed in the available reports, and no fines or enforcement actions were noted. The main themes across inspections involved medication management, documentation accuracy, and reporting requirements. The pattern of findings suggests ongoing challenges without clear improvement over time.
Oregon average 5.1
Last Health inspection on Sep 2024
Oregon average 34
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).
100% better than Oregon averageOregon average: 0.5
4
233% worse than Oregon averageOregon average: 1.2
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 13, 2024
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 13, 2024
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 13, 2024
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 13, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Clatsop Care Center is located in Astoria, Oregon.
Here are the financial assistance programs available to residents in Oregon.
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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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
8% better than Oregon averageOregon average ratio: 2.92:1
6% better than Oregon averageOregon average: 7.8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.7 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
12.1 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Total hours from contractors
5,904 contractor hours this quarter
| Certified Nursing Assistant | 22 | 25 | 47 | 9,431 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 6 | 2 | 8 | 2,354 | 91 | 100% | 12.1 |
| Nurse Aide in Training | 6 | 0 | 6 | 1,219 | 78 | 86% | 7.5 |
| Medication Aide/Technician | 3 | 1 | 4 | 1,026 | 83 | 91% | 11.8 |
| Registered Nurse | 3 | 2 | 5 | 723 | 53 | 58% | 11.7 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 483 | 68 | 75% | 6.5 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| Dietitian | 2 | 0 | 2 | 366 | 49 | 54% | 7.3 |
| Mental Health Service Worker | 2 | 0 | 2 | 348 | 54 | 59% | 5.9 |
| Physical Therapy Assistant | 0 | 7 | 7 | 338 | 56 | 62% | 4.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 287 | 40 | 44% | 7.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 283 | 53 | 58% | 5.3 |
| Respiratory Therapy Technician | 0 | 9 | 9 | 203 | 44 | 48% | 4.2 |
| Qualified Social Worker | 0 | 1 | 1 | 80 | 30 | 33% | 2.7 |
| Occupational Therapy Aide | 0 | 2 | 2 | 29 | 8 | 9% | 3.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 19 | 6 | 7% | 3.2 |
| Medical Director | 0 | 1 | 1 | 9 | 3 | 3% | 3 |
| Feeding Assistant | 0 | 1 | 1 | 9 | 3 | 3% | 3 |
| Physical Therapy Aide | 0 | 1 | 1 | 7 | 2 | 2% | 3.4 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
33Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageOregon average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.2
15% worse than Oregon averageOregon average: 21.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
19.2%
18% worse than Oregon averageOregon average: 16.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
29.3%
29% worse than Oregon averageOregon average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Oregon averageOregon average: 2.4%
Percent of long-stay high risk residents with pressure ulcers
5.4%
22% better than Oregon averageOregon average: 6.9%
Percent of long-stay residents with a urinary tract infection
6.4%
209% worse than Oregon averageOregon average: 2.1%
Percent of long-stay residents who lose too much weight
8.1%
55% worse than Oregon averageOregon average: 5.3%
Percent of long-stay residents who have depressive symptoms
2.2%
52% better than Oregon averageOregon average: 4.6%
Percent of long-stay residents who received an antipsychotic medication
23.7%
79% worse than Oregon averageOregon average: 13.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
In line with Oregon averageOregon average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
In line with Oregon averageOregon average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
0.67
52% better than Oregon averageOregon average: 1.40
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.72
8% worse than Oregon averageOregon average: 2.52
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.7%
7% better than Oregon averageOregon average: 86.2%
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
68% worse than Oregon averageOregon average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
77.1%
5% worse than Oregon averageOregon average: 81.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
15.9%
26% better than Oregon averageOregon average: 21.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
26.0%
72% worse than Oregon averageOregon average: 15.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Oregon averageOregon average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
45.6%
15% worse than Oregon averageOregon average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
62.1%
23% better than Oregon averageOregon average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
60% lower than Oregon averageOregon average: $60K
41% fewer fines than Oregon averageOregon average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Oregon averageOregon average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 14, 2023 · $24K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 14, 2023Last updated: Jan 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 | 3.0 | 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 | 69 | 77.1% | +17% | 4.47 | -48% | -15% | 0 | 18 | 6.0 | 0 | 52 | - | 76 | Ari Cbc Llc | $14.3M | $5.3M | 37.2% | 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 | 6.3 | 4 | 33 | - | - | Aidan Health Services Inc | $7.1M | $2.4M | 34.2% | 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 | 0.0 | 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 | 0.0 | 0 | - | - | - | - | - | - | - | - |
Historical financial and operational data for Clatsop Care Center based on CMS SNF Cost Reports.
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