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Nursing HomeMedicaid

Clatsop Care Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

646 16th Street, Astoria, OR 9710371 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 33 Google reviews

5
4
3
2
1
Clatsop Care Center Nursing Home in Astoria, OR — Street View
Street View

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What this means for your family

The facility is frequently praised for its clean environment and engaging activities, making it a pleasant setting for many residents. However, families should be aware of recurring issues with administrative communication and the potential for lost personal items; we recommend keeping a detailed inventory of belongings and establishing a clear point of contact for concerns upon admission.

Google Reviews

Google Reviews

33 reviews on Google
Clatsop Care Center receives polarized feedback, with some families praising the compassionate staff and engaging activities, while others report significant concerns regarding management and communication. While many reviewers highlight a clean environment and dedicated nursing staff, recurring complaints focus on administrative responsiveness, lost personal items, and inconsistent care standards.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean9.0Activities8.0MedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Engaging activities and community atmosphere
  • Dedicated and friendly nursing/CNA staff

Concerns

  • Poor administrative responsiveness and management (mentioned by 4 reviewers)
  • Understaffing leading to slow response times (mentioned by 2 reviewers)
  • Loss of resident personal property (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(6)'19(9)'21(2)'24(4)'26(1)

Distribution · 34 analyzed

5
19
4
3
3
5
2
4
1
3

How They Respond to Reviews

70%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard great things about the community atmosphere here; what kind of social activities or group outings do you have planned for the residents this month?
  • 2It's wonderful to see that the nursing and CNA staff are so well-regarded; how do you ensure that this high level of care remains consistent during shift changes?
  • 3How does the administration handle communication with families to ensure we are always kept in the loop regarding any changes in a resident's care plan?
  • 4What specific protocols are in place to ensure that residents' personal belongings and cherished items are kept safe and organized within their rooms?
  • 5In the event of a medical emergency during the night, what is the immediate process for notifying both the medical team and the family?
  • 6We noticed you are very active in responding to feedback; how does the facility use resident and family suggestions to improve day-to-day operations?

Personalized based on this facility's data


Key Review Excerpts

The nurses and cnas are wonderful but management is terrible. 2 days at the facility and my wife's phone back up power source disappeared and we were told they would replace it and almost 2 weeks and nothing.

Long-term resident's family · 2024★★★☆☆

Clatsop Care was my mother's home for the last 5years of her life. The staff bent over backwards to accommodate her needs. I love everyone there.

Long-term resident's family · 2019★★★★★

I've only been a visitor there and a CNA intern, but was always impressed how clean it was and how many activities for the residents they have!

Visitor/CNA intern · 2019★★★★
Source: 33 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.77hrs
OK
Registered nurses for medical care
Total Nursing
5.44hrs
OK
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

5

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
15.5%
OR
14.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.3%
Better than Avg
Here
4.3%
US
12.1%
OR
4.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility8.2%
Worse than Avg
Here
8.2%
US
1.6%
OR
2.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.7%
Mixed vs Avgs
Here
16.7%
US
19.5%
OR
12.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.4%
Better than Avg
Here
11.4%
US
14.4%
OR
15.3%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility8.7%
Worse than Avg
Here
8.7%
US
5.3%
OR
5.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.3%
Better than Avg
Here
94.3%
US
81.8%
OR
85.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility9.0%
Worse than Avg
Here
9.0%
US
1.6%
OR
1.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility77.0%
Worse than Avg
Here
77.0%
US
79.8%
OR
81.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (10.4)
16 complaint-triggered
$23,777 in fines

Clatsop Care Center shows a concerning pattern of complaint-triggered deficiencies, with families filing reports that led to 16 violations across recent surveys. The most recurring issues involve medication management, nursing staffing problems, and resident care planning failures. While the facility has provided correction dates for all identified deficiencies, the high volume of family complaints suggests ongoing quality concerns that warrant careful consideration during visits.

Jan 30, 2026Routine
6
0576Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address patient/client population and determine types of services needed.

0018Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

0020Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Sep 13, 2024Routine
6
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jul 18, 2024Complaint
1
0760Actual harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jun 14, 2023Complaint
15
0658Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0692Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Jun 14, 2023Routine
1
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Clatsop Care Center

Organization Type

government

Ownership & Management

Key personnel

Miller, DavidW-2 Managing EmployeeAho, MichaelOfficer / DirectorCrandell, LindaOfficer / DirectorDevaney, JacquelineOfficer / DirectorLittle, RoyOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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