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Nursing HomeMedicaid

Nehalem Valley Care Center

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

280 Rowe Street, Wheeler, OR 9714750 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 11 Google reviews

5
4
3
2
1

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What this means for your family

This facility offers effective rehabilitation services, but families should be aware of significant reports regarding slow response times to call lights and communication gaps. We strongly recommend visiting during off-hours to observe staffing levels and asking management directly about their protocol for responding to urgent patient needs.

Google Reviews

Google Reviews

11 reviews on Google
Nehalem Valley Care Center receives polarized feedback, with some families praising the kindness of the staff and the quality of physical therapy, while others report serious concerns regarding responsiveness and patient care. Critical reviews highlight significant delays in call-light response times and perceived neglect during medical emergencies, contrasting with positive experiences regarding the facility's small-town atmosphere and rehabilitation services.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean8.0ActivitiesN/AMeds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Kind and compassionate staff members
  • Small-town, accessible atmosphere

Concerns

  • Slow response times to call lights and phone inquiries (mentioned by 2 reviewers)
  • Inconsistent quality of care during medical decline (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'20(1)'22(2)'24(3)'26(1)

Distribution · 13 analyzed

5
5
4
1
3
3
2
0
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure call lights are answered promptly and residents receive timely assistance?
  • 2How does your nursing team coordinate care and communicate with families when a resident experiences a change in their medical condition or health status?
  • 3I noticed that physical and occupational therapy are highlighted as strengths here; how are these services integrated into the daily routine for residents who need them?
  • 4What steps is the facility taking to improve medication management and ensure accuracy in the administration process?
  • 5How do you keep families updated on their loved one's care, and what is the best way for us to reach staff if we have questions about daily updates?
  • 6What kind of social activities or community engagement opportunities are available for residents to enjoy the small-town atmosphere of the facility?

Personalized based on this facility's data


Key Review Excerpts

They have done a great job working with him. They have both occupational therapy and physical therapy.

Long-term resident's family · 2021★★★★★

My Father passed away while in the care of these incredible human beings. They were so kind and cared for my father the was Jesus teaches.

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

My husband rang for the nurse about 4 times and waited for about an hour for someone to show up. I'm sorry but this was unacceptable.

Long-term resident's family · 2022☆☆☆☆
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
52%
Registered nurses for medical care
Total Nursing
4.59hrs
OK
All nurses + aides combined
Staff Turnover
69%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility33.6%
Worse than Avg
Here
33.6%
US
15.3%
OR
22.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.3%
Worse than Avg
Here
26.3%
US
14.4%
OR
15.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.8%
Worse than Avg
Here
23.8%
US
19.5%
OR
12.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
15.5%
OR
14.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility11.3%
Mixed vs Avgs
Here
11.3%
US
12.1%
OR
4.9%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility16.6%
Better than Avg
Here
16.6%
US
19.4%
OR
22.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility56.7%
Worse than Avg
Here
56.7%
US
79.8%
OR
81.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.1%
Better than Avg
Here
94.1%
US
81.8%
OR
85.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.5%
Worse than Avg
Here
4.5%
US
1.6%
OR
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
1penalties
Near state avg (10.4)
3 complaint-triggered
$16,801 in fines

This facility has concerning patterns with nursing staffing that persist across multiple surveys and have prompted family complaints. The primary recurring issues involve inadequate nursing staff levels, registered nurse coverage requirements, and infection control problems. While all 60 deficiencies across four surveys show correction dates, the repeated violations in critical areas like nursing staffing suggest ongoing challenges in maintaining consistent compliance and quality care standards.

Feb 19, 2026Complaint
1
0677Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Jun 26, 2025Routine
8
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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0163Potential for harm · PatternCorrected

Construction Deficiencies

Install noncombustible or limited-combustible interior walls.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jun 26, 2025Complaint
1
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.

Nov 12, 2024Complaint
1
0727Potential for harm · PatternCorrected

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.

Mar 7, 2024Routine
20
0007Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

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

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0018Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish procedures for tracking staff and patients during an emergency.

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.

0725Potential for harm · PatternCorrected

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 · PatternCorrected

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.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

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.

0801Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

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.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0791Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Feb 10, 2023Routine
30
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0225Potential for harm · WidespreadCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0912Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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.

0725Potential for harm · PatternCorrected

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.

0801Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0809Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0923Potential for harm · PatternCorrected

Environmental Deficiencies

Have enough outside ventilation via a window or mechanical ventilation, or both.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0559Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0659Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Provide care by qualified persons according to each resident's written plan of care.

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.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Federal Penalties

Fine

Mar 7, 2024

$16,801

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nehalem Valley Care Center

Organization Type

nonprofit

Ownership & Management

Owners

Nehalem Bay Health District

Owner · Organization

100%

Key personnel

Goble, JamesOfficer / DirectorWeissbach, TheodoreOfficer / DirectorZagata, JosephOfficer / DirectorJensen, DaneOfficer / DirectorAidan Health Services INCManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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