Astoria, OR

Clatsop Care Center

3-star overall rating with 3-star inspections with $23,777 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

646 16th Street, Astoria, OR

(503) 325-0313

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1979-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.68

Registered nurse staffing · state 0.68 · national 0.68

LPN hours / resident day

0.70

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

3.74

Nurse aide staffing · state 3.37 · national 2.35

Total nurse hours

5.12

All reported nurse hours · state 4.95 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

4.72

Weekend nurse staffing · state 4.39 · national 3.43

Weekend RN hours

0.45

Weekend registered nurse coverage · state 0.44 · national 0.47

Physical therapist

0.15

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.66

CMS adjusted RN staffing hours

Adjusted total hours

4.98

CMS adjusted total nurse staffing hours

Case-mix index

1.41

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 53% · national 45%

Total nurse turnover

63%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,685

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

43.13

Composite VBP score used to determine payment impact.

Payment multiplier

0.9961

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.28

Baseline 18.32% · Performance 18.98% · Measure score 5.28 · Achievement 5.28 · Improvement 0

Healthcare-associated infections

6.70

Baseline 6.18% · Performance 5.83% · Measure score 6.70 · Achievement 6.70 · Improvement 2.44

Total nurse turnover

Baseline 40.00% · Performance 65.91% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

5.27

Baseline 3.60 hours · Performance 4.58 hours · Measure score 5.27 · Achievement 5.27 · Improvement 3.99

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.35%	10.72% 0.6 pts worse	No Different than the National Rate · Eligible stays 120 · Observed rate 11.67% · Lower 95% interval 7.36%
Discharge to community	62.13%	50.57% 11.6 pts better	Better than the National Rate · Eligible stays 124 · Observed rate 58.06% · Lower 95% interval 51.58%
Medicare spending per beneficiary	0.91	1.02 0.1 pts better
Drug regimen review with follow-up	86.49%	95.27% 8.8 pts worse	Numerator 64 · Denominator 74
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 74
Discharge self-care score	45.61%	53.69% 8.1 pts worse	Numerator 26 · Denominator 57
Discharge mobility score	50.88%	50.94% 0.1 pts worse	Numerator 29 · Denominator 57
Pressure ulcers or injuries, new or worsened	4.05%	2.29% 1.8 pts worse	Numerator 3 · Denominator 74 · Adjusted rate 4.38%
Healthcare-associated infections requiring hospitalization	5.83%	7.12% 1.3 pts better	No Different than the National Rate · Eligible stays 82 · Observed rate 2.44% · Lower 95% interval 3.16%
Staff COVID-19 vaccination coverage	5.17%	8.2% 3 pts worse	Numerator 3 · Denominator 58
Staff flu vaccination coverage	9.72%	42% 32.3 pts worse	Numerator 7 · Denominator 72
Discharge function score	47.37%	56.45% 9.1 pts worse	Numerator 27 · Denominator 57
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 26 · Denominator 26
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 39 · Denominator 39
Resident COVID-19 vaccinations up to date	18.42%	25.2% 6.8 pts worse	Numerator 7 · Denominator 38

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.7	1.4 0.7 pts better	1.9 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.9 · Expected 2.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.7	2.5 0.2 pts worse	1.8 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 3.2 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.7%	95.5% 0.8 pts worse	93.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 95.7% · Q3 92.0% · Q4 95.8% · 4Q avg 94.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.0%	95.2% 0.8 pts better	95.5% 0.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.1%	2.4% 1.3 pts better	3.3% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 4.2% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.2%	4.7% 2.5 pts better	11.4% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 4.3% · Q4 0.0% · 4Q avg 2.2%
Percentage of long-stay residents who lose too much weight	8.0%	5.0% 3 pts worse	5.4% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 9.1% · Q3 8.7% · Q4 0.0% · 4Q avg 8.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.9%	12.5% 6.4 pts worse	19.6% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 18.2% · Q3 13.0% · Q4 21.7% · 4Q avg 18.9%
Percentage of long-stay residents who received an antipsychotic medication	23.6%	14.7% 8.9 pts worse	16.7% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 23.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased	16.2%	15.8% 0.4 pts worse	14.9% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 30.0% · Q3 4.8% · Q4 4.8% · 4Q avg 16.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.7%	1.7% 1 pts worse	1.0% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 0.0% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	6.5%	2.0% 4.5 pts worse	1.7% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.3% · Q3 8.0% · Q4 9.1% · 4Q avg 6.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.2%	22.2% 5 pts worse	19.8% 7.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 5.8% · 4Q avg 27.2%
Percentage of long-stay residents with pressure ulcers	4.7%	6.5% 1.8 pts better	5.1% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 2.9% · Q3 2.9% · Q4 6.7% · 4Q avg 4.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.2%	85.4% 7.8 pts better	81.7% 11.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 89.3% · Q2 91.1% · Q3 98.0% · Q4 95.3% · 4Q avg 93.2%
Percentage of short-stay residents who had an outpatient emergency department visit	26.0%	15.1% 10.9 pts worse	12.0% 14 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 26.0% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	6.7%	1.7% 5 pts worse	1.6% 5.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 10.0% · Q4 18.2% · 4Q avg 6.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	77.0%	81.2% 4.2 pts worse	79.7% 2.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 77.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.9%	21.6% 5.7 pts better	23.9% 8 pts better	Short Stay · 20240701-20250630 · Adjusted 15.9% · Observed 16.4% · Expected 24.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-13 · Fire 2024-09-13

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-06-14 · Fire 2023-06-14

15 health deficiencies

Top issue: Nursing and Physician Services (4 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2022-07-29 · Fire 2022-07-29

5 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-09-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-09-19

F · Potential for more than minimal harm 2023-06-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-07-12

F · Potential for more than minimal harm 2022-07-29

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2022-09-02

F · Potential for more than minimal harm 2022-07-29

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2022-09-02

F · Potential for more than minimal harm 2022-07-29

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2022-09-02

F · Potential for more than minimal harm 2022-07-29

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2022-09-02

F · Potential for more than minimal harm 2022-07-29

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-09-02

E · Potential for more than minimal harm 2022-07-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-02

D · Potential for more than minimal harm 2022-07-29

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2022-09-02

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-09-13

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-09-13

F636 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-09-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-09-13

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-10-18

D · Potential for more than minimal harm 2024-09-13

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-18

G · Actual harm 2024-07-18

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-11-20

G · Actual harm 2023-06-14

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-07-09

G · Actual harm 2023-06-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-09

G · Actual harm 2023-06-14

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-09

F · Potential for more than minimal harm 2023-06-14

F725 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2023-07-09

F · Potential for more than minimal harm 2023-06-14

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2023-07-09