1508 Exchange St, Astoria, OR 97103
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Prices not published
About Clatsop Care Center
Clatsop Care Center provides skilled nursing and rehabilitation services to Astoria, Oregon residents who need specialized medical care and recovery support. Our team focuses on helping patients regain independence through compassionate, personalized treatment plans tailored to each individual's goals.
Community at a glance
Capacity
71 residents
Location
Astoria, OR
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
646 16TH STREET, Astoria, Oregon 97103
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on January 30, 2026, state inspectors cited 3 health deficiencies (the Oregon average is 9.2).
Nurses and nurse aides spend 5 hours 2 minutes with each resident a day, about the same as the Oregon average.
Medicare has not fined Clatsop Care Center in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 5 hours 2 minutes |
| Registered nurse time per resident, per day | 43 minutes |
| Nursing staff who left in the past year | 68%Above the Oregon average |
Inspections
9 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
January 30, 2026 · Standard inspection · 3 citations
Ensure residents have reasonable access to and privacy in their use of communication methods.
Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Feb 27, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 27, 2026Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 27, 2026
September 13, 2024 · Standard inspection · 5 citations
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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Oct 18, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 18, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Oct 18, 2024Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 18, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Oct 18, 2024
July 18, 2024 · Complaint investigation · 1 citation+
Ensure that residents are free from significant medication errors.
Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintAlready fixed by Nov 20, 2023
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- Government - City/county
- Legal business name
- Clatsop Care Center Health District
- Medicare-certified beds
- 71
- Average residents per day
- 34
- Accepts
- Medicare and Medicaid
- First certified
- November 1, 1979
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 385144
Location
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646 16TH STREETAstoria, OR 97103
7 other communities within 10 miles
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Questions about Clatsop Care Center
How did Clatsop Care Center do on its last inspection?+
State inspectors visited on January 30, 2026 and cited 3 health deficiencies. The Oregon average is 9.2.
How much nursing care does each resident get at Clatsop Care Center?+
Nurses and aides spend 5 hours 2 minutes with each resident per day, including 43 minutes from registered nurses. 68% of nursing staff left over the past year.
Has Clatsop Care Center been fined by Medicare?+
Medicare's records show no fines against Clatsop Care Center in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.