CLATSOP CARE CENTER HEALTH DISTRICT
ASTORIA, OR · Clatsop County · Government - City/county · 71 certified beds
📍 646 16th Street, Astoria, OR 97103 · 📞 (503) 325-0313
Medicare ID: 385144 · Last Medicare inspection: Jan 30, 2026
Score Breakdown
What the numbers mean
CLATSOP CARE CENTER HEALTH DISTRICT scored 67 out of 100 — near the state average.
📋 Inspections: 24 citations over the last 36 months — 2 fewer than the state average (26). 4 were rated serious (G+) — inspectors found actual or potential harm to residents. 4 findings recurred across inspection cycles — indicating a problem that was not fixed.
👥 Staffing: Staffing levels are strong — RN hours and total nurse hours per resident are in the favorable range. Adequate staffing is one of the most important factors in resident safety.
⚠️ Penalties & enforcement: CMS has recorded 1 enforcement action totaling $23,777 against this facility. Penalties are only issued after a facility fails two levels of regulatory review — meaning this is a serious escalation beyond a standard citation. Ask for a written explanation of every fine and what corrective actions were taken.
💬 Complaints: Low complaint activity — few formal complaints from residents or families have triggered inspections. Ask if there is a family council you can speak with.
🚨 Resident quality outcomes: Multiple quality measures are well below national benchmarks — residents may experience higher rates of falls, pain, or hospitalizations than at comparable facilities. Ask management about their improvement plans.
What inspectors found (last 3 surveys)
Top concern areas
⚖ Penalties & Enforcement
Federal civil monetary penalties (CMPs) are only issued after a facility has failed two levels of regulatory review — meaning problems were found on inspection and the facility could not rebut the findings. This is a serious escalation beyond a standard citation.
⚠ Each enforcement action required CMS to make a separate non-compliance determination — meaning this facility failed two levels of regulatory review before any fine was issued. Ask management specifically what violations triggered these fines and what corrective steps were taken.
📅 Per-action enforcement records (date, fine amount, and penalty type for each individual action) are sourced from a separate CMS enforcement dataset and will be added in a future data update.
Resident Wellbeing — Key Indicators
These are the measures families ask about most. They come from CMS clinical assessments of every resident — not just inspection reports. Stars (★) count toward the official CMS quality star rating.
Source: CMS MDS Quality Measures & Medicare claims data. Scores shown are the most recent 4-quarter averages for long-stay residents.
See every citation, score history, ownership, and get monthly alerts
Watch this facility for $14.99/year. Family plan covers 3 facilities for $29.99/year.