Clatsop Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1979-11-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (503) 325-0313 or your local Medicaid office to verify current eligibility.

Clatsop Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (4★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 71.8/100, placing it #7414 of 14703 facilities nationally and #81 of 128 in Oregon. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Clatsop Care Center receives a reported average of 5 hours 7 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 41 minutes; Licensed Practical Nurse (LPN) — 42 minutes; Nurse Aide — 3 hours 44 minutes. On weekends, total nurse staffing is 4 hours 43 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 63.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $23,777. 12 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $23,777, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 56.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Clatsop Care Center ranks 7414th out of 14,703 facilities (composite score: 71.8/100), placing it in the below average nationwide. Within OR, it ranks 81st out of 128 nursing homes. For 2026 staffing: total nurse hours rank #1,037 nationally and RN hours rank #5,216 nationally (#52 in OR). Our composite quality score of 71.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Astoria, visit: https://nursinghomesnearme.org/oregon/astoria/