Clatsop Care Center Health District

    646 16th St, Astoria, OR, 97103
    3.7 · 33 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Excellent bedside care, broken management

    I placed my mother here for post-surgery recovery and long-term care and found the nurses, CNAs and other frontline staff caring, knowledgeable and full of heart - lots of activities, church involvement, residents usually seem happy, and the facility can handle increasing needs (Alzheimer's unit too). That said, management is unresponsive and rude, the place is chronically short-staffed and slow to respond, and I saw unprofessional/hostile behavior (including a nurse, Sara, belittling residents and reports of discriminatory/name-calling and alleged abuse of a diabetic amputee). Operational failures - lost dentures, a disappeared backup power source, broken promises and poor communication - leave me morally conflicted: excellent bedside care, but seriously flawed administration, so proceed with caution.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.73 · 33 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.2
    • Staff

      3.2
    • Meals

      3.7
    • Amenities

      3.7
    • Value

      5.0

    Pros

    • Caring, attentive nurses and CNAs
    • Knowledgeable clinical staff
    • Friendly staff across roles (administration, cooks, housekeeping)
    • High-quality care for post-surgery recovery
    • Compassionate and engaging environment with many activities
    • Church involvement and social programming
    • Alzheimer's unit and in-home care available
    • Clean facility and pleasant location
    • Centrally located in Astoria; only local care center
    • Residents often appear happy and well cared for

    Cons

    • Management/administration reported as unresponsive and poor communicators
    • Chronic understaffing and slow staff response times
    • Inconsistent management quality (some praise, many complaints)
    • Promises not fulfilled and poor follow-through on issues
    • Missing personal items (e.g., dentures) and concerns about property handling
    • Power backup/facility maintenance issues left unresolved
    • Allegations of abusive, belittling, or hostile behavior by some staff
    • Reports of harassment, name-calling, and discriminatory conduct (including toward LGBTQ+ residents)
    • Admissions errors and administrative mistakes
    • Tight budget constraints impacting resources and operations

    Summary review

    Overall sentiment across these reviews is mixed but distinctive: direct care staff (nurses, CNAs, cooks, and housekeeping) receive frequent praise for compassion, competence, and attentiveness, while management and administrative functions are a consistent source of concern for many reviewers. Multiple commenters describe the hands-on caregiving as high-quality — staff are characterized as friendly, knowledgeable, and dedicated, and the facility is cited as a reassuring option for short-term post-surgery recovery and for longer-term, Alzheimer’s, or escalating care needs. Reviewers also note an active, engaging environment with many activities, church involvement, and a generally clean, centrally located facility in Astoria, which some families appreciate as the only local care center.

    Care quality and direct-staff interactions are the clearest strengths. Numerous reviews single out nurses and CNAs for tender, professional care; families report that residents look happy and that staff across roles demonstrate big hearts and genuine dedication. The facility’s ability to manage different levels of need — from in-home care services to an Alzheimer’s unit and long-term stays — is mentioned positively. Housekeeping and dining/food service staff are also complimented in some reviews, and activities programming and church participation are repeatedly mentioned as contributors to resident wellbeing.

    In contrast, administrative and management issues form the core of the negative feedback and create an uneven overall picture. A common theme is unresponsiveness and lack of communication from management: promises that were not kept (for example, replacement of dentures) and slow or absent follow-up. Several reviews describe chronic understaffing that leads to slow response times when residents need assistance. There are also specific operational concerns: a reported loss of the facility’s power backup source that remained unaddressed for weeks, admissions mistakes, and complaints about poor record-keeping or property handling (missing dentures). Some reviewers express deep frustration — even considering legal action — when management failed to resolve problems.

    More serious accusations appear in a subset of reviews: allegations of abusive or belittling behavior by particular staff (one reviewer names a nurse) and reports of harassment or discriminatory conduct toward LGBTQ+ residents, including name-calling. These are presented as allegations by reviewers and not corroborated in these summaries, but they are significant because they speak to potential cultural or supervisory issues that could impact resident safety and dignity. At the same time, a few reviews assert the opposite — that management is professional and exceptional — indicating inconsistent experiences among different families and possibly variability over time or between shifts.

    Facility-level observations are mixed but relatively positive apart from management and staffing issues. The location in Astoria is convenient and valued by local families. Cleanliness and activity programming are highlighted as positives. Several reviewers note budget constraints and describe the facility as doing well despite tight resources, suggesting staff are working hard under financial limitations.

    Patterns and implications: the strongest, most consistent praise is for frontline caregivers; the strongest, most consistent criticism is for management, communication, and staffing. This suggests a facility where daily resident care is often handled compassionately but where administrative systems, staffing levels, and oversight may be unreliable. For families evaluating this center, the reviews suggest confirming key operational protections and policies prior to placement: ask about staffing ratios and typical response times, inquire about emergency and power-failure procedures, request written policies on lost or missing personal items and incident reporting, and learn how complaints and allegations (including discrimination or abuse claims) are investigated and resolved. Observing staff-resident interactions in person and checking recent inspection or complaint records would help reconcile the widely differing accounts of management quality.

    In summary: Clatsop Care Center is repeatedly praised for its frontline caregivers, activity programming, cleanliness, and its role as a local, capable option (including Alzheimer’s and in-home services). However, recurring administrative problems — unresponsiveness, broken promises, chronic understaffing, concrete maintenance/asset concerns, and some serious allegations about staff behavior and discrimination — create significant red flags and produce highly variable family experiences. The reviews recommend careful due diligence focused on administration, staffing, emergency preparedness, and the facility’s handling of resident concerns before making placement decisions.

    Location

    Map showing location of Clatsop Care Center Health District

    About Clatsop Care Center Health District

    Clatsop Care Center Health District sits in a historic building in the heart of Astoria, Oregon, where it's been serving people in Clatsop County since 1979, and over the years, it's kept a family-oriented and home-like setting for folks who need different types of care all in one place, like in-home care services, assisted living, skilled nursing, and memory care, and there's even a retirement village called Clatsop Care Retirement Village with studio, one-bedroom, and two-bedroom units for people looking for more independence. There's a strong focus on keeping people close to their families and friends, which matters to many, and they help residents move between care programs, like short-term rehab, assisted living, memory care, or in-home care, as their needs change, so people don't have to leave Clatsop County as they get older or need more help. The campus has several parts, such as Clatsop Care Health & Rehabilitation for health and rehabilitation needs, and Clatsop Care Memory Community, which includes a secured Alzheimer's unit for people who need specialized memory care, and the staff, trained in partnership with Aidan Health Services, Inc. and Consonus Health Care, work around the clock to provide support, offer therapy, manage medications, and help with everyday activities.

    The environment stays clean and well-managed, and the place encourages a spirit of community among residents, staff, and families, who are all part of the care process. Strong ties with local hospitals, mental health professionals, and end-of-life care providers mean residents get a bigger team to support their health. Services go beyond medical care, too, with licensed physical, occupational, and speech therapy, plus activities like music, daily exercise classes, news and coffee hours, gardening, and pet therapy, and spiritual needs are met through Bible study and church services. People who need short-term stays, like after hospital visits, can use respite care, and those who need long-term support, such as rehab after a surgery or ongoing skilled nursing for chronic illness, find a place here, whether they pay privately or use Medicare or Medicaid.

    There's a strong mission to provide compassionate care, put the person first, and treat everyone with respect and dignity, and care plans change as a person's needs grow, which means residents can stay in a familiar place for as long as possible. The leadership and medical director keep a close eye on the quality of medical care, making sure evaluations happen before therapy and that therapy goals are set with the person and their family involved. Amenities include a beauty salon, dining rooms, group activities, outdoor spaces, and outings, all to help residents feel comfortable and engaged. The district trains certified nurses, keeps a regular staff of experienced professionals, and works hard to offer a safe and supportive place for older adults to live, recover, and connect with others.

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