Nehalem Valley Care Center

280 Rowe Street · Wheeler, OR · 97147 · 5033685171

50 certified beds Non profit - Other

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

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Red flags

69% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 51
Serious harm & abuse 20% 100
Staffing 20% 69
Federal penalties 15% 73
Trend 10% 73
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.593.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day4.28≈ weekday level
Nursing turnover / year69%median 45%
Fines (3-yr window)1 · $16,801

Inspection citations (42 in the current record)

  • Potential for harm · D February 19, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected September 25, 2025 · Quality of Life and Care

  • Potential for harm · D June 26, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected August 15, 2025 · Resident Rights

  • Potential for harm · D June 26, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · F June 26, 2025

    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 August 15, 2025 · Nursing and Physician Services

  • Potential for harm · D June 26, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected August 15, 2025 · Nutrition and Dietary

  • Potential for harm · E June 26, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 15, 2025 · Infection Control

  • Potential for harm · F June 26, 2025 · found via complaint

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

    Corrected August 15, 2025 · Nursing and Physician Services

  • Potential for harm · E November 12, 2024 · found via complaint

    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 January 1, 2025 · Nursing and Physician Services

  • Potential for harm · E March 7, 2024

    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 April 26, 2024 · Resident Rights

  • Potential for harm · D March 7, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected April 26, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 7, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 26, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 7, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 26, 2024 · Quality of Life and Care

  • Potential for harm · D March 7, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 26, 2024 · Quality of Life and Care

  • Potential for harm · E March 7, 2024

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

    Corrected April 26, 2024 · Nursing and Physician Services

  • Potential for harm · E March 7, 2024

    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 April 26, 2024 · Nursing and Physician Services

  • Potential for harm · E March 7, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected April 26, 2024 · Pharmacy Service

  • Potential for harm · E March 7, 2024

    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 April 26, 2024 · Pharmacy Service

  • Potential for harm · E March 7, 2024

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected April 26, 2024 · Nutrition and Dietary

  • Potential for harm · E March 7, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 26, 2024 · Nutrition and Dietary

  • Potential for harm · D March 7, 2024

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

    Corrected April 26, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 7, 2024

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected April 26, 2024 · Administration

  • Potential for harm · D February 10, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 1, 2023 · Resident Rights

  • Potential for harm · D February 10, 2023

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected April 1, 2023 · Resident Rights

  • Potential for harm · E February 10, 2023

    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 April 1, 2023 · Resident Rights

  • Potential for harm · D February 10, 2023

    Respond appropriately to all alleged violations.

    Corrected April 1, 2023 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 7, 2024Fine$16,801

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 385244 · certified since May 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.