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C
Below Standard

NEHALEM VALLEY CARE CENTER

280 ROWE STREET · WHEELER, OR 97147

5033685171 · Non profit - Other

50 beds26.6 residents88 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

NEHALEM VALLEY CARE CENTER receives an overall staffing grade of C (Below Standard). With 3.576 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4217 HPRD, below the recommended 0.75. It is 0.32 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.8% compared to weekdays. The facility relies heavily on temporary agency staff (50.49% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (4)

🚨Had 9 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
⚠️RN staffing (0.4217 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️50.49% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.
📊Staffing levels are highly variable day to day (consistency score: 1.169). This means the care experience can be very different depending on the day.

✨ Strengths (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
3.576hrs/resident/day▼ 0.32
CMS benchmark: 3.48
RN HPRD
0.4217hrs/resident/day▼ 0.26
Recommended: 0.75
Weekend Drop-off
12.8%
3.7102 weekday → 3.2353 weekend
Agency Staff
50.49%
4.54% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
9days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
2.031hrs/resident/day
Direct care aides
LPN HPRD
0.7617hrs/resident/day
Licensed practical nurses
Consistency
1.169std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Tillamook County Average+0.00 HPRD
3.58
03.58 HPRD
vs. Oregon State Average-1.39 HPRD
4.97
03.58 HPRD
vs. National Average-0.32 HPRD
3.90
03.58 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
NEHALEM VALLEY CARE CENTER ★
WHEELER · This facility
—
C
3.5760.4217★☆☆☆☆
CLATSOP CARE CENTER
ASTORIA
34.6 mi
B
5.13250.6822★★★☆☆
MARQUIS FOREST GROVE POST ACUTE REHAB
FOREST GROVE
39.8 mi
A
5.61630.9023★★★★★
FOREST GROVE POST ACUTE
FOREST GROVE
40.2 mi
D
4.54390.3878★★★★☆
AVAMERE REHABILITATION OF HILLSBORO
HILLSBORO
44.9 mi
B
4.55770.6142★★★☆☆
VILLAGE AT HILLSIDE
MCMINNVILLE
45.4 mi
A+
6.28411.6115★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
41
Total Deficiencies
$16,801
Fines Assessed
Jun 26, 2025Health
6 deficiencies cited
▼
Nov 12, 2024Health
1 deficiency cited
▼
Mar 7, 2024Health
13 deficiencies cited
▼
Feb 10, 2023Health
21 deficiencies cited
▼

Penalty History

Mar 7, 2024Fine
$16,801
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.