Nehalem Valley Care Center in Wheeler, OR has an overall 3 out of 5 stars. Its staffing is 3 stars with reported nurse staffing above the federal benchmark (4.59 vs 4.1 hours per resident per day), quality measures are lower at 2 stars, and there were no fines in the last 24 months.
Last inspection: February 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5873.
Staffing detail
Registered nurses
0.39
Licensed practical nurses
0.92
Nurse aides
3.29
Weekend nursing
4.28
Hours per resident per day.
Total staff turnover: 69%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
7.5%Steady
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
9.3%Improving
Residents with a urinary tract infection
2.4%Worsening
Residents who lost too much weight
3.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
26.2%Worsening
Residents whose ability to walk got worse
33.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
23.8%Worsening
Short-stay residents newly given an antipsychotic
4.5%Steady
Residents with a long-term catheter
1.5%Steady
Residents with new or worsening incontinence
16.6%Improving
Residents with depressive symptoms
11.2%Worsening
Long-stay residents given the seasonal flu vaccine
95.8%Steady
Long-stay residents given the pneumonia vaccine
95.3%Improving
Short-stay residents given the seasonal flu vaccine
56.7%Steady
Short-stay residents given the pneumonia vaccine
94.1%Improving
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2025 — widespread issue, potential for harm.
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F-Tag 725 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited March 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 1 fine · $16,801 in total fines.
Federal fine
Mar 7, 2024
$16,801
Operator & ownership
Ownership
Non profit - Other
Occupancy
26.8 residents on an average day (54% of 50 beds)
Resident voice
Resident council
Medicare history
Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.