Certified Nursing Assistants (CNAs) for Home Care in Astoria, OR
Hands-on personal care at home from a certified nursing assistant, for families who want state-certified training. Post what you need in Astoria for free and hire a caregiver directly, with no agency mark-up.

Nursing Assistants in Astoria, OR: the local picture
The nearest Medicare-certified nursing homes to Astoria are Clatsop Care Center in Astoria (0.7 mi). Nursing homes employ many of the area’s CNAs, and CNAs who want home care work often come from them.
Aides in Oregon earn a median $21.35 an hour (BLS, May 2025, home health and personal care aides). Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (U.S. Department of Labor table, updated July 1, 2026).
Astoria has about 262 residents aged 85 or older, the group most likely to need hands-on help with bathing, transfers and toileting.
Astoria compared with Clatsop County and Oregon
| Census figure | Astoria | Clatsop County | Oregon |
|---|---|---|---|
| Residents 85 or older | 2.6% | 2.0% | 2.1% |
| Residents 65+ with a disability | 38% | 37% | 34% |
| Residents 65 or older | 21% | 25% | 19% |
| Residents 65+ in households who live alone | 33% | 30% | 27% |
| Residents 65+ below the poverty line (approx.) | 10% | 9.9% | 9.9% |
| Households with no vehicle | 7.7% | 7.7% | 7.1% |
| Median income, households headed by someone 65+ | $47,225 | $56,696 | — |
Older residents in towns around Astoria
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Warrenton, OR | 5.6 mi | 1,330 | 80 |
| Seaside, OR | 15 mi | 1,873 | 206 |
| Raymond, WA | 34 mi | 829 | 139 |
| Vernonia, OR | 38 mi | 418 | 41 |
| Longview, WA | 41 mi | 7,663 | 978 |
| Longview Heights, WA | 41 mi | 634 | 8 |
Nursing homes near Astoria
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Clatsop Care Center | Astoria, OR | 0.7 mi | 4 of 5 | 71 | (503) 325-0313 |
Home health agencies serving Astoria
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Providence Home Health | Portland, OR | 74 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (503) 215-4646 |
Straight-line miles from the center of Astoria. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a nursing assistant can help with
- Bathing, dressing, grooming and toileting
- Safe transfers, repositioning and walking
- Help with eating and fluids
- Taking and noting vital signs if asked
What CNAs costs in Astoria
At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 47% of the $3,935 monthly median income of Astoria households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
What to know before hiring a nursing assistant
To be certified, a nurse aide completes a state-approved training program of at least 75 hours, including 16 hours of supervised practical training, and passes a competency exam (42 CFR 483.152). The state then lists them on its nurse aide registry, which you can search online in most states.
Questions worth asking: Which state certified you, and is it current? Where have you worked as a CNA? Are you comfortable with lifts, catheters and incontinence care? More in our nursing assistants guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Nursing Assistants in Astoria: common questions
What nursing homes are near Astoria?
The closest Medicare-certified nursing homes are Clatsop Care Center in Astoria (0.7 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.
How much does CNAs cost in Astoria?
At the Oregon median aide wage of $21.35 an hour, 20 hours of help a week comes to about $1,850 a month in wages, which is 47% of the $3,935 monthly median income of Astoria households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Oregon's minimum wage is $16.80 in the Portland metro area, $15.55 in the standard state rate, $14.55 in non-urban counties (U.S. Department of Labor table, updated July 1, 2026).
Can a CNA give medication?
Generally no. A CNA can remind someone to take medication. Giving medication is usually reserved for licensed nurses, or for aides with a separate state medication certification.
More senior care near Astoria
Nursing Assistants in nearby cities
- Nursing Assistants in Warrenton, OR
- Nursing Assistants in Seaside, OR
- Nursing Assistants in Raymond, WA
- Nursing Assistants in Vernonia, OR
- Nursing Assistants in Longview, WA
- Nursing Assistants in Longview Heights, WA
- Nursing Assistants in Lexington, WA
- Nursing Assistants in Kelso, WA
- Nursing Assistants in Kalama, WA
- Nursing Assistants in Tillamook, OR
- Nursing Assistants in Chehalis, WA
- Nursing Assistants in St. Helens, OR
- Nursing Assistants in Scappoose, OR
- Nursing Assistants in Woodland, WA
- Nursing Assistants in Aberdeen, WA
- Nursing Assistants in Central Park, WA
Other care in Astoria
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
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