Nursing HomeInspections

Fir Lane Care

Nursing home in Shelton, WA

Medicare & Medicaid certified1★ overall (CMS)

Call (360) 426-1651Send a messageMap ↗

Public-record details

Address
2430 North 13th Street, Shelton, WA 98584
Phone
(360) 426-1651
Listed under
For-profit
Medicare CCN
505230
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
3 of 5
Certified beds
135
Average residents per day
92
Ownership
For-profit, limited Liability company
Legal business name
Fir Lane Care LLC
Chain
Caldera Care (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 1, 1980
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 505230. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 9, 2025. CMS lists 79 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 9, 2023 to Jun 24, 2026): 27 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 24, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 24, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 30, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 24, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 24, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 10, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 10, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 10, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 10, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 21, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 21, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 21, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 79. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $121,488 in the last three years.

Feb 21, 2025Fine: $75,361
Nov 7, 2024Fine: $46,127

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.23 hours
Registered nurse (RN) time per resident per day
0.80 hours
Nurse aide time per resident per day
2.50 hours
Total nurse staffing on weekends
3.79 hours
Nursing staff turnover (yearly)
65%
RN turnover (yearly)
47%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Shelton

Shelton Health and Rehabilitation153 Johns Court · Shelton, WA 98584 · (360) 427-2575 · For-profit60 health citations in 3 inspection cycles · last standard inspection Mar 27, 2026 · $65,213 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 2 in Shelton →