Washington › Mason County › Shelton
Fir Lane Care
2430 North 13th Street, Shelton, WA 98584
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Fir Lane Care is a For-profit, limited liability company nursing home in Shelton, Washington, certified for 135 beds and caring for about 92 residents a day.
CMS gives it 1 of 5 stars overall, below the Washington median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.
Inspectors recorded 79 health deficiencies across the three most recent survey cycles (32, 27, 20 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 58.5 per 100 beds, about the same as the state median of 50.0.
CMS lists 2 penalties in the period covered: fines totalling $121K.
Reported nurse staffing is 4.2 hours per resident per day (0.8 RN), close to the Washington median of 4.1; nursing staff turnover is 64.5%.
79health deficiencies, 3 survey cycles3 at actual harm or worse
$121Kfines listed by CMS2 penalties in period
4.2nurse hours per resident per daystate median 4.1
68%occupancy (residents ÷ beds)92 residents a day
Compared with county, state and nation
| Measure | This facility | Mason Co. median | Washington median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 79 | 79 | 46 | 28.7 |
| Citations per 100 beds | 58.5 | 78.9 | 50.0 | 26.8 |
| Total nurse hours per resident day | 4.2 | 4.2 | 4.1 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.9 | 0.7 |
| Nursing staff turnover | 64.5% | 64.5% | 43.2% | 45.8% |
| Fines listed | $121,488 | $121,488 | $17,388 | — |
County and state figures are medians across facilities (2 in the county, 193 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Washington average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Jun 2025, 10 May 2024.
Severity mix: J ×1 G ×2 D ×54 E ×21 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Jun 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 14 Jul 2026 |
| 24 Jun 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 14 Jul 2026 |
| 30 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 May 2026 |
| 24 Feb 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 10 Mar 2026 |
| 24 Feb 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 10 Mar 2026 |
| 10 Feb 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 5 Mar 2026 |
| 10 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 5 Mar 2026 |
| 10 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 5 Mar 2026 |
| 10 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 5 Mar 2026 |
| 21 Aug 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 10 Sep 2025 |
| 21 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 10 Sep 2025 |
| 21 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Sep 2025 |
| 9 Jun 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 10 Jul 2025 |
| 9 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0761 | 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. | D | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 10 Jul 2025 |
| 9 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Jul 2025 |
| 15 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Jun 2025 |
| 27 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 15 Apr 2025 |
| 27 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 15 Apr 2025 |
| 27 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 15 Apr 2025 |
| 11 Mar 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | Complaint investigation | 4 Apr 2025 |
| 21 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 14 Mar 2025 |
| 21 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 14 Mar 2025 |
| 17 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 6 Jan 2025 |
| 7 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Dec 2024 |
| 17 Sep 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 11 Oct 2024 |
| 24 May 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 26 Jun 2024 |
| 24 May 2024 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 26 Jun 2024 |
| 10 May 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | E | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0761 | 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. | E | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 14 Jun 2024 |
| 10 May 2024 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 14 Jun 2024 |
| 22 Jan 2024 | F0727 | 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. | D | Complaint investigation | 8 Feb 2024 |
| 25 Aug 2023 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint investigation | 21 Sep 2023 |
| 9 Jun 2023 | F0727 | 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. | F | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0761 | 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. | E | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0584 | 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. | D | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 10 Jul 2023 |
| 9 Jun 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 10 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 Feb 2025 | Fine | $75,361 | |
| 7 Nov 2024 | Fine | $46,127 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Washington average. Turnover: nursing staff 64.5%, RNs 46.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.5% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.5% | 16.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.1% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 31.4% | 14.1% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Fir Lane Care Llc. Chain: Caldera Care (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Kh7 Healthcare Holdings, LLC | 5% or greater direct ownership interest | 100% | 05/21/2025 |
| Kh7 Hh Cdw | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/21/2025 |
| Kh7 Ops LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/21/2025 |
| 2430 N 13thpropco LLC | 5% or greater mortgage interest | NOT APPLICABLE | 05/21/2025 |
| 2430 N 13thpropco LLC | Adp of the snf | NOT APPLICABLE | 05/21/2025 |
| Kh7 Propco Holdings LLC | Adp of the snf | NOT APPLICABLE | 05/21/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Mason County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Shelton Health and Rehabilitation | Shelton | 76 | 2 | 2 | 3 | 60 | 78.9 | $65K | 1 Jul 2026 |
All 2 facilities in Mason County
Questions and answers
How many deficiencies has Fir Lane Care been cited for?
79 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Washington median is 46 per facility.
Has Fir Lane Care been fined?
Yes. CMS lists fines totalling $121K in the period covered.
How does staffing at Fir Lane Care compare?
Reported total nurse staffing is 4.2 hours per resident per day against a Washington median of 4.1 and a national average of 3.9.
Who operates Fir Lane Care?
It is part of the Caldera Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Kh7 Healthcare Holdings, LLC, Kh7 Hh Cdw and Kh7 Ops LLC. Individual owners and managers are not listed on this site.
When was Fir Lane Care last inspected?
The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 9 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.