Nursing home report
SHELTON, WA · Medicare-certified · 135 beds
Fir Lane Care in Shelton, WA has an overall rating of 2 out of 5 stars, with a 2-star health inspection rating and 3-star quality measures. Staffing is 4 stars and reported nurse staffing is 4.23 hours per resident day, slightly above the federal benchmark of 4.1, but the facility also has a recent federal penalty and $121,488 in fines over the last 24 months.
Health inspections
Staffing
4.2259 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2259.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited March 2025 — isolated incident, actual harm.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2025 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited July 2026 — limited pattern, potential for harm.
F-Tag 688 — 42 CFR §483.25(c) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2026 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 10 health deficiencies.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 2 health deficiencies.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 1 health deficiency.
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 2 health deficiencies.
Health inspection found 4 health deficiencies.
Health inspection found 3 health deficiencies.
A federal fine of $75,361 was recorded.
A federal fine of $46,127 was recorded.
On record with Medicare: 2 fines · $121,488 in total fines.
Federal fine
Feb 21, 2025
Federal fine
Nov 7, 2024
Now operated by Fir Lane Care, previously Fir Lane Health & Rehabilitation Center.
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.
