Nursing home report
SHELTON, WA · Medicare-certified · 135 beds
FIR LANE CARE in Shelton, WA has a 1-star overall rating, with a 1-star health inspection rating and a recent federal penalty; staffing is 4.23 hours per resident per day, slightly above the 4.1 federal benchmark. Fines in the last 24 months totaled $121,488, and recent inspection citations involved accident hazards, medication errors, and pressure ulcer care.
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 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 2023 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited June 2025 — limited pattern, potential for harm.
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
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.
