Fireside House of Centralia has a 2-star overall rating, with 2-star health inspection and quality ratings and 3-star staffing. It reports 3.52 nursing hours per resident per day versus the 4.1 federal benchmark, along with $15,940 in fines in the last 24 months and a recent federal penalty; recent citations included accidents/supervision, abuse/neglect protection, and following treatment orders.
Last inspection: July 10, 2025Penalties, last 24 months: $15,940recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5153.
Staffing detail
Registered nurses
0.59
Licensed practical nurses
0.80
Nurse aides
2.12
Weekend nursing
3.30
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 25%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
22.9%Worsening
Residents with a fall causing major injury
5%Improving
Residents with pressure ulcers (bedsores)
6.2%Worsening
Residents with a urinary tract infection
3.9%Worsening
Residents who lost too much weight
4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.5%Worsening
Residents whose ability to walk got worse
32.7%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
28%Worsening
Short-stay residents newly given an antipsychotic
2.5%Improving
Residents with a long-term catheter
0.4%Improving
Residents with new or worsening incontinence
26.4%Worsening
Residents with depressive symptoms
18.6%Worsening
Long-stay residents given the seasonal flu vaccine
98.4%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
98.4%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited October 2023 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2023 — isolated incident, immediate jeopardy to residents.
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F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited July 2025 — widespread issue, potential for harm.
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F-Tag 725 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
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PENALTY
A federal fine of $15,940 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 3 fines · $77,558 in total fines.
Federal fine
May 28, 2025
$15,940
Federal fine
Feb 29, 2024
$18,238
Federal fine
Oct 23, 2023
$43,380
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
60.3 residents on an average day (62% of 98 beds)
Resident voice
Resident council
Medicare history
Certified for 32 years
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.