Nursing home report
SHELTON, WA · Medicare-certified · 76 beds
Shelton Health and Rehabilitation in Shelton, WA has a 2-star overall rating, with 2 stars for health inspections, 3 stars for staffing, and 3 stars for quality measures. It has had $83,712 in fines in the last 24 months and a recent federal penalty; reported nurse staffing is 3.89 hours per resident per day, below the federal benchmark of 4.1.
Health inspections
Staffing
3.8908 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8908.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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 home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited March 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited March 2025 — isolated incident, actual harm.
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2025 — limited pattern, potential for harm.
F-Tag 725 — 42 CFR §483.35 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $52,855 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
Health inspection found 16 health deficiencies.
A federal fine of $22,391 was recorded.
A federal fine of $8,466 was recorded.
On record with Medicare: 3 fines · $83,712 in total fines.
Federal fine
Jan 16, 2026
Federal fine
Mar 6, 2025
Federal fine
Mar 6, 2025
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.
