Nursing Homes · Medicare certified
Fir Lane Care
2430 North 13th Street · Shelton, WA 98584 · 135 certified beds
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About Fir Lane Care
Fir Lane Care is a nursing home in Shelton, Washington. Its capacity is 135 beds, above the Washington median of 97 for nursing homes. It is run by a for-profit operator and is part of Caldera Care. It is Medicare certified. Its public inspection record shows 79 citations, the most recent on April 30, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 4.23 hours per resident per day. It is one of 2 nursing homes listed in Shelton. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
4.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (79)
Records from June 2023 to April 2026.
April 30, 2026
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 21, 2026.
February 24, 2026
Tag F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 10, 2026.
February 24, 2026
Tag F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 10, 2026.
February 10, 2026
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 5, 2026.
February 10, 2026
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 5, 2026.
February 10, 2026
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 5, 2026.
February 10, 2026
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 5, 2026.
August 21, 2025
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 10, 2025.
August 21, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 10, 2025.
August 21, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 10, 2025.
June 9, 2025
Tag F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
Penalties (2)
Total fines: $121,488
February 21, 2025 · Fine
CMS recorded a civil money penalty of $75,361 against this nursing home on February 21, 2025.
November 7, 2024 · Fine
CMS recorded a civil money penalty of $46,127 against this nursing home on November 7, 2024.
Staffing
4.23 nurse hours per resident per day in Q2 2026, down from 4.32 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Caldera Care, a chain of 6 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 2.8 for health inspections, 3.3 for staffing, 3.8 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Washington.
What Medicaid pays nursing homes
This is what Washington Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Day-weighted mean daily rate
$404.31per day
About $12,291 a month.
Median we calculated from the state's own facility rate file, July 1, 2026. Based on 183 facilities.
Median facility daily rate
$389.86per day
About $11,852 a month.
Median we calculated from the state's own facility rate file, July 1, 2026. Based on 183 facilities.
Nearby alternatives
Other licensed providers in Shelton.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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