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SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Fir Lane Care

2430 North 13th Street · Shelton, WA 98584 · 135 certified beds

3604261651

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1013714914. Look this up in the CMS NPPES registry (opens in a new tab)

Are you the operator? Claim this profile. Corrections are free, always.

About Fir Lane Care

Fir Lane Care is a nursing home in Shelton, Washington, in Mason County. Its reported capacity is 135 beds. It is recorded as a for-profit operator, part of Caldera Care. Federal records list it as Medicare certified. Our copy of the inspection record holds 79 citations, the newest dated 30 April 2026. Federal enforcement records add 2 fine or payment denial actions. Staffing reports put it at 4.23 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

4.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

61

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

3.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

64

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

4.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

63

Inspection history (79)

Records from June 2023 to April 2026.

  • April 30, 2026 · D

    Citation F0600

    Federal surveyors cited this nursing home on 2026-04-30 under CMS tag F0600 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2026-05-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-30.GOV

  • February 24, 2026 · D

    Citation F0628

    Federal surveyors cited this nursing home on 2026-02-24 under CMS tag F0628 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2026-03-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-24.GOV

  • February 24, 2026 · D

    Citation F0627

    Federal surveyors cited this nursing home on 2026-02-24 under CMS tag F0627 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. The deficiency was recorded as corrected on 2026-03-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-24.GOV

  • February 10, 2026 · D

    Citation F0552

    Federal surveyors cited this nursing home on 2026-02-10 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-10.GOV

  • February 10, 2026 · D

    Citation F0842

    Federal surveyors cited this nursing home on 2026-02-10 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-10.GOV

  • February 10, 2026 · D

    Citation F0686

    Federal surveyors cited this nursing home on 2026-02-10 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-10.GOV

  • February 10, 2026 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2026-02-10 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2026-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-10.GOV

  • August 21, 2025 · D

    Citation F0580

    Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2025-09-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-21.GOV

  • August 21, 2025 · D

    Citation F0880

    Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-09-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-21.GOV

  • August 21, 2025 · D

    Citation F0755

    Federal surveyors cited this nursing home on 2025-08-21 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-09-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-21.GOV

  • June 9, 2025 · E

    Citation F0628

    Federal surveyors cited this nursing home on 2025-06-09 under CMS tag F0628 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2025-07-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

  • June 9, 2025 · E

    Citation F0725

    Federal surveyors cited this nursing home on 2025-06-09 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-07-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

  • June 9, 2025 · E

    Citation F0645

    Federal surveyors cited this nursing home on 2025-06-09 under CMS tag F0645 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2025-07-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

  • June 9, 2025 · D

    Citation F0552

    Federal surveyors cited this nursing home on 2025-06-09 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2025-07-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

  • June 9, 2025 · D

    Citation F0657

    Federal surveyors cited this nursing home on 2025-06-09 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2025-07-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

  • June 9, 2025 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2025-06-09 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-07-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

  • June 9, 2025 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2025-06-09 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure 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. The deficiency was recorded as corrected on 2025-07-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

  • June 9, 2025 · D

    Citation F0609

    Federal surveyors cited this nursing home on 2025-06-09 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2025-07-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

  • June 9, 2025 · E

    Citation F0684

    Federal surveyors cited this nursing home on 2025-06-09 under CMS tag F0684 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-07-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

  • June 9, 2025 · D

    Citation F0757

    Federal surveyors cited this nursing home on 2025-06-09 under CMS tag F0757 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2025-07-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-09.GOV

Penalties (2)

Total fines on file: $121,488

  • February 21, 2025 · Fine

    Citation FINE-43705

    CMS recorded a civil money penalty of $75,361 against this nursing home on 2025-02-21 (Fine ID: 43705). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-21.GOV

  • November 7, 2024 · Fine

    Citation FINE-43670

    CMS recorded a civil money penalty of $46,127 against this nursing home on 2024-11-07 (Fine ID: 43670). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-11-07.GOV

Staffing

Latest: 4.23 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q44.32 hrs/resident/day
  2. 2026-06-014.32 hrs/resident/day
  3. 2026-07-014.23 hrs/resident/day
  4. 2026-08-014.23 hrs/resident/day
  5. 2026Q14.23 hrs/resident/day

Most recent period is lower than 2025Q4 (-0.10 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Caldera Care

Chain ID 97 · 6 facilities in chain (CMS)

  • Chain average overall rating: 2.8
  • Chain average health inspection rating: 2.7
  • Chain average staffing rating: 3.2
  • Chain average quality measure rating: 4

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical WA range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · WA$13,155/mo
See full WA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

What Medicaid pays nursing homes

Washington publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.

Day-weighted mean daily rate

$404.31per day

That works out to about $12,291 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.

Median we calculated from the state's own facility rate file. Period: July 1, 2026. Calculated across 183 facilities in the state's rate file.

Source: WA Medicaid NF rate publication (opens in a new tab) · Updated 2026-07-01.GOV

Median facility daily rate

$389.86per day

That works out to about $11,852 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.

Median we calculated from the state's own facility rate file. Period: July 1, 2026. Calculated across 183 facilities in the state's rate file.

Source: WA Medicaid NF rate publication (opens in a new tab) · Updated 2026-07-01.GOV

Nearby alternatives

Other licensed providers in Shelton, with their own public records.

Compare side by side

A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

Check availability and pricing at Fir Lane Care

Request info and we'll pass it directly to Fir Lane Care, or call them at 3604261651 if you'd rather talk now.

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.