Nursing Homes · Shelton, WA
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.
June 9, 2025
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
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 July 10, 2025.
June 9, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
June 9, 2025
Tag F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2025.
May 15, 2025
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 June 11, 2025.
March 27, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 15, 2025.
March 27, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 15, 2025.
March 27, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity G: isolated, actual harm. Corrected April 15, 2025.
March 11, 2025
Tag F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 4, 2025.
February 21, 2025
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G: isolated, actual harm. Corrected March 14, 2025.
February 21, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 14, 2025.
December 17, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected January 6, 2025.
November 7, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 6, 2024.
September 17, 2024
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 11, 2024.
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.
Source: WA Medicaid NF rate publication (opens in a new tab), updated 2026-07-01
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.
Source: WA Medicaid NF rate publication (opens in a new tab), updated 2026-07-01
Nearby alternatives
Other licensed providers in Shelton.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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