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.
May 24, 2024
Tag F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2024.
May 24, 2024
Tag F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 26, 2024.
May 10, 2024
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
Tag F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
Tag F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
Tag F0685Assist a resident in gaining access to vision and hearing services.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
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 June 14, 2024.
May 10, 2024
Tag F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
Tag F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
Tag F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
May 10, 2024
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 E: pattern, no actual harm, potential for more than minimal harm. Corrected June 14, 2024.
January 22, 2024
Tag F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 8, 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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