Fir Lane Care
Cost data not yet available
Nursing Homes · Medicare certified
153 Johns Court · Shelton, WA 98584 · 76 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1861106049. Look this up in the CMS NPPES registry (opens in a new tab)
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Shelton Health and Rehabilitation is a nursing home in Shelton, Washington. Public records list 76 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Evergreen Healthcare Group. We hold 59 inspection citations for this listing, the most recent dated 8 April 2026. CMS also lists 3 fine or payment denial actions against it. Reported staffing works out to 3.87 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.
CMS Care Compare · Source data August 2026
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
37
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
37
Staffing rating
3.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
38
Records from October 2023 to April 2026.
April 8, 2026 · D
Citation F0742Federal surveyors cited this nursing home on 2026-04-08 under CMS tag F0742 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. The deficiency was recorded as corrected on 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 8, 2026 · E
Citation F0755Federal surveyors cited this nursing home on 2026-04-08 under CMS tag F0755 (CMS scope/severity E: pattern, 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 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 8, 2026 · E
Citation F0835Federal surveyors cited this nursing home on 2026-04-08 under CMS tag F0835 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Administer the facility in a manner that enables it to use its resources effectively and efficiently. The deficiency was recorded as corrected on 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 8, 2026 · E
Citation F0602Federal surveyors cited this nursing home on 2026-04-08 under CMS tag F0602 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Protect each resident from the wrongful use of the resident's belongings or money. The deficiency was recorded as corrected on 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 27, 2026 · E
Citation F0881Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0881 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 27, 2026 · D
Citation F0757Federal surveyors cited this nursing home on 2026-03-27 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 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 27, 2026 · D
Citation F0578Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor 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. The deficiency was recorded as corrected on 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 27, 2026 · E
Citation F0656Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0656 (CMS scope/severity E: pattern, 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 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 27, 2026 · D
Citation F0806Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0806 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. The deficiency was recorded as corrected on 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 27, 2026 · D
Citation F0604Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0604 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. The deficiency was recorded as corrected on 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 27, 2026 · D
Citation F0849Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0849 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. The deficiency was recorded as corrected on 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 27, 2026 · E
Citation F0628Federal surveyors cited this nursing home on 2026-03-27 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 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 27, 2026 · E
Citation F0605Federal surveyors cited this nursing home on 2026-03-27 under CMS tag F0605 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. The deficiency was recorded as corrected on 2026-04-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
January 16, 2026 · G
Citation F0689Federal surveyors cited this nursing home on 2026-01-16 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2026-02-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 18, 2025 · E
Citation F0725Federal surveyors cited this nursing home on 2025-09-18 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 2025-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
September 18, 2025 · D
Citation F0550Federal surveyors cited this nursing home on 2025-09-18 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-10-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 19, 2025 · E
Citation F0695Federal surveyors cited this nursing home on 2025-03-19 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-04-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 19, 2025 · D
Citation F0623Federal surveyors cited this nursing home on 2025-03-19 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2025-04-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 19, 2025 · D
Citation F0609Federal surveyors cited this nursing home on 2025-03-19 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 2025-04-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 19, 2025 · D
Citation F0645Federal surveyors cited this nursing home on 2025-03-19 under CMS tag F0645 (CMS scope/severity D: isolated, 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 2025-04-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $65,213
January 16, 2026 · Fine
Citation FINE-137580CMS recorded a civil money penalty of $34,356 against this nursing home on 2026-01-16 (Fine ID: 137580). Source: CMS Care Compare Penalties (as of 2026-07-01).
March 6, 2025 · Fine
Citation FINE-43695CMS recorded a civil money penalty of $22,391 against this nursing home on 2025-03-06 (Fine ID: 43695). Source: CMS Care Compare Penalties (as of 2026-07-01).
March 6, 2025 · Fine
Citation FINE-43694CMS recorded a civil money penalty of $8,466 against this nursing home on 2025-03-06 (Fine ID: 43694). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.87 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
CMS Care Compare chain: Evergreen Healthcare Group
Chain ID 846 · 44 facilities in chain (CMS)
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.
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.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
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.
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/moWashington 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.
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.
Other licensed providers in Shelton, with their own public records.
Cost data not yet available
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.
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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.
Read how we handle every file on the data sources page.