All states › Washington › Shelton › Fir Lane Care
2430 North 13th Street Shelton, WA 98584 · Mason County
All 2 nursing homes in Shelton, WA (2 take Medicaid)
CMS certification number 505230 · See this home on Medicare Care Compare
Is Fir Lane Care a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Fir Lane Care as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Washington average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.23 hours per resident per day at Fir Lane Care, about the same as the Washington median of 4.15 (US median: 3.72). About 0.63 of those hours are from registered nurses. On weekends it falls to 3.68 hours, 13% below its all-week average. 62.7% of nursing staff left within a year (Washington median 43%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Fir Lane Care: Medicare and Medicaid
Fir Lane Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Washington's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 10, 2026 and found 10 deficiencies, plus 9 from complaint inspections in the same period. In total, inspectors issued 72 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 72 citations at Fir Lane Care across 17 inspection dates, 26 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 17, 2024 (complaint inspection). The most common areas cited were quality of life and care (18) and resident rights (16). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, December 17, 2024). 5 citations were under CMS's abuse, neglect and exploitation rules.
July 10, 2026 · 10 citations
EProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure medication error rates are not 5 percent or greater.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
June 24, 2026 · 2 citations · includes complaint inspection
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
April 30, 2026 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
February 24, 2026 · 2 citations · includes complaint inspection
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
February 10, 2026 · 4 citations · includes complaint inspection
DEnsure that residents are fully informed and understand their health status, care and treatments.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
August 21, 2025 · 3 citations · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide and implement an infection prevention and control program.
June 9, 2025 · 20 citations · includes complaint inspection
EHonor 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.
EHonor 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.
EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
EPASARR screening for Mental disorders or Intellectual Disabilities
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide enough food/fluids to maintain a resident's health.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide and implement an infection prevention and control program.
May 15, 2025 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
March 27, 2025 · 3 citations, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
EProvide and implement an infection prevention and control program.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
March 11, 2025 · 1 citation · includes complaint inspection
EEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
February 21, 2025 · 2 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
December 17, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 7, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 17, 2024 · 1 citation · includes complaint inspection
DProvide safe, appropriate pain management for a resident who requires such services.
May 24, 2024 · 2 citations · includes complaint inspection
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
May 10, 2024 · 17 citations
EProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
EEnsure services provided by the nursing facility meet professional standards of quality.
EAssist a resident in gaining access to vision and hearing services.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
DHonor 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.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DEnsure 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.
January 22, 2024 · 1 citation · includes complaint inspection
DHave 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.
Questions to ask on a tour of Fir Lane Care
- Inspectors cited the home at the immediate-jeopardy level on December 17, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 10, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 62.7% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $121,488 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 21, 2025 | Fine | $75,361 |
| Nov 7, 2024 | Fine | $46,127 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 4/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 3/5 |
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Location
Hospitals near Fir Lane Care
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.4 mi
Mason General Hospital SheltonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 20m for patients treated and sent home
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14.0 mi
Summit Pacific Medical Center McClearyEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 38m for patients treated and sent home
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14.9 mi
Capital Medical Center OlympiaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 20m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Fir Lane Care › All nursing homes in Shelton ›
Compare Fir Lane Care with the 3 closest homes side by side ›
Other Caldera Care nursing homes in Washington
- Three Rivers Care · Centralia · 5 stars
- Puget Sound Care · Olympia · 4 stars
- Willapa Harbor Care · Raymond · 4 stars
- Aurora Valley Care · Spokane · 2 stars
- Spokane Falls Care · Spokane · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Caldera Care nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.