Mason County, Washington · Nursing home
Fir Lane Care
2 of 5 overall from CMS
2430 North 13th Street, Shelton, WA 98584
At a glance
- Overall rating 2 of 5 Below the state average of 3.3
- Nurse time per resident, per day 4.23 hours Below the state average of 4.36
- Nursing staff who left in a year 64.5% Above the state average of 45.1%
- Health citations, last 3 inspection cycles 72 3 at the harm level or above
- Fines in 3 years $121,488 2 fines
- Certified beds in use 68.3% of 135 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Fir Lane Care is a 135-bed nursing home in Shelton, Washington (Mason County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 4.23 nurse staffing hours per resident per day, below the Washington average of 4.36. CMS lists 2 fines totaling $121,488 in the past three years.
- Certified beds
- 135
- Residents per day (average)
- 92.2
- Certified since
- 1980 (46 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Caldera Care (6 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Fir Lane Care
Chosen from this home's public data.
- CMS lists 2 fines totaling $121,488 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 19 health deficiencies in the latest inspection cycle (the standard inspection on Jul 10, 2026 plus complaint and infection-control inspections); the Washington average is 15.8. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 64.5%, above the Washington average of 45.1%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Washington average 3.3
- Health inspections 2 of 5 Washington average 2.8
- Staffing 4 of 5 Washington average 3.6
- Quality measures 3 of 5 Washington average 4.0
The vertical line marks the Washington average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.23 h Washington average 4.36
- Nurse aides 2.50 h Washington average 2.66
- Licensed practical nurses 0.93 h Washington average 0.77
- Registered nurses 0.80 h Washington average 0.94
- All staff, weekends 3.79 h Washington average 3.80
How much nurse staffing is enough? All bars share one scale, 0 to 17 hours. The vertical line marks the Washington average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover64.5%
- Washington average45.1%
- Registered nurse turnover46.7%
- Washington average45.4%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Washington and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Washington | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 5.5% | 14.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.0% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% | 1.0% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.5% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 10.2% | 17.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% | 2.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 77.2% | 96.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 5.5% | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.4% | 12.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.2% | 93.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 8.1% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.6% | 22.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 31.4% | 15.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.93 | 1.33 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.54 | 1.52 | 1.78 |
Short-stay residents
| Measure | This home | Washington | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 64.0% | 88.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 51.4% | 82.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.3% | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% | 13.4% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 72 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 2 involved actual harm; the rest were graded as no actual harm. 26 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 27, 2025: Ensure that residents are free from significant medication errors.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 10, 2026 | 19 | 2 |
| Jun 9, 2025 | 33 | 4 |
| May 10, 2024 | 20 | 7 |
Washington homes averaged 15.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (72)
-
EPotential for more than minimal harm, pattern
Provide 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.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 13, 2026)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 13, 2026)
-
EPotential for more than minimal harm, pattern
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration · Deficient, Provider has date of correction (Aug 13, 2026)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 13, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 13, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 13, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 13, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Aug 13, 2026)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Aug 13, 2026)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 13, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 14, 2026)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Jul 14, 2026)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 21, 2026)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 10, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 10, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 5, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 5, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 5, 2026)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 5, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Sep 10, 2025)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Sep 10, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Sep 10, 2025)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Jul 10, 2025)
-
EPotential for more than minimal harm, pattern
Honor 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.
Resident Rights · Deficient, Provider has date of correction (Jul 10, 2025)
-
EPotential for more than minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Jul 10, 2025)
-
EPotential for more than minimal harm, pattern
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 10, 2025)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 10, 2025)
-
EPotential for more than minimal harm, pattern
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 10, 2025)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Jul 10, 2025)
-
EPotential for more than minimal harm, pattern
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration · Deficient, Provider has date of correction (Jul 10, 2025)
Showing the 30 most recent of 72.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Feb 21, 2025 | Fine | $75,361 |
| Nov 7, 2024 | Fine | $46,127 |
Washington homes averaged 1.2 fines and $52,633 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Washington
- Size30 of 193 by certified beds
- Washington average residents per day76.0
- ChainCaldera Care
- Chain average overall rating3.0 of 5
- Resident or family councilResident
- Homes in Mason County2
Common questions
What is the CMS star rating for Fir Lane Care?
Fir Lane Care has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 4 and quality measures is 3.
How many beds does Fir Lane Care have?
Fir Lane Care has 135 certified beds. It averages 92.2 residents per day, about 68.3% of its certified beds.
How much nursing care do residents get at Fir Lane Care?
The home reports 4.23 hours of nurse staffing per resident per day, including 0.80 hours from registered nurses. The Washington average is 4.36 hours and 0.94 hours from registered nurses.
Has Fir Lane Care been fined?
Yes. CMS lists 2 fines totaling $121,488 in the past three years.
Does Fir Lane Care accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Shelton Health and Rehabilitation 76beds 79.6%in use 3.87nurse hours a day
- 4 of 5 Puget Sound Care 108beds 88.1%in use 4.02nurse hours a day
- 5 of 5 Regency Olympia Rehabilitation and Nursing Center 28beds 81.8%in use 4.56nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Mason County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 505230. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.