Mason County, Washington · Nursing home
Shelton Health and Rehabilitation
2 of 5 overall from CMS
153 Johns Court, Shelton, WA 98584
At a glance
- Overall rating 2 of 5 Below the state average of 3.3
- Nurse time per resident, per day 3.87 hours Below the state average of 4.36
- Nursing staff who left in a year 55.3% Above the state average of 45.1%
- Health citations, last 3 inspection cycles 63 5 at the harm level or above
- Fines in 3 years $65,213 3 fines
- Certified beds in use 79.6% of 76 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.
Shelton Health and Rehabilitation is a 76-bed nursing home in Shelton, Washington (Mason County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.87 nurse staffing hours per resident per day, below the Washington average of 4.36. CMS lists 3 fines totaling $65,213 in the past three years.
- Certified beds
- 76
- Residents per day (average)
- 60.5
- Certified since
- 1999 (27 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Evergreen Healthcare Group (43 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 Shelton Health and Rehabilitation
Chosen from this home's public data.
- CMS lists 3 fines totaling $65,213 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 20 health deficiencies in the latest inspection cycle (the standard inspection on Mar 27, 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 55.3%, 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 3 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 3.87 h Washington average 4.36
- Nurse aides 2.25 h Washington average 2.66
- Licensed practical nurses 0.97 h Washington average 0.77
- Registered nurses 0.66 h Washington average 0.94
- All staff, weekends 3.39 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 turnover55.3%
- Washington average45.1%
- Registered nurse turnover55.6%
- Washington average45.4%
- Administrators who left0
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 | 3.9% | 14.2% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.5% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% | 1.0% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.1% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 20.6% | 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 | 3.7% | 2.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% | 96.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 2.4% | 17.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.8% | 12.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 93.8% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.7% | 4.3% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.6% | 22.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 12.3% | 15.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.33 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 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 | 91.6% | 88.3% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.6% | 82.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.5% | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 16.8% | 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 63 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 4 involved actual harm; the rest were graded as no actual harm. 16 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 28, 2026: Provide and implement an infection prevention and control program.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 27, 2026 | 20 | 3 |
| Mar 19, 2025 | 18 | 3 |
| Feb 12, 2024 | 25 | 3 |
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 (63)
-
GActual harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has plan of correction (Aug 12, 2026)
-
EPotential for more than minimal harm, pattern
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 plan of correction (Aug 12, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has plan of correction (Aug 12, 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 13, 2026)
-
EPotential for more than minimal harm, pattern
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 28, 2026)
Show 25 more
-
EPotential for more than minimal harm, pattern
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 (Apr 28, 2026)
-
EPotential for more than minimal harm, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Complaint investigation · Administration · Deficient, Provider has date of correction (Apr 28, 2026)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 28, 2026)
-
EPotential for more than minimal harm, pattern
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 (Apr 28, 2026)
-
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 (Apr 28, 2026)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 28, 2026)
-
EPotential for more than minimal harm, pattern
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Apr 28, 2026)
-
DPotential for more than minimal harm, isolated
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 (Apr 28, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 28, 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 (Apr 28, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 28, 2026)
-
DPotential for more than minimal harm, isolated
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.
Administration · Deficient, Provider has date of correction (Apr 28, 2026)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 9, 2026)
-
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Oct 6, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 6, 2025)
-
GActual 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 (Apr 11, 2025)
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2025)
-
EPotential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 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 (Apr 11, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 3, 2025)
-
DPotential for more than minimal harm, isolated
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights · Deficient, Provider has date of correction (Apr 3, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 3, 2025)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Apr 3, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 3, 2025)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 3, 2025)
Showing the 30 most recent of 63.
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 |
|---|---|---|
| Jan 16, 2026 | Fine | $34,356 |
| Mar 6, 2025 | Fine | $8,466 |
| Mar 6, 2025 | Fine | $22,391 |
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
- Size137 of 193 by certified beds
- Washington average residents per day76.0
- ChainEvergreen Healthcare Group
- Chain average overall rating2.4 of 5
- Resident or family councilResident
- Homes in Mason County2
Common questions
What is the CMS star rating for Shelton Health and Rehabilitation?
Shelton Health and Rehabilitation has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 3 and quality measures is 3.
How many beds does Shelton Health and Rehabilitation have?
Shelton Health and Rehabilitation has 76 certified beds. It averages 60.5 residents per day, about 79.6% of its certified beds.
How much nursing care do residents get at Shelton Health and Rehabilitation?
The home reports 3.87 hours of nurse staffing per resident per day, including 0.66 hours from registered nurses. The Washington average is 4.36 hours and 0.94 hours from registered nurses.
Has Shelton Health and Rehabilitation been fined?
Yes. CMS lists 3 fines totaling $65,213 in the past three years.
Does Shelton Health and Rehabilitation 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 Fir Lane Care 135beds 68.3%in use 4.23nurse 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 505507. 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.