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Fir Lane Care

2430 North 13Th Street, Shelton, WA 985843604261651Ownership: For profit - Limited Liability companyCertified beds: 135Avg. daily residents: 92Chain: Caldera Care (6 facilities)County: Mason

The complete public record on Fir Lane Care, a Medicare & Medicaid–certified nursing home in Shelton, Washington, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Washington average: 3.2 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Fir Lane Care holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 64% is well above the Washington average of 45%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $121,488 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.23 total nurse staff hours per resident per day
about the state average (4.37)
0.80 RN hours per resident per day
below the state average (0.94)
3.79 weekend nurse staff hours per resident per day
64.5% total nursing staff turnover
above the state average (45.1)
46.7% RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

June 9, 2025 most recent standard health inspection
32 health deficiencies cited in the most recent inspection cycle
above the state average (16.0)
31 health deficiencies in the two prior cycles combined
$121,488 in federal fines across 2 penalties (last 3 years)
above the state average ($53,962)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

60 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 24, 20260628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. ComplaintD · Potential for more than minimal harm
June 24, 20260921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. ComplaintD · Potential for more than minimal harm
April 30, 20260600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintD · Potential for more than minimal harm
February 24, 20260627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. ComplaintD · Potential for more than minimal harm
February 24, 20260628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. ComplaintD · Potential for more than minimal harm
February 10, 20260552Ensure that residents are fully informed and understand their health status, care and treatments. ComplaintD · Potential for more than minimal harm
February 10, 20260656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. ComplaintD · Potential for more than minimal harm
February 10, 20260686Provide appropriate pressure ulcer care and prevent new ulcers from developing. ComplaintD · Potential for more than minimal harm
February 10, 20260842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted… ComplaintD · Potential for more than minimal harm
August 21, 20250580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the… ComplaintD · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.