Fir Lane Care

2430 North 13th Street, Shelton, WA 98584 · (360) 426-1651
For profit - Limited Liability company · 135 certified beds

Fir Lane Care has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2026, found 10 citations (the Washington average is 15.8). It was fined 2 times in the last three years, $121,488 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on July 10, 2026 found 10 citations. What an inspection citation means

• 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.July 10, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 10, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.July 10, 2026 · F0847 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.July 10, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 10, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.July 10, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate dialysis care/services for a resident who requires such services.July 10, 2026 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.July 10, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.July 10, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 10, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 26 citations.

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.June 24, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.June 24, 2026 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 30, 2026 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.February 24, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.February 24, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are fully informed and understand their health status, care and treatments.February 10, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 10, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 10, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 10, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.August 21, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.August 21, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.August 21, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 9, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 15, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.March 27, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.March 27, 2025 · F0760 · Level of harm: Actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.March 27, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.March 11, 2025 · F0604 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 21, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 21, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 17, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 7, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.September 17, 2024 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.May 24, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.May 24, 2024 · F0626 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have 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.January 22, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $75,361February 21, 2025
• Fine of $46,127November 7, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home