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Fir Lane Health And Rehab Center

Nursing Home Facility

2430 North 13th Street, Shelton, WA 98584

Nursing Home Care Senior Living
Fir Lane Health And Rehab Center

Fir Lane Health & Rehabilitation Center is a leading provider of long-term skilled nursing care and short-term rehabilitation solutions. Our 135 bed facility offers a full continuum of services and care focused around each individual in today’s ever-changing healthcare environment.

With 135 beds, Fir Lane Health And Rehab Center is one of the larger communities in the area, senior care communities in Shelton average about 37 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 68% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in June 2025 and recorded 32 deficiencies.

Residents receive about 4.2 hours of nursing care per day on average, including 0.8 hours from a registered nurse. Nursing staff turnover over the past year was about 65%, which is high and can affect continuity of care.

The community is located in Mason County, WA.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 79 problems at Fir Lane Health And Rehab Center. 3 findings involved harm to a resident, including 1 that put residents in immediate danger. 27 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $121,488.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected June 2026, after a complaint. Corrected by July 14, 2026.

  • Could cause more than minimal harm, one or a few residents Environmental

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Inspected June 2026, after a complaint. Corrected by July 14, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected April 2026, after a complaint. Corrected by May 21, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Inspected February 2026, after a complaint. Corrected by March 10, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected February 2026, after a complaint. Corrected by March 10, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Inspected February 2026, after a complaint. Corrected by March 5, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected February 2026, after a complaint. Corrected by March 5, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected February 2026, after a complaint. Corrected by March 5, 2026.

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  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Inspected February 2026, after a complaint. Corrected by March 5, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected August 2025, after a complaint. Corrected by September 10, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected August 2025, after a complaint. Corrected by September 10, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected August 2025, after a complaint. Corrected by September 10, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, a pattern Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, a pattern Administration

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected June 2025, after a complaint. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure 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.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected June 2025. Corrected by July 10, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected June 2025. Corrected by July 10, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Fir Lane Health And Rehab Center offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 135
  • Occupancy 68%
  • Nursing hours per resident/day 4.2
  • Annual staff turnover 65%
  • Last health inspection June 2025

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