Skilled Nursing

FIR LANE CARE

2430 NORTH 13TH STREET, SHELTON, WA 98584

135beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.9h

Hrs/resident · weekday

Expected: 4.6h

4.2h

Hrs/resident · weekend

vs 3.9h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
40%
LPNs
CNAs
66%

Administrator turnover: 2 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0689Severity JDec 17, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected: Jan 6, 2025

60 standard deficiencies in the last 3 years

View all
0600Severity DApr 30, 2026

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

0628Severity DFeb 24, 2026

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

0627Severity DFeb 24, 2026

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

0842Severity DFeb 10, 2026

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

0686Severity DFeb 10, 2026

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

0656Severity DFeb 10, 2026

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

0552Severity DFeb 10, 2026

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

0880Severity DAug 21, 2025

Provide and implement an infection prevention and control program.

0755Severity DAug 21, 2025

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

0580Severity DAug 21, 2025

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

0880Severity DJun 9, 2025

Provide and implement an infection prevention and control program.

0847Severity EJun 9, 2025

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

0812Severity DJun 9, 2025

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

0761Severity DJun 9, 2025

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.

0757Severity DJun 9, 2025

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

0725Severity EJun 9, 2025

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

0692Severity EJun 9, 2025

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

0690Severity DJun 9, 2025

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

0686Severity DJun 9, 2025

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

0684Severity EJun 9, 2025

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

0658Severity DJun 9, 2025

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

0657Severity DJun 9, 2025

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

0645Severity EJun 9, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

0628Severity EJun 9, 2025

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

0609Severity DJun 9, 2025

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

0605Severity DJun 9, 2025

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

0585Severity EJun 9, 2025

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.

0578Severity EJun 9, 2025

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.

0552Severity DJun 9, 2025

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

0550Severity DJun 9, 2025

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

0656Severity DMay 15, 2025

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

0880Severity EMar 27, 2025

Provide and implement an infection prevention and control program.

0760Severity GMar 27, 2025

Ensure that residents are free from significant medication errors.

0677Severity DMar 27, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0604Severity EMar 11, 2025

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0686Severity GFeb 21, 2025

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

0656Severity EFeb 21, 2025

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

0689Severity DNov 7, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0697Severity DSep 17, 2024

Provide safe, appropriate pain management for a resident who requires such services.

0626Severity DMay 24, 2024

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

0623Severity DMay 24, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0812Severity EMay 10, 2024

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

0808Severity DMay 10, 2024

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0806Severity DMay 10, 2024

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0804Severity DMay 10, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0761Severity EMay 10, 2024

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.

0745Severity DMay 10, 2024

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0725Severity EMay 10, 2024

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

0695Severity DMay 10, 2024

Provide safe and appropriate respiratory care for a resident when needed.

0692Severity DMay 10, 2024

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

0685Severity EMay 10, 2024

Assist a resident in gaining access to vision and hearing services.

0658Severity EMay 10, 2024

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

0655Severity DMay 10, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0644Severity DMay 10, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0585Severity DMay 10, 2024

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.

0569Severity DMay 10, 2024

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0568Severity EMay 10, 2024

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0561Severity DMay 10, 2024

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0727Severity DJan 22, 2024

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.

0551Severity DAug 25, 2023

Give the resident's representative the ability to exercise the resident's rights.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

FIR LANE CARE LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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