Nursing Home in Shelton, WA · CMS Data August 2026

Fir Lane Care

How Does Fir Lane Care Rate?

Fir Lane Care is a 135-bed for-profit nursing home in Shelton, WA. CMS rates it 1 out of 5 stars overall (August 2026), with 1 for health inspections, 4 for staffing and 3 for quality measures. Residents got an average of 4.2 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on June 9, 2025, cited 32 health deficiencies.

CMS overall rating: 1 of 5
Nursing per resident per day: 4.2 hours
Deficiencies at last inspection: 32
Certified beds: 135

Reviewed by Senior Care Help Editorial Team ·October 6, 2026

2430 North 13th Street
Shelton, WA 98584

1 of 5 CMS overall · Much below average

From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.

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Nursing home (CMS listing)This facility

CMS Star Ratings

CMS star ratings for Fir Lane Care
Rating	Stars	CMS label
Overall rating	1 of 5	Much below average
Health inspections	1 of 5	Much below average
Staffing	4 of 5	Above average
Quality measures	3 of 5	Average
Quality for long-stay residents	4 of 5	Above average
Quality for short-stay residents	2 of 5	Below average

CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.

Staffing and Turnover

Staffing at Fir Lane Care and the national median
Measure	This home	National median
Total nursing hours per resident per day	4.2 hours	3.7 hours
Registered nurse hours per resident per day	0.8 hours	0.6 hours
Nurse aide hours per resident per day	2.5 hours	2.2 hours
Total nursing hours per resident on weekends	3.8 hours	3.3 hours
Nursing staff turnover (past year)	65%	45%
Registered nurse turnover (past year)	47%	42%

Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.

Inspections and Penalties

Inspections and penalties for Fir Lane Care
Last standard health inspection	June 9, 2025
Health deficiencies cited at that inspection	32
Deficiencies from complaint inspections (same rating cycle)	13
Fines in the past 3 years	2 totaling $121,488
Payment denials in the past 3 years	0

The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.

Quality Measures for Long-Stay Residents

The share of residents in long-term care (101 days or more) at Fir Lane Care who, according to CMS's resident assessments (2025Q2 to 2026Q1):

Long-stay quality measures for Fir Lane Care
Residents who	This home	National median	Compared
Received an antipsychotic medication	31%	13%	Higher than the national median
Received an antianxiety or hypnotic medication	19%	18%	Higher than the national median
Had a fall with major injury	3.3%	2.8%	Higher than the national median
Have pressure ulcers	8.1%	4.2%	Higher than the national median
Lost too much weight	8.0%	4.7%	Higher than the national median
Were physically restrained	0.0%	0.0%	At the national median
Have depressive symptoms	10%	3.6%	Higher than the national median
Needed more help with daily activities over time	5.5%	13%	Lower than the national median

Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.

About the Home

Facts about Fir Lane Care
Certified beds	135
Average residents per day	92
Ownership	For profit - Limited Liability company
Legal business name	FIR LANE CARE LLC
Chain or affiliated group	CALDERA CARE (6 homes)
Certified for	Medicare and Medicaid
First certified	January 1980
Councils	Resident council

Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Washington's Washington State Long-Term Care Ombudsman Program (1-800-562-6028) can answer questions about residents' rights. See all nursing homes and senior care in Washington.