FIR LANE CARE

2430 NORTH 13TH STREET, SHELTON, WA 98584 · CCN 505230 · 135 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing4 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2025-03-27 — ACTUAL HARM (tag F0760, severity G)

Pharmacy Service Deficiencies · correction not recorded in CMS data

Ensure that residents are free from significant medication errors.

2025-02-21 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2024-12-17 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

3.45

state median 3.78

Weekend staffing gap

+1%

more nursing hours on weekends · state median −9%

RN hours / resident / day

0.49

registered nurses only

Contract (agency) staff

15%

share of all nursing hours

Nursing staff turnover

65%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $121,488 in fines.

Date	Type	Amount
2025-02-21	Fine	$75,361
2024-11-07	Fine	$46,127

Ownership

Ownership type: For profit - Limited Liability company. Part of the CALDERA CARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

SPOKANE FALLS CARE (SPOKANE, WA) — CMS overall1 of 5
AURORA VALLEY CARE (SPOKANE, WA) — CMS overall2 of 5
North Auburn Care (AUBURN, WA) — CMS overall2 of 5
PUGET SOUND CARE (OLYMPIA, WA) — CMS overall4 of 5
WILLAPA HARBOR CARE (RAYMOND, WA) — CMS overall4 of 5
THREE RIVERS CARE (CENTRALIA, WA) — CMS overall5 of 5

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 74 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-04-30	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-02-24	F0627	Resident Rights Deficiencies	D	not recorded
2026-02-24	F0628	Resident Rights Deficiencies	D	not recorded
2026-02-10	F0552	Resident Rights Deficiencies	D	not recorded
2026-02-10	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-02-10	F0686	Quality of Life and Care Deficiencies	D	not recorded
2026-02-10	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-08-21	F0580	Resident Rights Deficiencies	D	not recorded
2025-08-21	F0755	Pharmacy Service Deficiencies	D	not recorded
2025-08-21	F0880	Infection Control Deficiencies	D	not recorded
2025-06-09	F0550	Resident Rights Deficiencies	D	not recorded
2025-06-09	F0552	Resident Rights Deficiencies	D	not recorded
2025-06-09	F0578	Resident Rights Deficiencies	E	not recorded
2025-06-09	F0585	Resident Rights Deficiencies	E	not recorded
2025-06-09	F0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-06-09	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-06-09	F0628	Resident Rights Deficiencies	E	not recorded
2025-06-09	F0645	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-06-09	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-06-09	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-06-09	F0684	Quality of Life and Care Deficiencies	E	not recorded
2025-06-09	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-06-09	F0690	Quality of Life and Care Deficiencies	D	not recorded
2025-06-09	F0692	Quality of Life and Care Deficiencies	E	not recorded
2025-06-09	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2025-06-09	F0757	Pharmacy Service Deficiencies	D	not recorded
2025-06-09	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-06-09	F0812	Nutrition and Dietary Deficiencies	D	not recorded
2025-06-09	F0847	Administration Deficiencies	E	not recorded
2025-06-09	F0880	Infection Control Deficiencies	D	not recorded
2025-05-15	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-27	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-03-27	F0760	Pharmacy Service Deficiencies	G	not recorded
2025-03-27	F0880	Infection Control Deficiencies	E	not recorded
2025-03-11	F0604	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2025-02-21	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-02-21	F0686	Quality of Life and Care Deficiencies	G	not recorded
2024-12-17	F0689	Quality of Life and Care Deficiencies	J	not recorded
2024-11-07	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-09-17	F0697	Quality of Life and Care Deficiencies	D	not recorded
2024-05-24	F0623	Resident Rights Deficiencies	D	not recorded
2024-05-24	F0626	Resident Rights Deficiencies	D	not recorded
2024-05-10	F0561	Resident Rights Deficiencies	D	not recorded
2024-05-10	F0568	Resident Rights Deficiencies	E	not recorded
2024-05-10	F0569	Resident Rights Deficiencies	D	not recorded
2024-05-10	F0585	Resident Rights Deficiencies	D	not recorded
2024-05-10	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-05-10	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-05-10	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-05-10	F0685	Quality of Life and Care Deficiencies	E	not recorded
2024-05-10	F0692	Quality of Life and Care Deficiencies	D	not recorded
2024-05-10	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-05-10	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2024-05-10	F0745	Quality of Life and Care Deficiencies	D	not recorded
2024-05-10	F0761	Pharmacy Service Deficiencies	E	not recorded
2024-05-10	F0804	Nutrition and Dietary Deficiencies	D	not recorded
2024-05-10	F0806	Nutrition and Dietary Deficiencies	D	not recorded
2024-05-10	F0808	Nutrition and Dietary Deficiencies	D	not recorded
2024-05-10	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-01-22	F0727	Nursing and Physician Services Deficiencies	D	not recorded
2023-08-25	F0551	Resident Rights Deficiencies	D	not recorded
2023-06-09	F0550	Resident Rights Deficiencies	D	not recorded
2023-06-09	F0552	Resident Rights Deficiencies	D	not recorded
2023-06-09	F0558	Resident Rights Deficiencies	E	not recorded
2023-06-09	F0578	Resident Rights Deficiencies	E	not recorded
2023-06-09	F0583	Resident Rights Deficiencies	E	not recorded
2023-06-09	F0584	Resident Rights Deficiencies	D	not recorded
2023-06-09	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-06-09	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-06-09	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-06-09	F0693	Quality of Life and Care Deficiencies	D	not recorded
2023-06-09	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-06-09	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2023-06-09	F0757	Pharmacy Service Deficiencies	D	not recorded
2023-06-09	F0758	Pharmacy Service Deficiencies	D	not recorded
2023-06-09	F0761	Pharmacy Service Deficiencies	E	not recorded
2023-06-09	F0883	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “FIR LANE CARE, SHELTON” at medicare.gov/care-compare.