Nursing home
Fir Lane Care
2430 North 13Th Street, Shelton, WA 98584 · Map
For profit - Limited Liability company · Part of Caldera Care (10 facilities) · 135 certified beds
Fir Lane Care is a Medicare-certified nursing home in Shelton, Washington. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 4.24 hours per resident per day, below the Washington average of 4.39. Its most recent inspection on Jun 9, 2025 cited 28 deficiencies.
- 3 fines totaling $138,648In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Fir Lane Care compares
This facility vs. the Washington and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Washington avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.24 | 4.39 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.63 | 0.88 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.65 | 2.69 | 2.34 | below avg |
| Nursing staff turnover | 59.6% | 46.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 28.0 | 17.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $138,648, 3 total penalties.
What inspectors found at Fir Lane Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Feb 24, 2026 · Full report (PDF) - Potential for harm
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Feb 24, 2026 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Feb 10, 2026 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 10, 2026 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 10, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Feb 10, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Jun 9, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Jun 9, 2025 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Jun 9, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2430 North 13Th Street
Shelton, WA 98584 - CMS certification #
- 505230
- Ownership
- For profit - Limited Liability company
- Certified beds
- 135
- Avg residents/day
- 78.5
- Provider type
- Medicare and Medicaid
- First certified
- 1980-01-01
- Chain
- Caldera Care (10 facilities)
- Setting
- Rural
Part of Caldera Care
Caldera Care operates 10 nursing facilities across the United States. View all Caldera Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Fir Lane Care using Google Maps.
Other public records
- Website says A memory care unit, transportation
- Workplace safety 4 OSHA workplace safety inspections since 2016, 10 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Fir Lane Care says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Sep 9, 2025: complaint inspection, partial (health). Case closed Apr 23, 2026. No violations cited. OSHA record. OSHA recorded the employer as Wa317987761 - Fir Lane Care LLC.
- Jun 11, 2024: complaint inspection, complete (health). Case closed Dec 10, 2024. 4 violations cited (1 serious, 3 other). Penalties: $900 proposed, $900 now. OSHA record. OSHA recorded the employer as Wa317980661 - Fir Lane Health Shelton LLC.
Details
- Serious: Cited rule 296-800-16050(1). Penalty $900 proposed, $900 now. To be fixed by Sep 16, 2024.
- Other than serious: Cited rule 296-901-14014(7). Penalty $0 proposed, $0 now. To be fixed by Sep 16, 2024.
- Other than serious: Cited rule 296-800-13020(1). Penalty $0 proposed, $0 now. To be fixed by Dec 8, 2024.
- Other than serious: Cited rule 296-842-12010(2). Penalty $0 proposed, $0 now. To be fixed by Dec 8, 2024.
- Oct 5, 2020: referral inspection, partial (health). Case closed Jun 24, 2021. 6 violations cited (5 serious, 1 other). Penalties: $25,000 proposed, $12,000 now. OSHA record. OSHA recorded the employer as Wa317961236 - Fir Lane Health Shelton LLC.
Details
- Serious: Cited rule 296-800-14020(1). Penalty $6,000 proposed, $3,000 now. To be fixed by Oct 5, 2020. Contested by the employer.
- Serious: Cited rule 296-842-12005(1). Penalty $3,000 proposed, $1,500 now. To be fixed by Oct 5, 2020. Contested by the employer.
- Serious: Cited rule 296-842-13005. Penalty $7,000 proposed, $3,000 now. To be fixed by Oct 5, 2020. Contested by the employer.
- Serious: Cited rule 296-842-15005(1)(A). Penalty $6,000 proposed, $3,000 now. To be fixed by Oct 5, 2020. Contested by the employer.
- Serious: Cited rule 296-842-16005(1). Penalty $3,000 proposed, $1,500 now. To be fixed by Oct 5, 2020. Contested by the employer.
- Other than serious: Cited rule 296-842-14005. Penalty $0 proposed, $0 now. To be fixed by Oct 5, 2020. Contested by the employer.
- Aug 30, 2016: complaint inspection, partial (health). Case closed Sep 23, 2016. No violations cited. OSHA record. OSHA recorded the employer as Wa317942014 - FMG North 13th Street Washington LLC. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Mason General Hospital & Family Of Clinics, Shelton. 0.4 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Shelton Health and Rehabilitation, Shelton. 0.3 miles away, straight line.
- Nearest home health agency office
- Providence At Home With Compassus, Puget Sound South, Lacey. 18.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- The Medicine Shoppe. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 98584 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fmc Shelton, Shelton, 0.3 miles away, straight line (CMS rating 3 of 5 stars)
Davita Mason County Dialysis Center, Shelton, 0.8 miles away, straight line (CMS rating 5 of 5 stars)
Davita Olympia Dialysis Center, Olympia, 11.0 miles away, straight line (has a shift starting after 5 pm; CMS rating 5 of 5 stars) - Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 98584.
Providence At Home With Compassus, Puget Sound South, office in Lacey, 18.4 miles away, straight line (CMS family survey rating 4 of 5 stars)
Puget Sound Hospice, office in Tumwater, 19.6 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Kaiser Foundation Health Plan Of Washington, Olympia. 17.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very high. By hazard: inland flooding relatively high, coastal flooding relatively moderate, wildfire very low, tornado very low, heat wave relatively moderate, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Fir Lane Care a good nursing home?
CMS gives Fir Lane Care an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Fir Lane Care staffed?
Fir Lane Care reports 4.24 total nurse hours per resident per day, compared with the Washington average of 4.39.
Has Fir Lane Care had inspection problems?
Its most recent CMS inspection cited 28 deficiencies.
How many beds does Fir Lane Care have?
Fir Lane Care is certified for 135 beds.