Shelton Health and Rehabilitation
Shelton · 0.3 mi · 76 beds
Citations0Substantiated0
Fir Lane Care
2430 NORTH 13TH STREET, Shelton, WA, 98584
Nursing home135 licensed beds0 citations on record
1 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 30 deficiencies against Fir Lane Care in Shelton, Washington at its most recent standard inspection on 2025-06-09, 11 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $121,488. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
135certified beds
30deficiencies at the last inspection
1immediate-jeopardy findings on record
2actual-harm findings on record
2federal fines, $121,488
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.74
Potential for minimal harmThe least serious band.0
Most recentDDDDDDDDDDEEEEEEEEDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2026-04-30 · from a complaint · No actual harm, potential for more than minimal 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 · F0627 · 2026-02-24 · from a complaint · No actual harm, potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · F0628 · 2026-02-24 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · F0552 · 2026-02-10 · from a complaint · No actual harm, potential for more than minimal 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 · F0656 · 2026-02-10 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2026-02-10 · from a complaint · No actual harm, potential for more than minimal 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 · F0842 · 2026-02-10 · from a complaint · No actual harm, potential for more than minimal 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 · F0580 · 2025-08-21 · from a complaint · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-08-21 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-08-21 · from a complaint · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0578 · 2025-06-09 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0585 · 2025-06-09 · standard survey · No actual harm, potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · F0628 · 2025-06-09 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2025-06-09 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-06-09 · standard survey · No actual harm, potential for more than minimal harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2025-06-09 · standard survey · No actual harm, potential for more than minimal 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 · F0725 · 2025-06-09 · standard survey · No actual harm, potential for more than minimal harm
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · F0847 · 2025-06-09 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-06-09 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · F0552 · 2025-06-09 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are4 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS4.2259
Nursing staff turnoverShare of nursing staff who left in a year64.5%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$121,488
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Fir Lane Care
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| KH7 HEALTHCARE HOLDINGS, LLC | Organization | 100% | since 05/21/2025 |
| KH7 HH CDW | Organization | NO PERCENTAGE PROVIDED | since 05/21/2025 |
| KH7 OPS LLC | Organization | NO PERCENTAGE PROVIDED | since 05/21/2025 |
| OSCHEROWITZ, RAPHAEL | Individual | NO PERCENTAGE PROVIDED | since 05/21/2025 |
| WOLMARK, CHAIM | Individual | NO PERCENTAGE PROVIDED | since 05/21/2025 |
| 2430 N 13THPROPCO LLC | Organization | NOT APPLICABLE | since 05/21/2025 |
| WOLMARK, CHAIM | Individual | NOT APPLICABLE | since 05/21/2025 |
| WOLMARK, CHAIM | Individual | NOT APPLICABLE | since 05/21/2025 |
| OSCHEROWITZ, RAPHAEL | Individual | NOT APPLICABLE | since 05/21/2025 |
| WOLMARK, CHAIM | Individual | NOT APPLICABLE | since 05/21/2025 |
| ASKREN, ANN | Individual | NOT APPLICABLE | since 09/21/2021 |
| ERICKSON, RACHEL | Individual | NOT APPLICABLE | since 12/02/2024 |
Part of the CALDERA CARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Contact
Ask Fir Lane Care a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 505230.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction