Starfile / Washington

FIR LANE CARE

2430 NORTH 13TH STREET, SHELTON, WA 98584 · CCN 505230

Inspection history vs Washington & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$138,648

Number of fines

3

Number of penalties

3

Payment denials

0

Chain

Chain

CALDERA CARE

Facilities in chain

10

Chain avg overall

2.40 / 5

Inspection citations (76)1 immediate jeopardy3 actual harm

1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-21 · Health · corrected 2025-09-10

   Potential for more than minimal harm

2. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-21 · Health · corrected 2025-09-10

   Potential for more than minimal harm

3. DF0880Provide and implement an infection prevention and control program.2025-08-21 · Health · corrected 2025-09-10

   Potential for more than minimal harm

4. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-09 · Health · corrected 2025-07-10

   Potential for more than minimal harm

5. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-06-09 · Health · corrected 2025-07-10

   Potential for more than minimal harm

6. EF0578Honor 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.2025-06-09 · Health · corrected 2025-07-10

   Potential for more than minimal harm

7. EF0585Honor 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.2025-06-09 · Health · corrected 2025-07-10

   Potential for more than minimal harm

8. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-06-09 · Health · corrected 2025-07-10

   Potential for more than minimal harm

9. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-06-09 · Health · corrected 2025-07-10

   Potential for more than minimal harm

10. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

11. EF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

12. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

13. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

14. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

15. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

16. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

17. EF0692Provide enough food/fluids to maintain a resident's health.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

18. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

19. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

20. DF0761Ensure 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.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

21. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

22. EF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

23. DF0880Provide and implement an infection prevention and control program.2025-06-09 · Health · corrected 2025-07-10

    Potential for more than minimal harm

24. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-15 · Health · corrected 2025-06-11

    Potential for more than minimal harm

25. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-03-27 · Health · corrected 2025-04-15

    Potential for more than minimal harm

26. GF0760Ensure that residents are free from significant medication errors.2025-03-27 · Health · corrected 2025-04-15

    Actual harm

27. EF0880Provide and implement an infection prevention and control program.2025-03-27 · Health · corrected 2025-04-15

    Potential for more than minimal harm

28. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-03-11 · Health · corrected 2025-04-04

    Potential for more than minimal harm

29. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-21 · Health · corrected 2025-03-14

    Potential for more than minimal harm

30. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-21 · Health · corrected 2025-03-14

    Actual harm

31. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-17 · Health · corrected 2025-01-06

    Immediate jeopardy

32. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-07 · Health · corrected 2024-12-06

    Potential for more than minimal harm

33. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-09-17 · Health · corrected 2024-10-11

    Potential for more than minimal harm

34. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-05-24 · Health · corrected 2024-06-26

    Potential for more than minimal harm

35. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-05-24 · Health · corrected 2024-06-26

    Potential for more than minimal harm

36. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

37. EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

38. DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

39. DF0585Honor 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.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

40. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

41. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

42. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

43. EF0685Assist a resident in gaining access to vision and hearing services.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

44. DF0692Provide enough food/fluids to maintain a resident's health.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

45. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

46. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

47. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

48. EF0761Ensure 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.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

49. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

50. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

51. DF0808Ensure 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.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

52. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-10 · Health · corrected 2024-06-14

    Potential for more than minimal harm

53. DF0727Have 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.2024-01-22 · Health · corrected 2024-02-08

    Potential for more than minimal harm

54. DF0551Give the resident's representative the ability to exercise the resident's rights.2023-08-25 · Health · corrected 2023-09-21

    Potential for more than minimal harm

55. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

56. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

57. EF0558Reasonably accommodate the needs and preferences of each resident.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

58. EF0578Honor 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.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

59. EF0583Keep residents' personal and medical records private and confidential.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

60. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

61. DF0610Respond appropriately to all alleged violations.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

62. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

63. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

64. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

65. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

66. FF0727Have 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.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

67. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

68. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

69. EF0761Ensure 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.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

70. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-06-09 · Health · corrected 2023-07-10

    Potential for more than minimal harm

71. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-08 · Health · corrected 2023-07-10

    Potential for more than minimal harm

72. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-08 · Health · corrected 2023-07-10

    Actual harm

73. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-28 · Health · corrected 2023-05-29

    Potential for more than minimal harm

74. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-04-28 · Health · corrected 2023-05-29

    Potential for more than minimal harm

75. DF0692Provide enough food/fluids to maintain a resident's health.2023-04-28 · Health · corrected 2023-05-29

    Potential for more than minimal harm

76. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-04-28 · Health · corrected 2023-05-29

    Potential for more than minimal harm

Ownership

Other facilities in SHELTON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.