Total health inspections
16
Washington average 7.8
Last Health inspection on Aug 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Fir Lane Health & Rehabilitation Center
Nursing Home
Fir Lane Health & Rehabilitation Center
Nursing Home
Overview of Fir Lane Health & Rehabilitation Center
Fir Lane Health & Rehabilitation Center, operated by Caldera Care, is a leading provider of long-term skilled nursing care and short-term rehabilitation solutions, offering a full continuum of services and care focused around each individual in today’s ever-changing health care environment. The center, which has served Mason and the surrounding communities for over 25 years, is minutes away from historic downtown Shelton and conveniently located close to Mason General Hospital. Fir Lane Health & Rehabilitation Center is Medicare and Medicaid certified, ensuring that it meets the highest standards of care.
The 135-bed center offers a range of services, including physical therapy, speech therapy, nutritional support, occupational therapy, and wellness-focused activities. These services are designed to help residents regain their strength, mobility, and independence after an illness, injury, or surgery, while also providing ongoing care for those with chronic health conditions or disabilities. Fir Lane Health & Rehabilitation Center’s experienced staff deliver quality care while giving residents a serene, safe, and comfortable place to enjoy healing and rest.
Anne Loucks serves as the Executive Director at Fir Lane Health & Rehabilitation Center, bringing hands-on administration and leadership to the Shelton community. She oversees experienced staff and ensures quality care at the community, fostering a welcoming environment for residents and families.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
LPN / LVN
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
135
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
60%
Residents per day (avg)
83
Occupancy rate
60%
Residents per day (avg)
83
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
52% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
36% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
12% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Proprietary home
Corporation
Home revenue
$12.6M
Profit
$1.2M
Proprietary home
Corporation
Home revenue
$12,584,857.00
Profit
$1,183,348.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.4M
8 years in operation
An established community with some operational experience and growing routines.
Walk Score: 23 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Additional licensing details
CMS Certification Number:
505230
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Ms. Donna Robinson, Executive Director
Care Services
Accepts Medicaid
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
Programs & Activities
Specific Programs
Secure memory care, Wound care, Long-term skilled nursing, Registered dietician/nutritional support, Short-term rehabilitation, Transportation to and from appointments, Speech therapy, IV therapy, Physical therapy, Enteral nutrition (tube feeding)
What does this home offer?
Building Type: Single-story
Fitness and Recreation
Types of Care at Fir Lane Health & Rehabilitation Center
Skilled Nursing
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Compare Nursing Homes around Bremerton
The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
Fir Lane Health & Rehabilitation Center
-72%
+4%
-17%
SNF
Nursing Homes 24/7 care needed
Shelton (Christmas Village)
135
No
A+
23
-
60.0%
$11,967,375.00
$3,742,253.00
31.3%
82.50
4.3853
3
79
4
-72%+4%-17%
Bremerton Trails Post Acute
-67%
+2%
+3%
SNF
Nursing Homes 24/7 care needed
Bremerton
125
No
-
62
-
74.7%
$13,912,593.00
$5,339,917.00
38.4%
81.40
4.3062
2
103
4
-67%+2%+3%
Bridgeview Care
-67%
+2%
+3%
SNF
Nursing Homes 24/7 care needed
Bremerton
-
No
-
22
-
74.7%
$13,912,593.00
$5,339,917.00
38.4%
81.40
4.3062
2
103
4
-67%+2%+3%
Emerald Bay Care
-7%
+1%
SNF
Nursing Homes 24/7 care needed
Bremerton
-
No
-
48
MASON, MONIQUE
73.3%
$10,827,119.00
$3,516,979.00
32.5%
64.30
3.9284
1
-
-
-7%+1%
Fir Lane Health & Rehabilitation Center
Type of care:
SNF
Community:
Shelton (Christmas Village)
Bed Count:
135
Pets Allowed:
No
CCN:
505230
Occupancy:
60.0%
Home Revenue:
$11,967,375.00
Payroll Costs:
$3,742,253.00
Payroll %:
31.3%
Avg Residents/Day:
82.50
Overall Rating:
Adj Nurse Hours:
4.3853
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
79
Severe Citations:
4
RN share vs State Avg:
-72%
-72%
Staffing vs State Avg:
+4%
+4%
Occupancy vs State Avg:
-17%
-17%
Bremerton Trails Post Acute
Type of care:
SNF
Community:
Bremerton
Bed Count:
125
Pets Allowed:
No
CCN:
505123
Occupancy:
74.7%
Home Revenue:
$13,912,593.00
Payroll Costs:
$5,339,917.00
Payroll %:
38.4%
Avg Residents/Day:
81.40
Overall Rating:
Adj Nurse Hours:
4.3062
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
103
Severe Citations:
4
RN share vs State Avg:
-67%
-67%
Staffing vs State Avg:
+2%
+2%
Occupancy vs State Avg:
+3%
+3%
Bridgeview Care
Type of care:
SNF
Community:
Bremerton
Pets Allowed:
No
CCN:
505123
Occupancy:
74.7%
Home Revenue:
$13,912,593.00
Payroll Costs:
$5,339,917.00
Payroll %:
38.4%
Avg Residents/Day:
81.40
Overall Rating:
Adj Nurse Hours:
4.3062
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
103
Severe Citations:
4
RN share vs State Avg:
-67%
-67%
Staffing vs State Avg:
+2%
+2%
Occupancy vs State Avg:
+3%
+3%
Emerald Bay Care
Type of care:
SNF
Community:
Bremerton
Pets Allowed:
No
Operator:
MASON, MONIQUE
CCN:
505240
Occupancy:
73.3%
Home Revenue:
$10,827,119.00
Payroll Costs:
$3,516,979.00
Payroll %:
32.5%
Avg Residents/Day:
64.30
Overall Rating:
Adj Nurse Hours:
3.9284
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Staffing vs State Avg:
-7%
-7%
Occupancy vs State Avg:
+1%
+1%Places of interest near Fir Lane Health & Rehabilitation Center
1.2 miles from city center — 0.38 miles to nearest hospital (Mason Health - Mason General Hospital)
2430 N 13th St, Shelton, WA 98584
Calculate Travel Distance to Fir Lane Health & Rehabilitation Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
203
Total Staff
143
Employees
60
Contractors
37,030
Total Hours (Quarter)
51
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 8 | 11.1 | Yes |
| Licensed Practical Nurse | 37 | 9.4 | Yes |
| Certified Nursing Assistant | 89 | 7.7 | Yes |
Staff by Category
Administration ⓘ
3 staff
6hs shift avg
Nursing Staff ⓘ
159 staff
8.3hs shift avg
Physicians & Practitioners ⓘ
10 staff
8hs shift avg
Therapy Services ⓘ
23 staff
5.3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
2.7hs shift avg
Dietary Services ⓘ
4 staff
7.6hs shift avg
Other Services ⓘ
2 staff
7.6hs shift avg
Contractor Analysis
7.9%
of total hours from contractors
2,917 contractor hours this quarter
Certified Nursing Assistant: 41
Registered Nurse: 1
Licensed Practical Nurse: 15
Medical Director: 1
Occupational Therapy Assistant: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 48 | 41 | 89 | 14,752 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 22 | 15 | 37 | 6,508 | 91 | 100% | 9.4 |
| Nurse Aide in Training | 21 | 0 | 21 | 4,674 | 91 | 100% | 7.9 |
| Registered Nurse | 7 | 1 | 8 | 2,463 | 91 | 100% | 11.1 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 2,223 | 71 | 78% | 8 |
| RN Director of Nursing | 4 | 0 | 4 | 1,006 | 68 | 75% | 9.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 989 | 90 | 99% | 7.7 |
| Speech Language Pathologist | 4 | 0 | 4 | 863 | 75 | 82% | 7.1 |
| Dietitian | 2 | 0 | 2 | 686 | 73 | 80% | 7.4 |
| Physical Therapy Aide | 6 | 0 | 6 | 599 | 83 | 91% | 6.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 480 | 61 | 67% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 424 | 58 | 64% | 7.3 |
| Occupational Therapy Aide | 3 | 0 | 3 | 388 | 54 | 59% | 6.9 |
| Administrator | 2 | 0 | 2 | 360 | 45 | 49% | 8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 303 | 54 | 59% | 5.1 |
| Physical Therapy Assistant | 4 | 0 | 4 | 149 | 61 | 67% | 2 |
| Nurse Practitioner | 2 | 0 | 2 | 64 | 8 | 9% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 43 | 16 | 18% | 2.7 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 33 | 29 | 32% | 0.9 |
| Medical Director | 0 | 1 | 1 | 24 | 19 | 21% | 1.3 |
Health Inspection History
Inspections
Total health citations
79
Citations per inspection
4.94
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
52 of 79 citations resulted from standard inspections; 26 of 79 resulted from complaint investigations; and 1 of 79 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
233% worse than Washington averageWashington average: 0.3
Serious Health citations
3
3
76% worse than Washington averageWashington average: 1.7
1 critical citation
3 serious citations
75 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Aug 21, 2025
Corrected
Pharmacy moderate citation
Aug 21, 2025
Corrected
Resident Rights moderate citation
Aug 21, 2025
Corrected
Abuse/Neglect moderate citation
Jun 09, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Part of: Caldera Care
Resident Census by Payment Source
76
Total Residents
Medicare
7
(9.2%)
ⓘ
Medicaid
63
(82.9%)
ⓘ
Private Pay/Other
6
(7.9%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.9
19% worse than Washington averageWashington average: 10.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.0
In line with Washington averageWashington average: 20.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
Percent of long-stay residents whose need for help with daily activities has increased
17.7%
8% worse than Washington averageWashington average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.8%
Percent of long-stay residents whose ability to move independently worsened
18.8%
14% better than Washington averageWashington average: 21.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.5%
9% worse than Washington averageWashington average: 24.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
In line with Washington averageWashington average: 2.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
12.7%
Percent of long-stay high risk residents with pressure ulcers
12.7%
158% worse than Washington averageWashington average: 4.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
12% better than Washington averageWashington average: 1.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.8%
Percent of long-stay residents who lose too much weight
7.8%
34% worse than Washington averageWashington average: 5.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
7.4%
Percent of long-stay residents who have depressive symptoms
7.4%
54% better than Washington averageWashington average: 16.2%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
36.7%
Percent of long-stay residents who received an antipsychotic medication
36.7%
153% worse than Washington averageWashington average: 14.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
In line with Washington averageWashington average: 96.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.2%
In line with Washington averageWashington average: 93.8%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.68
Number of hospitalizations per 1,000 long-stay resident days.
0.68
51% better than Washington averageWashington average: 1.38
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.74
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.74
15% worse than Washington averageWashington average: 1.51
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.7%
22% worse than Washington averageWashington average: 88.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
Percent of short-stay residents who newly received an antipsychotic medication
2.7%
91% worse than Washington averageWashington average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
51.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
51.5%
37% worse than Washington averageWashington average: 82.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.8%
25% worse than Washington averageWashington average: 19.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
15.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.3%
16% worse than Washington averageWashington average: 13.2%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Washington averageWashington average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
66.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
66.1%
23% better than Washington averageWashington average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
32.9%
Rate of successful return to home or community from a skilled nursing facility.
32.9%
35% worse than Washington averageWashington average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$139K
70% higher than Washington averageWashington average: $82K
Number of fines
3
62% more fines than Washington averageWashington average: 1.8
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Washington averageWashington average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$139K
Washington average
$82K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 21, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 21, 2025
$75K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 7, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 7, 2024
$46K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 28, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 28, 2023
$17K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Fir Lane Health & Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
60.0%
↑ 8.9pp vs 2022
Net Income
$1,183,348
↑ ~$1.2M vs 2022
Total Payroll
$4,396,994
↑ ~$913K vs 2022
Profit Margin
9.9%
↑ 9.6pp vs 2022
Loading trend charts...
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