Fir Lane Health & Rehabilitation Center

Fir Lane Health & Rehabilitation Center is a Nursing Home in Washington

Fir Lane Health &… is a Nursing Home in Washington

Fir Lane Health & Rehabilitation Center

2430 N 13th St, Shelton, WA 98584 View Map

Fir Lane Health & Rehabilitation Center is a Nursing Home in Washington

Fir Lane Health &… is a Nursing Home in Washington

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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.

360-426-1651

Managed by Anne Loucks

Executive Director

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.

Home Information FIR LANE CARE
  • Occupancy trails most facilities in the state, suggesting excess open capacity. The facility operates with a larger bed count than most state competitors, supporting broader intake. Residents tend to stay here longer than similar facilities across the state.

  • Home revenue lands near the state median, signaling steady but not standout inflows. Payroll costs fall below most facilities, hinting at lean staffing budgets. Total income exceeds the majority of state facilities, highlighting strong profitability.

  • Medicare nights run higher than most peers, indicating robust short-stay referrals. Medicaid nights are roughly in line with the state middle third, maintaining a balanced safety-net share. Private pay nights trail most peers, signaling limited market-rate volume.

Occupancy
Beds
135
Occupancy
59.9%
Total Bed Days Available
49275
Avg. Length of Stay
166 days
Avg. Residents per Day
83
Finance
Home Revenue
$9,623,987.00
Payroll Costs
$2,937,604.00
Profit
$30,934.00
Total Home Costs
$9,285,314.00
Payroll % of Revenue Info Percentage of home revenue spent on payroll costs.
30.5%
House Specifics:
CCN
505230
Rural vs. Urban
Rural
County
Mason
Type of Control
Proprietary — Individual
Operations
Total Admissions
162
Total Discharges
152
% Medicaid Admissions
8%
% Medicare Admissions
61%
% Private Pay Admissions
31%
% Medicaid Discharges
35%
% Medicare Discharges
41%
% Private Pay Discharges
24%
Quality Ratings
Overall Rating Info CMS 5-star rating based on health inspections, staffing, and quality measures.
1 / 5
Health Inspection Rating Info Rating based on deficiencies found during state health inspections.
1 / 5
Staffing Rating Info Rating based on nurse staffing hours per resident per day.
4 / 5
QM Rating Info Quality Measures rating based on clinical outcomes for residents.
2 / 5
Nurse Hours / Resident / Day Info Total nurse staffing hours per resident per day.
4.39 hrs
Number of Fines
3
Medicaid, Medicare & Private
Medicare Nights Info Number of resident nights paid by Medicare for short-term or rehab care.
19375
Medicaid Nights Info Resident nights covered by Medicaid for long-term care or support services.
3343
Free Market Nights Info Nights paid privately by residents or families, without Medicare/Medicaid coverage.
2468
Years in operation
8 years in operation
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 23 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
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

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

What does this home offer?

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Building Type: Single-story

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Fitness and Recreation

Types of Care at Fir Lane Health & Rehabilitation Center

Skilled Nursing

Places of interest near Fir Lane Health & Rehabilitation Center

Address 1.2 miles from city center

Address 2430 N 13th St, Shelton, WA 98584

Calculate Travel Distance to Fir Lane Health & Rehabilitation Center

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Comparison Chart

The information below is reported by the Washington Department of Social and Health Services, Residential Care Services.
Compare Nursing Homes around Bremerton
Fir Lane Health & Rehabilitation Center
SNF

24/7 care needed

Shelton
135
No
A+
23
59.9%
$9,623,987.00
$2,937,604.00
30.5%
82.50
1/5
4.3853
1/5
4/5
2/5
3
Bridgeview Care
SNF

24/7 care needed

Bremerton
-
No
-
22
-
-
-
-
-
-
-
-
-
-
-
Emerald Bay Care
SNF

24/7 care needed

Bremerton
-
No
-
48
-
-
-
-
-
-
-
-
-
-
-

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 Nurse811.1 Yes
Licensed Practical Nurse379.4 Yes
Certified Nursing Assistant897.7 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 Assistant48418914,75291100%7.7
Licensed Practical Nurse2215376,50891100%9.4
Nurse Aide in Training210214,67491100%7.9
Registered Nurse7182,46391100%11.1
Clinical Nurse Specialist8082,2237178%8
RN Director of Nursing4041,0066875%9.1
Other Dietary Services Staff2029899099%7.7
Speech Language Pathologist4048637582%7.1
Dietitian2026867380%7.4
Physical Therapy Aide6065998391%6.3
Mental Health Service Worker1014806167%7.9
Dental Services Staff1014245864%7.3
Occupational Therapy Aide3033885459%6.9
Administrator2023604549%8
Respiratory Therapy Technician4043035459%5.1
Physical Therapy Assistant4041496167%2
Nurse Practitioner2026489%8
Qualified Social Worker202431618%2.7
Occupational Therapy Assistant022332932%0.9
Medical Director011241921%1.3

Health Inspection History

Source: CMS Health Citations (Dec 2022 – Aug 2025)

16
Inspections
79
Total Citations
1
Critical (J-L)
3
Serious (G-I)
4.94
Citations/Inspection
Aug 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
75
Serious (G-I)
3
Critical (J-L)
1
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
21
27% of total
Resident Rights
20
25% of total
Pharmacy Services
8
10% of total
Infection Control
6
8% of total
Abuse, Neglect & Exploitation
3
4% of total
Administration
1
1% of total
Citation Sources
Standard Inspections 53
Complaint Investigations 27
Infection Control 4
State Comparison (WA)
Avg Citations (State)
48.9
This Facility: 79
Avg Critical (State)
0.3
This Facility: 1
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Aug 21, 2025 D Infection ControlF0880 Corrected
Aug 21, 2025 D PharmacyF0755 Corrected
Aug 21, 2025 D Resident RightsF0580 Corrected
Jun 09, 2025 D Abuse/NeglectF0605 Corrected
Jun 09, 2025 D Abuse/NeglectF0609 Corrected
Jun 09, 2025 E AdministrationF0847 Corrected
Jun 09, 2025 D Infection ControlF0880 Corrected
Jun 09, 2025 E Nursing ServicesF0725 Corrected
Jun 09, 2025 D NutritionF0812 Corrected
Jun 09, 2025 D PharmacyF0757 Corrected
Jun 09, 2025 D PharmacyF0761 Corrected
Jun 09, 2025 E Quality of CareF0684 Corrected
Jun 09, 2025 D Quality of CareF0686 Corrected
Jun 09, 2025 D Quality of CareF0690 Corrected
Jun 09, 2025 E Quality of CareF0692 Corrected
Jun 09, 2025 E Care PlanningF0645 Corrected
Jun 09, 2025 D Care PlanningF0657 Corrected
Jun 09, 2025 D Care PlanningF0658 Corrected
Jun 09, 2025 D Resident RightsF0550 Corrected
Jun 09, 2025 D Resident RightsF0552 Corrected
Jun 09, 2025 E Resident RightsF0578 Corrected
Jun 09, 2025 E Resident RightsF0585 Corrected
Jun 09, 2025 E Resident RightsF0628 Corrected
May 15, 2025 D Care PlanningF0656 Corrected
Mar 27, 2025 E Infection ControlF0880 Corrected
Mar 27, 2025 G PharmacyF0760 Corrected
Mar 27, 2025 D Quality of CareF0677 Corrected
Feb 21, 2025 G Quality of CareF0686 Corrected
Feb 21, 2025 E Care PlanningF0656 Corrected
Dec 17, 2024 J Quality of CareF0689 Corrected
Nov 07, 2024 D Quality of CareF0689 Corrected
Sep 17, 2024 D Quality of CareF0697 Corrected
May 24, 2024 D Resident RightsF0623 Corrected
May 24, 2024 D Resident RightsF0626 Corrected
May 10, 2024 E Nursing ServicesF0725 Corrected
May 10, 2024 D NutritionF0804 Corrected
May 10, 2024 D NutritionF0806 Corrected
May 10, 2024 D NutritionF0808 Corrected
May 10, 2024 E NutritionF0812 Corrected
May 10, 2024 E PharmacyF0761 Corrected
May 10, 2024 E Quality of CareF0685 Corrected
May 10, 2024 D Quality of CareF0692 Corrected
May 10, 2024 D Quality of CareF0695 Corrected
May 10, 2024 D Quality of CareF0745 Corrected
May 10, 2024 D Care PlanningF0644 Corrected
May 10, 2024 D Care PlanningF0655 Corrected
May 10, 2024 E Care PlanningF0658 Corrected
May 10, 2024 D Resident RightsF0561 Corrected
May 10, 2024 E Resident RightsF0568 Corrected
May 10, 2024 D Resident RightsF0569 Corrected

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.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
11.9 Score
19% worse than avg State avg: 10.0

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
21.0 Score
Near average State avg: 20.9

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
17.7%
Lost Too Much Weight
7.8%
Urinary Tract Infection
1.5%
Depressive Symptoms
7.4%
Falls with Major Injury
2.6%
Pneumococcal Vaccine
92.1%
Antipsychotic Use
36.7%
Walking Ability Worsened
18.8%
Influenza Vaccine
92.2%
High Risk Residents with Pressure Ulcers
12.7%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
26.5%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
68.7% 22% worse than avg State: 88.1%
Short-Stay Residents Who Received a New Antipsychotic Medication
2.7% 91% worse than avg State: 1.4%
Influenza Vaccine
51.5% 37% worse than avg State: 82.0%

Penalties & 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 $139K State avg: $82K 70% worse than avg
Number of Fines 3 State avg: 1.8
Compared to State Average Facility: $139K | State Avg: $82K
Penalty History

Showing all 3 penalties (Apr 2023 - Feb 2025)

Feb 21, 2025 Civil Money Penalty
$75K
Nov 7, 2024 Civil Money Penalty
$46K
Apr 28, 2023 Civil Money Penalty
$17K
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Guides for Better Senior Living

From costs to care, explore the most important topics to make informed decisions about your future.

Claim What’s Yours: Financial Aid for Washington Seniors

Program
State Program Name
Eligibility
Benefits
Community Options Program Entry System (COPES)
WA Medicaid COPES
  • General: Age 65+ or disabled, Washington resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • WA Specifics: High demand in urban areas (e.g., Seattle).
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($70/day), home modifications ($1,500 avg.).
Washington Family Caregiver Support Program
  • General: Caregiver of someone 60+ (or with dementia), Washington resident.
  • Income Limits: No strict limit; prioritizes low-income.
  • Asset Limits: Not applicable.
  • WA Specifics: High urban demand; rural outreach.
  • Services: In-home respite (4-6 hours/day), adult day care (~$70/day), short-term facility care (up to 5 days).
Community First Choice (CFC)
Washington Community First Choice
Official government program page
  • General: Age 65+ (or disabled 18+), WA resident, Medicaid-eligible, need help with 2+ ADLs/IADLs.
  • Income Limits (2025): ~$2,829/month; QIT optional.
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • WA Specifics: Broader than COPES; serves ~20,000; self-directed option.
  • Services: Personal care (4-6 hours/day), respite (~240 hours/year), assistive devices, training, transportation.
Older Americans Act (OAA) Services
Washington OAA Services
  • General: Age 60+, WA resident; no income/asset limits.
  • Income Limits (2025): None; donations encouraged.
  • Asset Limits: Not assessed.
  • WA Specifics: 13 AAAs; includes Meals on Wheels; rural focus.
  • Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Medicare Savings Program (MSP)
Washington Medicare Savings Program
Official government program page
  • General: Age 65+ or disabled, WA resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • WA Specifics: Includes Extra Help for Part D; no waitlist.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Home Energy Assistance Program (LIHEAP)
Washington LIHEAP
  • General: Age 60+ prioritized, WA resident, low-income household.
  • Income Limits (2025): ~$3,970/month (185% FPL).
  • Asset Limits: Not assessed.
  • WA Specifics: Covers gas, electric, wood; emergency aid available.
  • Services: Heating/cooling aid ($300-$1,000/season), crisis aid ($500 max).
Senior Community Service Employment Program (SCSEP)
Washington SCSEP
  • General: Age 55+, unemployed, low-income, WA resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified.
  • WA Specifics: Priority for veterans, rural residents; AARP partnership.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Washington VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, WA resident, wartime service, ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth).
  • WA Specifics: High veteran use; supports rural/urban needs.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Senior Citizens Property Tax Exemption
Washington Senior Property Tax Exemption
Official government program page
  • General: Age 61+ or disabled retiree, WA resident, homeowner, income-based.
  • Income Limits (2025): ~$45,000-$70,000/year (varies by county, e.g., King: $70,000).
  • Asset Limits: Not assessed; home value cap varies (~$250,000-$400,000).
  • WA Specifics: Saves ~$500-$1,500/year; offered statewide.
  • Services: Tax exemption (~$500-$1,500/year depending on county).
Senior Farmers’ Market Nutrition Program (SFMNP)
  • General: Age 60+, WA resident, low-income.
  • Income Limits (2025): ~$2,322/month (185% FPL).
  • Asset Limits: Not assessed.
  • WA Specifics: Vouchers (~$80/season); serves ~20,000 via AAAs.
  • Services: Vouchers (~$80/season) for produce at farmers’ markets.

Claim What’s Yours Financial Aid for Washington Seniors

WA Medicaid COPES

Community Options Program Entry System (COPES)

Requirements:
  • General:
    Age 65+ or disabled, Washington resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • WA Specifics:
    High demand in urban areas (e.g., Seattle).
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($70/day), home modifications ($1,500 avg.).
WA NFCSP

Washington Family Caregiver Support Program

Requirements:
  • General:
    Caregiver of someone 60+ (or with dementia), Washington resident.
  • Income Limits:
    No strict limit; prioritizes low-income.
  • Asset Limits:
    Not applicable.
  • WA Specifics:
    High urban demand; rural outreach.
Benefits without Contact:
  • Services: In-home respite (4-6 hours/day), adult day care (~$70/day), short-term facility care (up to 5 days).
Washington Community First Choice

Community First Choice (CFC)

Requirements:
  • General:
    Age 65+ (or disabled 18+), WA resident, Medicaid-eligible, need help with 2+ ADLs/IADLs.
  • Income Limits (2025):
    ~$2,829/month; QIT optional.
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • WA Specifics:
    Broader than COPES; serves ~20,000; self-directed option.
Benefits without Contact:
  • Services: Personal care (4-6 hours/day), respite (~240 hours/year), assistive devices, training, transportation.
Washington OAA Services

Older Americans Act (OAA) Services

Requirements:
  • General:
    Age 60+, WA resident; no income/asset limits.
  • Income Limits (2025):
    None; donations encouraged.
  • Asset Limits:
    Not assessed.
  • WA Specifics:
    13 AAAs; includes Meals on Wheels; rural focus.
Benefits without Contact:
  • Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Washington Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, WA resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • WA Specifics:
    Includes Extra Help for Part D; no waitlist.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Washington LIHEAP

Low-Income Home Energy Assistance Program (LIHEAP)

Requirements:
  • General:
    Age 60+ prioritized, WA resident, low-income household.
  • Income Limits (2025):
    ~$3,970/month (185% FPL).
  • Asset Limits:
    Not assessed.
  • WA Specifics:
    Covers gas, electric, wood; emergency aid available.
Benefits without Contact:
  • Services: Heating/cooling aid ($300-$1,000/season), crisis aid ($500 max).
Washington SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, WA resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified.
  • WA Specifics:
    Priority for veterans, rural residents; AARP partnership.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Washington VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, WA resident, wartime service, ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth).
  • WA Specifics:
    High veteran use; supports rural/urban needs.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Washington Senior Property Tax Exemption

Senior Citizens Property Tax Exemption

Requirements:
  • General:
    Age 61+ or disabled retiree, WA resident, homeowner, income-based.
  • Income Limits (2025):
    ~$45,000-$70,000/year (varies by county, e.g., King: $70,000).
  • Asset Limits:
    Not assessed; home value cap varies (~$250,000-$400,000).
  • WA Specifics:
    Saves ~$500-$1,500/year; offered statewide.
Benefits without Contact:
  • Services: Tax exemption (~$500-$1,500/year depending on county).
Washington SFMNP

Senior Farmers’ Market Nutrition Program (SFMNP)

Requirements:
  • General:
    Age 60+, WA resident, low-income.
  • Income Limits (2025):
    ~$2,322/month (185% FPL).
  • Asset Limits:
    Not assessed.
  • WA Specifics:
    Vouchers (~$80/season); serves ~20,000 via AAAs.
Benefits without Contact:
  • Services: Vouchers (~$80/season) for produce at farmers’ markets.
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