Show Inspection Reports
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.
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Nursing Home
Fir Lane Health & Rehabilitation Center
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$12.6M
Profit
$1.2M
Privately-owned community
Operated by a business 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.
Inspection History
In Washington, the Department of Social and Health Services, Residential Care Services conducts unannounced inspections and issues reports on the quality of care in all licensed settings.
16 visits/inspections
13 visits/inspections triggered by complaints
3 routine inspections
Results
16 with issues
0 without issues
Washington average: 8 complaint visits
Washington average: 9 inspections
Latest inspection
Date:August 21, 2025
Type:Complaint Investigation
79 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health citations
79
Washington average 48.9
Citations per inspection
4.94
Washington average 6.92
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
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 21, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 21, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 21, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Aug 21, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 21, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 21, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 09, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
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.
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
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Shelton (Christmas Village)
135
60.0%
-17%
4.39
+4%
3
79
4
83
A+
23
-
$12,0M
$3,7M
31.3%
505230
Bremerton Trails Post Acute
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Bremerton
125
74.7%
+3%
4.31
+2%
2
103
4
81
-
62
-
$13,9M
$5,3M
38.4%
505123
Bridgeview Care
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Bremerton
-
74.7%
+3%
4.31
+2%
2
103
4
81
-
22
-
$13,9M
$5,3M
38.4%
505123
Emerald Bay Care
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Bremerton
-
73.3%
+1%
3.93
-7%
1
0
0
64
-
48
Mason, Monique
$10,8M
$3,5M
32.5%
505240
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
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
203
Employees
143
Contractors
60
Staff to resident ratio
2.67:1
44% better than Washington averageWashington average ratio: 1.85:1
Avg staff/day
51
Average shift
8 hours
0% compared with Washington averageWashington average: 8.1 hours
Total staff hours (quarter)
37,030
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
37
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
89
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
7.9%
2,917 contractor hours this quarter
Certified Nursing Assistant: 41
Licensed Practical Nurse: 15
Occupational Therapy Assistant: 2
Registered Nurse: 1
Medical Director: 1
Staff by category
| 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 |
89 Certified Nursing Assistant
% of Days
100%
37 Licensed Practical Nurse
% of Days
100%
21 Nurse Aide in Training
% of Days
100%
8 Registered Nurse
% of Days
100%
8 Clinical Nurse Specialist
% of Days
78%
4 RN Director of Nursing
% of Days
75%
2 Other Dietary Services Staff
% of Days
99%
4 Speech Language Pathologist
% of Days
82%
2 Dietitian
% of Days
80%
6 Physical Therapy Aide
% of Days
91%
1 Mental Health Service Worker
% of Days
67%
1 Dental Services Staff
% of Days
64%
3 Occupational Therapy Aide
% of Days
59%
2 Administrator
% of Days
49%
4 Respiratory Therapy Technician
% of Days
59%
4 Physical Therapy Assistant
% of Days
67%
2 Nurse Practitioner
% of Days
9%
2 Qualified Social Worker
% of Days
18%
2 Occupational Therapy Assistant
% of Days
32%
1 Medical Director
% of Days
21%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
76 residents
Residents by payment source
Medicare
7 residents (9.2%)
Medicaid
63 residents (82.9%)
Private pay or other
6 residents (7.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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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