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.
Fir Lane Health & Rehabilitation Center
Nursing Home in Bremerton
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Fir Lane Health & Rehabilitation Center
Nursing Home in Bremerton
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 23rd out of 66 homes in Washington.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 23rd out of 66 homes in Washington.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 23m per day
Rank #23 / 66Nurse hours — state benchmarkedThis home is ranked 23rd out of 66 homes in Washington.Shows adjusted nurse hours per resident per day benchmarked to the Washington average, with a ranking across 66 Washington SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Washington avg
+1%
Standout metric
LPN / LVN is +18% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 38m per day | ▼ 28% State avg: 53m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 58m per day | ▲ 18% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 39m per day | ■ Avg State avg: 2h 41m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 40m per day | ▼ 3% State avg: 3h 47m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 60% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 11m per day | ▼ 71% State avg: 38m per day · National avg: 29m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
60%
Rank #60 / 69Occupancy rate — state benchmarkedThis home is ranked 60th out of 69 homes in Washington.Shows this facility's occupancy rate versus the Washington average, with its statewide rank out of 69. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
128 days
Occupancy rate
60%
Rank #60 / 69Occupancy rate — state benchmarkedThis home is ranked 60th out of 69 homes in Washington.Shows this facility's occupancy rate versus the Washington average, with its statewide rank out of 69. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
128 days
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
$12.6M Rank #42 / 68Revenue — state benchmarkedThis home is ranked 42nd out of 68 homes in Washington.Shows this facility's annual revenue compared to the Washington SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$1.2M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #56 / 68Payroll — state benchmarkedThis home is ranked 56th out of 68 homes in Washington.Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$3.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #56 / 68Payroll — state benchmarkedThis home is ranked 56th out of 68 homes in Washington.Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
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 Rank #48 / 59Walk Score — state benchmarkedThis home is ranked 48th out of 59 homes in Washington.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Washington SNFs. Higher scores benefit residents, families, and staff.
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
CMS Certification Number505230
Staffing
Key information about the people who lead and staff this community.
ContactMs. Donna Robinson, Executive Director
Accept Medicaid
Rehabilitation Services
Short-Term Rehab
Specific ProgramsSecure 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
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Washington average: 8 complaint visits
Washington average: 9 inspections
Latest inspection
Date
August 21, 2025
Complaint Investigation79 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Washington average: 31 deficiencies
Inspection Report Summary for Fir Lane Health & Rehabilitation Center
The most recent inspection on August 21, 2025, identified deficiencies related to failure to notify a resident’s representative of multiple falls, inaccurate documentation and reconciliation of controlled substances, and inadequate hand hygiene during medication administration. Earlier inspections showed a pattern of issues involving resident rights, medication management, care plan implementation, infection control, and safety, with multiple substantiated complaint investigations. Notable concerns included delayed abuse reporting, incomplete care plans, medication errors, environmental hazards leading to injuries, and insufficient supervision. Enforcement actions such as an Immediate Jeopardy were noted in December 2024 due to a resident burn injury, but the facility took corrective steps to remove the jeopardy. The inspection history indicates ongoing challenges with compliance, with some recurring themes but no clear overall improvement trend.
Health Inspection History
Inspections
Total health citations
79
Rank #55 / 66Health citations — state benchmarkedThis home is ranked 55th out of 66 homes in Washington.Shows this facility's total health deficiency citations benchmarked to the Washington state average, with a ranking across all 66 WA SNFs. Lower citation counts earn a better rank.
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
Rank #28 / 44Severe citations — state benchmarkedThis home is ranked 28th out of 44 homes in Washington.Shows citations where actual resident harm occurred, compared to the Washington average and ranked across 44 SNFs statewide. Even a single severe citation is significant — lower is always better.
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.
Filter by care type
| 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 | -72% | +4% | 3 | 79 | 4.9 | 4 | 83 | A+ | 23 | - | $12.6M | $3.7M | 29.7% | 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 (Clare Avenue) | 125 | 74.7% | +3% | 4.31 | -67% | +2% | 2 | 103 | 4.5 | 4 | 81 | - | 62 | - | $14.7M | $5.3M | 36.4% | 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 | -67% | +2% | 2 | 103 | 4.5 | 4 | 81 | - | 22 | - | $14.7M | $5.3M | 36.4% | 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 | 0.0 | 0 | 64 | - | 48 | Mason, Monique | $11.5M | $3.5M | 30.7% | 505240 |
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Places of interest near Fir Lane Health & Rehabilitation Center
1.2 miles from city center
Estimated distance in miles from Shelton's city center to Fir Lane Health & Rehabilitation Center's address, calculated via Google Maps.
— 0.38 miles to nearest hospital (Mason Health - Mason General Hospital)
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 residents
76
Medicare
7
9.2% of residents
Medicaid
63
82.9% of residents
Private pay or other
6
7.9% of residents
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 Rank #31 / 40Federal fines — state benchmarkedThis home is ranked 31st out of 40 homes in Washington.Shows this facility's CMS fine count alongside the Washington average, and where it ranks among all 40 skilled nursing facilities in the state. Fewer fines mean a better rank.
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
$1.2M
↑ ~$1.2M vs 2022
Total Payroll
$4.4M
↑ ~$912.7K vs 2022
Profit Margin
9.9%
↑ 9.6pp vs 2022
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Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
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