Fir Lane Care
2430 NORTH 13TH STREET, Shelton, WA 98584
Shelton, Washington · CMS verdict
On the federal five-star scale, Fir Lane Care carries a 1 of 5 CMS overall rating, below-average quality that runs below Washington's state average of 3.2.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Fir Lane Care in Shelton, Washington holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 21 of 100 (grade F). The 135-bed facility operates where a semi-private nursing-home room in Washington runs a median of $13,155 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 21 is built
Each segment is a dimension's weighted points toward the score, summing to 21.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
Fir Lane Care holds a CMS overall quality rating of 1 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (1/5), staffing (3/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Shelton, Washington, this facility operates 135 certified beds with an average daily census of roughly 79 residents - an occupancy rate of about 59%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 59% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Washington, Fir Lane Care is one of 77 for profit - limited liability company nursing homes CMS rates. Its 1-star overall rating sits below the for profit - limited liability company-segment average of 2.9 stars, ahead of roughly 0% of same-ownership peers in the state. Comparing a facility against its own ownership segment holds the business model roughly constant, which helps isolate facility-level performance from the staffing and reinvestment patterns that differ across for-profit, non-profit, and government operators.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (76 total). CMS has levied 3 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Fir Lane Care compares to Washington
CMS five-star sub-ratings (0–5) for this facility against the Washington facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Washington state average. Higher is better on all four CMS measures.
Where Fir Lane Care ranks in Washington
Among the 192 CMS-rated nursing homes in Washington, Fir Lane Care’s 1-star overall rating is higher than 0% of them. The bars show how all Washington homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
27 Washington homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 135 |
| Residents | 79 |
| Ownership | For profit - Limited Liability company |
| County | Mason |
| Penalties | 3 |
| Deficiencies | 76 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Fir Lane Care? ▾
CMS rates Fir Lane Care at 1 out of 5 stars overall. The three sub-ratings behind that number: health inspection 1/5, staffing 3/5, quality measures 2/5.
How much does a nursing home cost per month in Washington? ▾
In Washington, a semi-private nursing home room runs a median $13,155/month ($157,859/year) per the CareScout 2025 survey; private rooms average $15,969/month.
What services does Fir Lane Care offer? ▾
With 135 beds with approximately 79 current residents, Fir Lane Care is a skilled nursing facility. It operates under for profit - limited liability company ownership, and CMS's inspection record shows 76 deficiencies and 3 penalties.
Does Fir Lane Care have any deficiencies or penalties? ▾
Fir Lane Care has multiple deficiencies (76 total) and 3 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Washington? ▾
In Washington, alternatives include assisted living ($7,600/mo), home health aides ($8,580/mo), and adult day care ($5,395/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Washington elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 505230.
Read our methodology - how this data is sourced, computed, and verified.