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Fir Lane Care, Shelton, WA: 2 star rating, fined $121,488 across 2 fines

Fir Lane Care in Shelton, WA is owned by Kh7 Healthcare Holdings, LLC, is rated 2 of 5 stars by Medicare, and was fined $121,488 across 2 fines in the three years to October 1, 2026. CMS lists 72 health citations from inspections in that time, the latest survey on July 10, 2026, and 3 of them found actual harm or immediate jeopardy.

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Address
2430 North 13th Street, Shelton, WA 98584
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measure rating
4 of 5
Certified beds
135
Residents per day
88 on average
Ownership type
For profit, limited liability company
Legal business name
Fir Lane Care LLC
Chain
Caldera Care, 6 facilities
Fines
$121,488 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
72, of which 3 with actual harm or immediate jeopardy
Latest survey
July 10, 2026
CMS Certification Number
505230
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
February 21, 2025Fine$75,361Not listeddata.cms.gov
November 7, 2024Fine$46,127Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 10, 2026F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2026data.cms.gov
July 10, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2026data.cms.gov
July 10, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2026data.cms.gov
July 10, 2026F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2026data.cms.gov
July 10, 2026F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2026data.cms.gov
July 10, 2026F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2026data.cms.gov
July 10, 2026F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2026data.cms.gov
July 10, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2026data.cms.gov
July 10, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2026data.cms.gov
July 10, 2026F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 13, 2026data.cms.gov
June 24, 2026F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 14, 2026data.cms.gov
June 24, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 14, 2026data.cms.gov
April 30, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 21, 2026data.cms.gov
February 24, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2026data.cms.gov
February 24, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2026data.cms.gov
February 10, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
February 10, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
February 10, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
February 10, 2026F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 5, 2026data.cms.gov
August 21, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2025data.cms.gov
August 21, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2025data.cms.gov
August 21, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2025data.cms.gov
June 9, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F692Provide enough food/fluids to maintain a resident's health.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesE: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
June 9, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2025data.cms.gov
May 15, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2025data.cms.gov
March 27, 2025F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedApril 15, 2025data.cms.gov
March 27, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 15, 2025data.cms.gov
March 27, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 15, 2025data.cms.gov
March 11, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
February 21, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedMarch 14, 2025data.cms.gov
February 21, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2025data.cms.gov
December 17, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedJanuary 6, 2025data.cms.gov
November 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2024data.cms.gov
September 17, 2024F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
May 24, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2024data.cms.gov
May 24, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2024data.cms.gov
May 10, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F685Assist a resident in gaining access to vision and hearing services.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 10, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
January 22, 2024F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 8, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 16 individual or personal trusts (2 owners, 6 managers, 2 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Kh7 Healthcare Holdings, LLCDirect owner100%May 21, 2025data.cms.gov
Kh7 HH CDWIndirect ownerNot listedMay 21, 2025data.cms.gov
Kh7 Ops LLCIndirect ownerNot listedMay 21, 2025data.cms.gov
2430 N 13thpropco LLCMortgage interestNot listedMay 21, 2025data.cms.gov
2430 N 13thpropco LLCAdditional disclosable partyNot listedMay 21, 2025data.cms.gov
Kh7 PROPCO Holdings LLCAdditional disclosable partyNot listedMay 21, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.