FIR LANE CARE

CCN 505230 · FIR LANE CARE LLC · For profit - Limited Liability company · CALDERA CARE chain · 135 certified beds · Mason · WA


FIR LANE CARE is a 135-bed nursing home in SHELTON, Washington. CMS has certified it for Medicare and Medicaid since 1980-01-01. It averages 92.2 residents a day.

What harm was found in the violations cited at FIR LANE CARE?

CMS lists 79 health-inspection deficiencies for FIR LANE CARE since 2023-06-09, 63 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-24.

Survey dateTagDeficiencySeverity
2026-06-24F0628, F0921Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2026-04-30F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2026-02-24F0627, F0628Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D
2026-02-10F0552, F0656, F0686, F0842Ensure that residents are fully informed and understand their health status, care and treatments. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-08-21F0580, F0755, F0880Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program.D
2025-06-09F0578, F0585, F0628, F0645, F0684, F0692, F0725, F0847Honor 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. / Honor 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. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.E
2025-06-09F0550, F0552, F0605, F0609, F0657, F0658, F0686, F0690, F0757, F0761, F0812, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.D
2025-05-15F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-03-27F0760Ensure that residents are free from significant medication errors.G
2025-03-27F0880Provide and implement an infection prevention and control program.E
2025-03-27F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2025-03-11F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E
2025-02-21F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2025-02-21F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2024-12-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-11-07F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-09-17F0697Provide safe, appropriate pain management for a resident who requires such services.D
2024-05-24F0623, F0626Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D
2024-05-10F0568, F0658, F0685, F0725, F0761, F0812Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Ensure services provided by the nursing facility meet professional standards of quality. / Assist a resident in gaining access to vision and hearing services. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-05-10F0561, F0569, F0585, F0644, F0655, F0692, F0695, F0745, F0804, F0806, F0808Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Honor 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure 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
2024-01-22F0727Have 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
2023-08-25F0551Give the resident's representative the ability to exercise the resident's rights.D
2023-06-09F0727Have 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.F
2023-06-09F0558, F0578, F0583, F0761Reasonably accommodate the needs and preferences of each resident. / Honor 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. / Keep residents' personal and medical records private and confidential. / Ensure 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
2023-06-09F0550, F0552, F0584, F0610, F0645, F0684, F0693, F0695, F0757, F0758, F0883Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

Why was FIR LANE CARE fined 2 times?

DateTypeAmount
2025-02-21Fine$75,361
2024-11-07Fine$46,127

How is FIR LANE CARE staffed relative to the WA average?

MeasureThis facilityWA average
Total nurse staffing hours per resident per day4.225904.36934
Total nursing staff turnover (%)64.545.1
Average number of residents per day92.276.0

Who owns FIR LANE CARE, and what chain is it in?

FIR LANE CARE is registered with CMS as For profit - Limited Liability company, operates under the legal business name FIR LANE CARE LLC and belongs to the CALDERA CARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTKH7 HEALTHCARE HOLDINGS, LLCsince 05/21/2025
5% OR GREATER INDIRECT OWNERSHIP INTERESTKH7 HH CDW, KH7 OPS LLC, OSCHEROWITZ, RAPHAEL, WOLMARK, CHAIMsince 05/21/2025
5% OR GREATER MORTGAGE INTEREST2430 N 13THPROPCO LLC, WOLMARK, CHAIMsince 05/21/2025
MANAGING CONTROL - GOVERNING BODYWOLMARK, CHAIMsince 05/21/2025
CORPORATE OFFICEROSCHEROWITZ, RAPHAEL, WOLMARK, CHAIMsince 05/21/2025
OPERATIONAL/MANAGERIAL CONTROLASKREN, ANN, ERICKSON, RACHEL, LOUCKS, ANNE, OSCHEROWITZ, RAPHAEL, WOLMARK, CHAIMsince 04/21/2025
ADP OF THE SNF2430 N 13THPROPCO LLC, KH7 PROPCO HOLDINGS LLC, ASKREN, ANN, ERICKSON, RACHEL, LOUCKS, ANNE, OSCHEROWITZ, RAPHAEL, WOLMARK, CHAIMsince 04/21/2025

Were you or a family member harmed at FIR LANE CARE?