Shelton Health and Rehabilitation
Shelton Health and Rehabilitation is a 76-bed nursing home in SHELTON, Washington. CMS has certified it for Medicare and Medicaid since 1999-02-12. It averages 60.5 residents a day.
What harm was found in the violations cited at Shelton Health and Rehabilitation?
CMS lists 60 health-inspection deficiencies for Shelton Health and Rehabilitation, all 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 2026-07-01.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-07-01 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2026-04-08 | F0602, F0755, F0835 | Protect each resident from the wrongful use of the resident's belongings or money. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E |
| 2026-04-08 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D |
| 2026-03-27 | F0605, F0628, F0656, F0881 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Implement a program that monitors antibiotic use. | E |
| 2026-03-27 | F0578, F0604, F0757, F0806, F0849 | 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. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D |
| 2026-01-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-09-18 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2025-09-18 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2025-03-19 | F0684, F0692 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. | G |
| 2025-03-19 | F0695, F0847, F0880 | Provide safe and appropriate respiratory care for a resident when needed. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Provide and implement an infection prevention and control program. | E |
| 2025-03-19 | F0569, F0609, F0623, F0641, F0645, F0657, F0677, F0698, F0759, F0761, F0842 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-03-06 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J |
| 2025-03-06 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D |
| 2024-08-29 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-04-10 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-02-12 | F0623, F0644, F0804 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2024-02-12 | F0550, F0558, F0584, F0625, F0637, F0641, F0645, F0656, F0658, F0684, F0689, F0694, F0695, F0758, F0759, F0761, F0791, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / 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. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide or obtain dental services for each resident. / Provide and implement an infection prevention and control program. | D |
| 2024-02-12 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | C |
| 2023-10-31 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D |
Why was Shelton Health and Rehabilitation fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2026-01-16 | Fine | $34,356 |
| 2025-03-06 | Fine | $22,391 |
| 2025-03-06 | Fine | $8,466 |
How is Shelton Health and Rehabilitation staffed relative to the WA average?
| Measure | This facility | WA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.87417 | 4.36934 |
| Total nursing staff turnover (%) | 55.3 | 45.1 |
| Average number of residents per day | 60.5 | 76.0 |
Who owns Shelton Health and Rehabilitation, and what chain is it in?
Shelton Health and Rehabilitation is registered with CMS as For profit - Limited Liability company, operates under the legal business name SHELTON SNF OPERATIONS, LLC and belongs to the EVERGREEN HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (WA) LLC, SHELTON SNF OPERATIONS, LLC | since 08/31/2023 |
| INDIRECT OWNERSHIP INTEREST | CH PACIFIC NORTHWEST HOLDINGS LLC, PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC, WASHINGTON SNF CONSULTING LLC, WITZCORP GLOBAL LLC, HERZKA, YISROEL, SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 08/01/2023 |
| MANAGING CONTROL - GOVERNING BODY | BAYHON, MARISSA, ODENTHAL, JASON | since 08/31/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | COUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, PACIFIC NORTHWEST OPCO MANAGEMENT LLC, SHELTON SNF OPERATIONS, LLC, WASHINGTON SNF CONSULTING LLC, LANOUE, PATRICIA, LEWIN, LYLE, ODENTHAL, JASON, PANDYA, KAYLESH, SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 08/31/2023 |
| ADP OF THE SNF | CH PACIFIC NORTHWEST HOLDINGS LLC, COUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, PACIFIC NORTHWEST OPCO MANAGEMENT LLC, SHELTON SNF OPERATIONS, LLC, WASHINGTON SNF CONSULTING LLC, WITZCORP GLOBAL LLC, BAYHON, MARISSA, HERZKA, YISROEL, LANOUE, PATRICIA, LEWIN, LYLE, ODENTHAL, JASON, PANDYA, KAYLESH, SPIELMAN, SHIMON, YENOWITZ, YITZCHOK | since 04/22/2025 |
Were you or a family member harmed at Shelton Health and Rehabilitation?