CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Washington. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Fir Lane Care is a 1-star Medicare and Medicaid certified nursing home in Shelton, Washington with 135 certified beds. It has been operating since 1980. Its overall CMS rating is 1 out of 5.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Ensure 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.
Ensure 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.
Immediately 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.
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.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Honor 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 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.
+ 47 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| KH7 HEALTHCARE HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | May 21, 2025 |
| KH7 HH CDW | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | May 21, 2025 |
| KH7 OPS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | May 21, 2025 |
| OSCHEROWITZ, RAPHAEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | May 21, 2025 |
| WOLMARK, CHAIM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | N/A | May 21, 2025 |
| 2430 N 13THPROPCO LLC | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | May 21, 2025 |
| WOLMARK, CHAIM | 5% OR GREATER MORTGAGE INTEREST | Individual | N/A | May 21, 2025 |
| WOLMARK, CHAIM | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | May 21, 2025 |
| OSCHEROWITZ, RAPHAEL | CORPORATE OFFICER | Individual | N/A | May 21, 2025 |
| WOLMARK, CHAIM | CORPORATE OFFICER | Individual | N/A | May 21, 2025 |
| ASKREN, ANN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Sep 21, 2021 |
| ERICKSON, RACHEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 2, 2024 |
| LOUCKS, ANNE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 21, 2025 |
| OSCHEROWITZ, RAPHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 21, 2025 |
| WOLMARK, CHAIM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 21, 2025 |
| 2430 N 13THPROPCO LLC | ADP OF THE SNF | Organization | N/A | May 21, 2025 |
| KH7 PROPCO HOLDINGS LLC | ADP OF THE SNF | Organization | N/A | May 21, 2025 |
| ASKREN, ANN | ADP OF THE SNF | Individual | N/A | Sep 21, 2021 |
| ERICKSON, RACHEL | ADP OF THE SNF | Individual | N/A | Dec 2, 2024 |
| LOUCKS, ANNE | ADP OF THE SNF | Individual | N/A | Apr 21, 2025 |
| OSCHEROWITZ, RAPHAEL | ADP OF THE SNF | Individual | N/A | May 21, 2025 |
| WOLMARK, CHAIM | ADP OF THE SNF | Individual | N/A | May 21, 2025 |
Compare CMS ratings and recorded fines for Fir Lane Care and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 7 facilities. View all →