Shelton Health and Rehabilitation
153 Johns Court · Shelton, WA · 98584 · 3604272575
76 certified beds For profit - Limited Liability company Chain: Evergreen Healthcare Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $65,213 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$65,213 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.89 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.58 | 0.55–0.75 |
| Weekend hours / resident-day | 3.49 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 3 · $65,213 |
Inspection citations (59 in the current record)
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Potential for harm · E April 8, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 8, 2026 · found via complaint
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.
Corrected April 28, 2026 · Quality of Life and Care
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Potential for harm · E April 8, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 28, 2026 · Pharmacy Service
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Potential for harm · E April 8, 2026 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected April 28, 2026 · Administration
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Potential for harm · D March 27, 2026
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.
Corrected April 28, 2026 · Resident Rights
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Potential for harm · D March 27, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected April 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 27, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected April 28, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 27, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 28, 2026 · Resident Rights
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Potential for harm · E March 27, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 28, 2026 · Pharmacy Service
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Potential for harm · D March 27, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 28, 2026 · Nutrition and Dietary
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Potential for harm · D March 27, 2026
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.
Corrected April 28, 2026 · Administration
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Potential for harm · E March 27, 2026
Implement a program that monitors antibiotic use.
Corrected April 28, 2026 · Infection Control
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Actual harm · G January 16, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 9, 2026 · Quality of Life and Care
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Potential for harm · D September 18, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 6, 2025 · Resident Rights
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Potential for harm · E September 18, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 6, 2025 · Nursing and Physician Services
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Actual harm · G March 19, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 11, 2025 · Quality of Life and Care
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Actual harm · G March 19, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 11, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected April 3, 2025 · Resident Rights
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Potential for harm · D March 19, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 19, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 3, 2025 · Resident Rights
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Potential for harm · D March 19, 2025
Ensure each resident receives an accurate assessment.
Corrected April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 3, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 16, 2026 | Fine | $34,356 |
| March 6, 2025 | Fine | $8,466 |
| March 6, 2025 | Fine | $22,391 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 505507 · certified since February 12, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.