With a score of 6/100, Fir Lane Care ranks in the bottom tier of Washington nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels at Fir Lane Care exceed national averages, with 4.24 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.63 hours per resident per day is near the national average of 0.7 hours.
Recent CMS inspections identified 76 deficiencies at Fir Lane Care, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.24 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.63 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.96 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.65 | 2.4 | Above Average |
| Weekend Total Nursing | 3.71 | 3.8 | Average |
| Weekend RN Hours | 0.19 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Aug 20, 2025 · Resident Rights Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Aug 20, 2025 · Pharmacy Service Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Aug 20, 2025 · Infection Control Deficiencies
- Tag 0578 Severity EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andJun 8, 2025 · Resident Rights Deficiencies
- Tag 0585 Severity EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eJun 8, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 11.5% | 4.5% | Worse |
| Falls with major injury | 2.3% | 3.0% | Better |
| On antipsychotic medication | 36.3% | 14.5% | Worse |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 11.3% | 14.0% | Better |
| Excessive weight loss | 7.6% | 7.5% | Average |
| New/worsened incontinence | 25.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $138,648
How This Grade Was Calculated
This facility's grade of F is based on a score of 6 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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