F

Shelton Health and Rehabilitation

153 JOHNS COURT, SHELTON, WA 98584
Score: 20 / 100

With a score of 20/100, Shelton Health And Rehabilitation 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 at Shelton Health And Rehabilitation is near the national average, with 3.78 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 48 deficiencies at Shelton Health And Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.78 3.8 Average
Registered Nurses (RN) 0.50 0.7 Below Average
Licensed Practical Nurses (LPN) 0.88 0.7 Above Average
Certified Nursing Assistants (CNA) 2.40 2.4 Average
Weekend Total Nursing 3.28 3.8 Below Average
Weekend RN Hours 0.37 0.7 Below Average

🔍 Inspection & Deficiency History

48
Total Deficiencies
Jan 15, 2026
Most Recent Inspection
⚪ 1 Minor 🟠 46 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 15, 2026 · Quality of Life and Care Deficiencies
  • Tag 0725 Severity E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Sep 17, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Sep 17, 2025 · Resident Rights Deficiencies
  • Tag 0684 Severity G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Mar 18, 2025 · Quality of Life and Care Deficiencies
  • Tag 0692 Severity G
    Provide enough food/fluids to maintain a resident's health.
    Mar 18, 2025 · Quality of Life and Care 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 1.9% 4.5% Better
Falls with major injury 2.6% 3.0% Better
On antipsychotic medication 18.1% 14.5% Worse
Urinary tract infections 0.5% 2.5% Better
ADL decline (daily activities) 4.0% 14.0% Better
Excessive weight loss 6.9% 7.5% Average
New/worsened incontinence 13.6% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $30,857

How This Grade Was Calculated

This facility's grade of F is based on a score of 20 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: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -3 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
76
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 18, 2025
Deficiencies (Cycle 1)
21