Fir Lane Health and Rehab Center is a large facility located in Shelton, Washington. With an overall rating of F, we consider this to be a lower end nursing home. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Shelton. More information on this facility's category grades may be found below. Its best category was inspections, which is addressed in the next section.
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Fir Lane Health and Rehab Center
- Nursing Home
- Home Health Agency
Updated Apr 1, 2023 by Nick Lata
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Corporation
- Offers Post-Acute Care
- Offers Respite Care
- Offers Inpatient Rehab
- Offers Outpatient Rehab
- Speech Therapy
- Stroke Recovery
- IV Antibiotic Therapy
- Palliative Care
- Wound Care
- Occupational Therapy
- Cardiac Therapy
- Mental Health
- Physical Therapy
- Respiratory Therapy
- Nutritional Counseling
- Recreational Therapy
- Oncology Care
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Registered Staff Hours
This facility ended up receiving rock bottom grades in our analysis. Perhaps most alarmingly, it received an F for its inspection grade. Typically, this means we found some red flags on its government inspections. For places that received this poor of an inspection score, we would scrutinize any severe deficiencies on its inspection report. This nursing home was assessed a category G through L deficiency, which are among the more serious categories of deficiencies. This generally indicates that the deficiencies found by CMS had potential to create actual harm to residents. Finally, we also would like to draw your attention to the fact that this nursing home was assessed significant government fines of more than $100,000. This typically means that a facility's poor performance has been an issue for more than one year.
Among this nursing home's several poor grades was its F in the area of nursing care. Our nursing grade is primarily tied to the facility's level of nurse staffing. With only 0.3 hours of nursing care per resident each day, this nursing home's nurse staffing levels were well below the national average. Lastly, we also looked at some nursing quality-based metrics in calculating our nursing grades. This place performed well in terms of avoiding major falls and pressure ulcers. We consider these metrics to be reliable indicators of the quality of nursing care.
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Long-term Care Quality
Our third area we assessed is long-term care, where this nursing home received an F. When facilities receive this type of grade in this category it is a bad sign for patient care and it may mean that the nursing home is not as well-staffed. One of the datapoints we considered after nursing hours is vaccinations. This nursing home provided the pneumonia vaccination to 91.39344 percent of its residents. Surprisingly, this place was actually decent at keeping its patients out of the hospital. Indeed, it had just 0 hospitalizations per 1,000 long-term resident days. This is its best feature in this category.
Short-term Care Quality
Switching gears to the last category, this nursing home did not perform well in this category either. Due to a very poor grade of F in short-term care, this is about as bad as it gets. In forming these short-term care ratings, we look at the nursing home's skilled nursing services, such as those performed by registered nurses, occupational therapists, physical therapists and other types of therapists. Our objective is to formulate a barometer for comparing the rehabilitation services of various facilities. Given its weak rating in this area, we weren't stunned to find this nursing home offers substantially fewer registered nurse and physical therapist hours per patient than most other facilities. The last statistic we assessed in this area is the percentage of patients who returned home from the nursing home. This nursing home struggled quite a bit in this metric as well, with just 4.3 percent of its residents returning home. Unfortunately, this was quite a bit below average.
Rating Over Time
Compared to national and state averages across all facilities.
Fir Lane Health and Rehab Center Quality Metrics
Minimizes Pressure Ulcers
In Fir Lane Health and Rehab Center, 4.85% of Patients had Pressure Ulcers
This tells you the percent of residents that have had a pressure ulcer. Pressure ulcers are considered to be a measure of nursing care at a nursing home. Pressure ulcers, also called bed sores, are routinely caused by patients staying in one position for too long.
Minimizes Serious Falls
In Fir Lane Health and Rehab Center, 4.1% of Patients had Serious Falls
This figure indicates the percentage of long-term stay patients who have had falls which resulted in severe injury. Falls can arise for a variety of reasons, but excessive numbers of falls could be an indicator of lower levels of patient supervision.
Minimizes Urinary Tract Infections
In Fir Lane Health and Rehab Center, 0% of Patients had UTIs
This is the percent of patients that have had a urinary tract infection. UTI's are routinely associated with poor nursing care. Better nursing care can limit the percentage of residents in a nursing home who suffer from UTI's. We want to point out that this statistic is sometimes skewed by the fact that nursing homes have different reporting standards for these infections.
Appropriately Uses Anti-Psychotic Medication
In Fir Lane Health and Rehab Center, 18.75% of Patients use Anti-Psychotic Medication
This figure gauges the percent of long-term stay patients receiving antipsychotic drugs. While antipsychotic medications play an important role in caring for many residents, it is important to confirm these medications are being used only where medically required. In some situations, increased usage of these drugs may indicate a nursing home is using these drugs to subdue residents.
Appropriately Uses Anti-Anxiety Medication
In Fir Lane Health and Rehab Center, 17.3% of Patients use Anti-Anxiety Medication
This indicates the percentage of residents prescribed antianxiety drugs. Antianxiety medications are administered to patients suffering from anxiety or depression.
Managing Depression Among Residents
In Fir Lane Health and Rehab Center, 8.05% of Patients
This metric measures the percentage of long-term stay residents who are exhibiting depressive symptoms.
Appropriate Vaccine Usage
In Fir Lane Health and Rehab Center, 93.1% of Patients
This tells you the percentage of patients that were administered the flu and pneumonia vaccines. High vaccination rates should be the norm at this point.
Residents Maintain Autonomy
In Fir Lane Health and Rehab Center, 13.85% of Patients
This indicates the percentage of patients that required more assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with activities of daily living could indicate the decline of a resident's well-being.
Ability to Keep Residents Mobile
In Fir Lane Health and Rehab Center, 6.71% of Residents
This metric measures the percent of long-term patients that retained mobility levels.
In Fir Lane Health and Rehab Center, 0.38 Hospitalizations per 1,000 resident days
This indicates the number of times residents are hospitalized per 1,000 days of care.
Short-term Care: Rehospitalizations
In Fir Lane Health and Rehab Center, 6.71% of Residents Rehospitalized
This metric tracks the number of times residents are rehospitalized per 1,000 days of short-term patient care. Minimizing rehospitalizations during rehabilitation is key to restoring the health of residents.
Short-term Care: ER Visits
In Fir Lane Health and Rehab Center, 14.1% of Patients
This datapoint measures the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.
Short-term Care: Facilitates Functional Improvement
In Fir Lane Health and Rehab Center, 87.81% of Resident
This is the percent of short-term residents that experienced functional improvements, such as enhanced ability to perform activities of daily living.
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