Nursing homeActive

Shelton Health and Rehabilitation

153 Johns Court, Shelton, WA 98584360427257576 certified beds · 61 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
11
since 2023
Deficiencies
60
1554
Penalties · 3 yrs
$65,213
3 fines
Last survey
2026-07-01
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Washington DSHS Aging and Long-Term Support · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-07-01Complaint010CMS-2567 (Care Compare)
2026-04-08Complaint040CMS-2567 (Care Compare)
2026-03-27Standard090CMS-2567 (Care Compare)
2026-01-16Complaint001CMS-2567 (Care Compare)
2025-09-18Complaint020CMS-2567 (Care Compare)
2025-03-19Standard0142CMS-2567 (Care Compare)
2025-03-06Complaint011CMS-2567 (Care Compare)
2024-08-29Complaint010CMS-2567 (Care Compare)
2024-04-10Complaint010CMS-2567 (Care Compare)
2024-02-12Standard1210CMS-2567 (Care Compare)
2023-10-31Complaint010CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Washington DSHS Aging and Long-Term Support publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-07-01Complaint survey · 1 deficiencyOfficial report
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-13Record 505507-20260701-F628
2026-04-08Complaint survey · 4 deficienciesOfficial report
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260408-F602
F742Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260408-F742
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260408-F755
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260408-F835
2026-03-27Standard survey · 9 deficienciesOfficial report
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260327-F578
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260327-F604
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260327-F605
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260327-F628
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260327-F656
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260327-F757
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260327-F806
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260327-F849
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-28Record 505507-20260327-F881
2026-01-16Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-02-09Record 505507-20260116-F689
2025-09-18Complaint survey · 2 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-06Record 505507-20250918-F550
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-06Record 505507-20250918-F725
2025-03-19Standard survey · 16 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-11Record 505507-20250319-F684
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-11Record 505507-20250319-F692
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 505507-20250319-F569
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 505507-20250319-F609
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 505507-20250319-F623
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 505507-20250319-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 505507-20250319-F645
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 505507-20250319-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 505507-20250319-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 505507-20250319-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 505507-20250319-F698
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 505507-20250319-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 505507-20250319-F761
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 505507-20250319-F842
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-11Record 505507-20250319-F847
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-03Record 505507-20250319-F880
2025-03-06Complaint survey · 2 deficienciesOfficial report
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-03-06Record 505507-20250306-F678
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-08Record 505507-20250306-F712
2024-08-29Complaint survey · 1 deficiencyOfficial report
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-25Record 505507-20240829-F657
2024-04-10Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-11Record 505507-20240410-F609
2024-02-12Standard survey · 22 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F550
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F558
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F584
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F625
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F637
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F644
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F689
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F694
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F695
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F761
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F791
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F804
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-19Record 505507-20240212-F880
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2024-03-19Record 505507-20240212-F803
2023-10-31Complaint survey · 1 deficiencyOfficial report
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-05Record 505507-20231031-F622

Penalties & enforcement

DateActionAmountSource
2026-01-16Civil money penalty$34,356CMS · Penalties
2025-03-06Civil money penalty$22,391CMS · Penalties
2025-03-06Civil money penalty$8,466CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.66
Facility
Washington
National
Washington 0.94 · National 0.69
Total nurse hours per resident day3.87
Facility
Washington
National
Washington 4.37 · National 3.86
Weekend total nurse hours3.39
Facility
Washington
National
Washington 3.81 · National 3.42
Total nursing staff turnover55%
Facility
Washington
National
Washington 45% · National 46%
Registered nurse turnover56%
Facility
Washington
National
Washington 45% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityWashingtonNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.7%4.3%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.7%2.6%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
12.3%15.1%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.1%1.6%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
3.9%14.2%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.5%5.5%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
5.8%12.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Couve Financial Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Couve Healthcare Consulting LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lanoue, Patricia
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lewin, Lyle
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Odenthal, Jason
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pacific Northwest Opco Management LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pandya, Kaylesh
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Shelton SNF Operations, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Spielman, Shimon
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Washington SNF Consulting LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Yenowitz, Yitzchok
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bayhon, Marissa
Individual
ADP OF THE SNFNOT APPLICABLE
Bayhon, Marissa
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Ch Pacific Northwest Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Ch Pacific Northwest Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Couve Financial Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Couve Healthcare Consulting LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Herzka, Yisroel
Individual
ADP OF THE SNFNOT APPLICABLE
Herzka, Yisroel
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Lanoue, Patricia
Individual
ADP OF THE SNFNOT APPLICABLE
Lewin, Lyle
Individual
ADP OF THE SNFNOT APPLICABLE
Odenthal, Jason
Individual
ADP OF THE SNFNOT APPLICABLE
Odenthal, Jason
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Pacific Northwest Opco Management LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Pacific Northwest SNF Operations Holdings (Wa) LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Pacific Northwest SNF Operations Holdings LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Pandya, Kaylesh
Individual
ADP OF THE SNFNOT APPLICABLE
Shelton SNF Operations, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Shelton SNF Operations, LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Spielman, Shimon
Individual
ADP OF THE SNFNOT APPLICABLE
Spielman, Shimon
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Washington SNF Consulting LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Washington SNF Consulting LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Witzcorp Global LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Witzcorp Global LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Yenowitz, Yitzchok
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Yenowitz, Yitzchok
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Evergreen Healthcare Group44 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Washington.

No county cost figures on file for Mason.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Fir Lane Care
Shelton
0.3 mi2026-06-240593
Puget Sound Care
Olympia
15.3 mi2026-05-080201
Regency Olympia Rehabilitation And Nursing Center
Olympia
17.8 mi2026-04-241261
Olympia Transitional Care And Rehabilitation
Olympia
17.8 mi2026-04-240411
Woodard Creek Health & Rehabilitation
Olympia
17.9 mi2026-05-290953
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01