Skilled Nursing

Shelton Health and Rehabilitation

153 JOHNS COURT, SHELTON, WA 98584

76beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.5h

Hrs/resident · weekday

Expected: 3.7h

3.4h

Hrs/resident · weekend

vs 3.5h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
40%
LPNs
CNAs
59%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0678Severity JMar 6, 2025

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected: Mar 6, 2025

58 standard deficiencies in the last 3 years

View all
0835Severity EApr 8, 2026

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0755Severity EApr 8, 2026

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0742Severity DApr 8, 2026

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.

0602Severity EApr 8, 2026

Protect each resident from the wrongful use of the resident's belongings or money.

0881Severity EMar 27, 2026

Implement a program that monitors antibiotic use.

0849Severity DMar 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.

0806Severity DMar 27, 2026

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0757Severity DMar 27, 2026

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0656Severity EMar 27, 2026

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0628Severity EMar 27, 2026

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0605Severity EMar 27, 2026

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0604Severity DMar 27, 2026

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0578Severity DMar 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.

0689Severity GJan 16, 2026

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0725Severity ESep 18, 2025

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0550Severity DSep 18, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0880Severity EMar 19, 2025

Provide and implement an infection prevention and control program.

0847Severity EMar 19, 2025

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0842Severity DMar 19, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0761Severity DMar 19, 2025

Ensure 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.

0759Severity DMar 19, 2025

Ensure medication error rates are not 5 percent or greater.

0698Severity DMar 19, 2025

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0695Severity EMar 19, 2025

Provide safe and appropriate respiratory care for a resident when needed.

0692Severity GMar 19, 2025

Provide enough food/fluids to maintain a resident's health.

0684Severity GMar 19, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0677Severity DMar 19, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0657Severity DMar 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.

0645Severity DMar 19, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

0641Severity DMar 19, 2025

Ensure each resident receives an accurate assessment.

0623Severity DMar 19, 2025

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0609Severity DMar 19, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0569Severity DMar 19, 2025

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0712Severity DMar 6, 2025

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0657Severity DAug 29, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0609Severity DApr 10, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0880Severity DFeb 12, 2024

Provide and implement an infection prevention and control program.

0804Severity EFeb 12, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0803Severity CFeb 12, 2024

Ensure 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.

0791Severity DFeb 12, 2024

Provide or obtain dental services for each resident.

0761Severity DFeb 12, 2024

Ensure 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.

0759Severity DFeb 12, 2024

Ensure medication error rates are not 5 percent or greater.

0758Severity DFeb 12, 2024

Implement 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.

0695Severity DFeb 12, 2024

Provide safe and appropriate respiratory care for a resident when needed.

0694Severity DFeb 12, 2024

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0689Severity DFeb 12, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Severity DFeb 12, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0658Severity DFeb 12, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0656Severity DFeb 12, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0645Severity DFeb 12, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

0644Severity EFeb 12, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0641Severity DFeb 12, 2024

Ensure each resident receives an accurate assessment.

0637Severity DFeb 12, 2024

Assess the resident when there is a significant change in condition

0625Severity DFeb 12, 2024

Notify 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.

0623Severity EFeb 12, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0584Severity DFeb 12, 2024

Honor 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.

0558Severity DFeb 12, 2024

Reasonably accommodate the needs and preferences of each resident.

0550Severity DFeb 12, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0622Severity DOct 31, 2023

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

SHELTON SNF OPERATIONS, LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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