Shelton Health and Rehabilitation
A nursing home in Shelton, Washington 98584
153 Johns Court, Shelton, Washington 98584. (360) 427-2575.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 19 health citations at the latest inspection cycle Washington average: 15.7
- 3.75 nurse hours per resident per day Washington average: 4.42
- 4 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
19 health citations at the latest inspection cycle
The Washington average is 15.7.
Last standard inspection Mar 27, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Mar 6, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
63 citations in 10 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 63 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 16 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 13, 2026: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 28, 2026: complaint inspection3 citations
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Provide and implement an infection prevention and control program.
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Respond appropriately to all alleged violations.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Jul 1, 2026: complaint inspection1 citation
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
Apr 8, 2026: complaint inspection4 citations
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Protect each resident from the wrongful use of the resident’s belongings or money.
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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.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Mar 27, 2026: standard inspection9 citations
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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.
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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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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.
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Implement a program that monitors antibiotic use.
Jan 16, 2026: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 18, 2025: complaint inspection2 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Mar 19, 2025: standard inspection16 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide enough food/fluids to maintain a resident’s health.
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Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Ensure each resident receives an accurate assessment.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Ensure medication error rates are not 5 percent or greater.
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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.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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Provide and implement an infection prevention and control program.
Mar 6, 2025: complaint inspection2 citations
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Aug 29, 2024: complaint inspection1 citation
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Apr 10, 2024: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 12, 2024: standard inspection22 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Reasonably accommodate the needs and preferences of each resident.
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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.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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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.
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Assess the resident when there is a significant change in condition
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Ensure each resident receives an accurate assessment.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Provide safe and appropriate respiratory care for a resident when needed.
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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.
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Ensure medication error rates are not 5 percent or greater.
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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.
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Provide or obtain dental services for each resident.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Provide and implement an infection prevention and control program.
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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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 12, 1999.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 76 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 4 fines in the last three years, $92,591 in all.
- No Medicare payment denials in the last three years.
- 16 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 28, 2026 | Fine | $27,378 |
| Jan 16, 2026 | Fine | $34,356 |
| Mar 6, 2025 | Fine | $22,391 |
| Mar 6, 2025 | Fine | $8,466 |
Who does the caring?
3.75 nurse hours per resident per day
The Washington average is 4.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Washington average |
|---|---|---|
| Nurse hours per resident per day | 3.75 | 4.42 |
| Of which registered nurses | 0.52 | 0.99 |
| At weekends | 3.34 | 3.82 |
| Nursing staff turnover | 48.6% | 43.9% |
| Registered nurse turnover | 55.6% | 43.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Pacific Northwest SNF Operations Holdings (Wa) LLC owns 100% directly since Aug 31, 2023; Shelton SNF Operations, LLC owns 0% directly since Aug 31, 2023.
- Couve Healthcare Consulting LLC and Couve Financial Services LLC and Pacific Northwest Opco Management LLC and Washington SNF Consulting LLC and Shelton SNF Operations, LLC run it.
- 21 owners or officers are people: Yitzchok Yenowitz (runs it (operational or managerial control), 100%); Yisroel E Herzka (owns a share through other companies, 66.5%); Yitzchok Yenowitz (owns a share through other companies, 25%); A person CMS lists without a name (owns a share through other companies, 3%); A person CMS lists without a name (owns a share through other companies, 1%); Kaylesh K Pandya (runs it (operational or managerial control)); Kaylesh K Pandya (additional disclosable party (controls, leases property to, or provides services to the home)); Marissa Bayhon (on the governing body (managing control)); Marissa Bayhon (additional disclosable party (controls, leases property to, or provides services to the home)); Yitzchok Yenowitz (additional disclosable party (controls, leases property to, or provides services to the home)); Yisroel E Herzka (additional disclosable party (controls, leases property to, or provides services to the home)); Shimon Spielman (runs it (operational or managerial control)); Shimon Spielman (additional disclosable party (controls, leases property to, or provides services to the home)); Shimon Spielman (owns a share through other companies, 0%); Jason Odenthal (runs it (operational or managerial control)); Jason Odenthal (on the governing body (managing control)); Jason Odenthal (additional disclosable party (controls, leases property to, or provides services to the home)); Patricia Lanoue (runs it (operational or managerial control)); Patricia Lanoue (additional disclosable party (controls, leases property to, or provides services to the home)); Lyle Lewin (runs it (operational or managerial control)); Lyle Lewin (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Evergreen Healthcare Group (43 homes in CMS’s data).
- A private-equity firm is among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Pacific Northwest SNF Operations Holdings LLC | Owns a share through other companies | 100% | Aug 31, 2023 |
| Pacific Northwest SNF Operations Holdings (Wa) LLC | Owns a share directly | 100% | Aug 31, 2023 |
| Ch Pacific Northwest Holdings LLC | Owns a share through other companies | 66.5% | Aug 31, 2023 |
| Witzcorp Global LLC | Owns a share through other companies | 25% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 3% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 2.25% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 2.25% | Aug 31, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 1% | Aug 31, 2023 |
| Witzcorp Global LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 31, 2023 | |
| Couve Healthcare Consulting LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Couve Healthcare Consulting LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 22, 2025 | |
| Couve Financial Services LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Couve Financial Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 22, 2025 | |
| Pacific Northwest Opco Management LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Pacific Northwest Opco Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 22, 2025 | |
| Washington SNF Consulting LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Washington SNF Consulting LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 2, 2025 | |
| Washington SNF Consulting LLC | Owns a share through other companies | 0% | Aug 31, 2023 |
| Shelton SNF Operations, LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Shelton SNF Operations, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 2, 2025 | |
| Shelton SNF Operations, LLC | Owns a share directly | 0% | Aug 31, 2023 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 31, 2023 | |
| Ch Pacific Northwest Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 31, 2023 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Washington average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 26.0 miles, this one had the 5th most health citations at the latest inspection cycle (19; the middle value was 19).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Shelton Health and Rehabilitation This nursing home | 19 | |
| Fir Lane Care | 0.3 | 19 |
| Puget Sound Care | 15.3 | 9 |
| Regency Olympia Rehabilitation and Nursing Center | 17.8 | 8 |
| Olympia Transitional Care and Rehabilitation | 17.8 | 19 |
| Woodard Creek Health & Rehabilitation | 17.9 | 54 |
| Panorama City Conv & Rehab Ctr | 19.2 | 5 |
| Crystal Cove Post Acute | 20.5 | 38 |
| Lacey Post Acute & Rehabilitation | 20.8 | 23 |
| Gig Harbor Health and Rehabilitation | 25.3 | 39 |
| Heron’s Key | 25.9 | 3 |
| Cottesmore of Life Care | 26.0 | 8 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.