Shelton Health And Rehabilitation
Shelton Health and Rehabilitation in SHELTON, WA — inspection on September 18, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
his or her rights.
observation, interview and record review, the facility failed to treat residents with respect and honor
failure placed residents at risk for diminished self-worth, self-esteem, and feelings of embarrassment.
Findings included.Resident 1 was admitted to the facility on [DATE] with diagnoses of dementia, post-traumatic stress syndrome (a mental health condition that's caused by an extremely stressful or terrifying event), and diabetes mellitus.
The quarterly minimum data set, an assessment tool, dated 06/30/2025, documented Resident 1 had moderate cognitive impairment and required substantial assistance with activities of daily living.The care plan, dated 12/08/2024, documented Resident 1 was dependent on staff to meet emotional, intellectual, physical, and social needs.
Staff will converse with the resident while providing care and will anticipate the residents' needs.On 08/18/2025 at 2:08 pm, Resident 1 reported that sometimes staff would hang out in their room when they have company. Resident 1 motioned towards the entry of their room and pointed out Staff J, Housekeeping, was doing this during our conversation. Resident 1 said they felt like staff did this intentionally to overhear conversations. At this time, Resident 1 asked Staff J if someone could address the toilet bowl as it was still soiled after housekeeping had cleaned their room earlier.
Staff J went and got Staff K, Housekeeping, to address the residents' concerns.
While Resident 1 and this writer continued to speak about the resident's care, Staff K proceeded to dust the area around resident's bed, where the resident was laying.
Staff K leaned over the bedside table, directly between the resident and this writer, and dusted the light fixture above the bed.
Next, Staff K dusted the light fixture in an unoccupied space next to Resident 1's bed.
Then, Staff K dusted the bottom of the bedside table directly next to this writer's feet.
Staff K proceeded to clean and dust other areas in Resident 1's main room, where we were talking. Resident 1 then asked Staff K to go and clean the bathroom, where the original concern was, while we were talking.
Staff K went to the bathroom and cleaned the area of concern.
Staff J remained at the entrance of the room during the entire conversation. Resident 1 said see, this is what I was talking about. Resident 1 explained how uncaring it is to intrude on the residents' privacy and how staff lacked empathy.
After Staff K was done cleaning the bathroom, Staff K came out into the room and asked if we were done talking. We concluded our conversation at that time.On 09/12/2025 at 3:00 pm, Staff I, Housekeeping, said housekeeping staff should respect the resident's privacy when they have guests. If privacy were required, Staff I would do another task instead.On 09/18/2025 at 2:15 pm, Staff B, Registered Nurse and Director of Nursing Services, said there was a privacy issue where housekeeping staff were cleaning in Resident 1's room.
Staff B said staff should not have been cleaning near Resident 1 and this writer while having a conversation.
Staff B said she would be talking with housekeeping about the issue.
Reference WAC 388-97-0180(1-4) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
505507 09/18/2025
Shelton Health and Rehabilitation 153 Johns Court Shelton, WA 98584
overwhelmed and stressed.On 09/12/2025 at 2:52 pm, Staff F, BA and NA, said they had 4 to 8 baths
do in a day in this situation.
This is a challenge to get done.
Sometime baths or refusals are not
ineffective.On 09/12/2025 at 3:38 pm, Staff E, registered nurse (RN), said she was an agency nurse and was new to the facility.
Staff E said the facility had residents who were high acuity and have a lot of needs.
The facility was experiencing a COVID outbreak, has staffing issues, and printers and fax machines were not working, making staffing even more challenging.
Due to all the issues, they could not get things like daily orders or treatments done resulting in a delay in care.
Staff E said there was not enough support.On 09/18/2025 at 2:15 pm, Staff B, RN and Director of Nursing Services, said they started having a BA to help address missed showers.
When people called off, they would pull the BA to the floor.
They do have agency staff they use to try and cover shifts.
Staff B acknowledged concerns have been reported in both Resident Council and through the grievances process related to showers and staffing concerns.
Staff B said showers are an issue.
Staff B said the facility has residents who have complex needs.
Staff B said they had been trying to do things like consolidating medications to reduce the medication pass.On 09/18/2025 at 2:52 pm, Staff A, Administrator, acknowledged they had issues with bathing and staffing.
Staff A said they have done many things such as job fairs and bonuses to increase staffing levels.
They use agency staff but, at times, when they are scheduled to work they do not show up.
Leadership is expected, and does, cover shifts and help on the floor.Reference: (WAC) 388-97-1080 (1)
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.