Caldera Care
6 nursing homes in 1 state, in CMS's provider file of 2026-09-01.
These are the homes CMS lists under this chain today. Where a home has changed owner since 2016, CMS's change-of-ownership file (edition 2026-06-01) gives the date its current owner took it over, and penalties from before that date are counted apart: they were against an earlier owner, not a penalty against this chain's management. The figure can be off both ways: a change between two companies in the same chain is counted the same way, and a change the file does not hold (it runs to changes effective by 2026-02-01) is not counted at all.
CMS's archive holds 65 fines totalling $2,341,226 and 4 payment denials against these homes, at 5 of the 6. CMS's current file no longer shows 63 of those penalties.
6 of the 6 homes changed owner since 2016. 67 of those penalties, $2,327,439 in fines, are dated before the home's current owner took it over, which leaves $13,787 in fines since.
These are counts, not rates. They are not adjusted for how many homes the chain has, how large they are, or which states inspect them.
| Home | State | Fines | Total | Payment denials | Earliest | Current owner since | Before that |
|---|---|---|---|---|---|---|---|
| Aurora Valley Care | WA | 18 | $856,650 | 3 | 2016 | 2025-05-21 | 21 ($856,650) |
| Fir Lane Care | WA | 19 | $634,126 | 0 | 2016 | 2025-05-21 | 19 ($634,126) |
| Puget Sound Care | WA | 5 | $69,278 | 0 | 2016 | 2017-12-01 | 3 ($55,491) |
| Spokane Falls Care | WA | 19 | $465,232 | 1 | 2016 | 2025-05-21 | 20 ($465,232) |
| Three Rivers Care | WA | 0 | 0 | 2025-05-21 | |||
| Willapa Harbor Care | WA | 4 | $315,940 | 0 | 2016 | 2023-03-20 | 4 ($315,940) |