PROVIDENCE KODIAK ISLAND MED LTC

1915 E REZANOF DRIVE
KODIAK, AK 99615

πŸ“ž 9074867800
Non profit - CorporationPROVIDENCE HEALTH & SERVICES22 certified beds~22 residents/day

1915 E REZANOF DRIVE, KODIAK, AK

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CMS Five-Star Ratings

Source: CMS Provider Data Catalog. Ratings updated monthly.

Overall Rating

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Composite of health inspections, staffing, and quality measures

Health Inspections

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Based on results of onsite inspection surveys

Staffing

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Nurse staffing levels relative to resident census

Quality Measures

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Clinical quality metrics from resident assessments

Staffing Data

Higher staffing hours = better care outcomes. RN turnover over 40% is a warning sign.

Total Nurse Hours / Resident / Day

6.79 hrs

Recommended: 4.1+ hrs

RN Hours / Resident / Day

1.61 hrs

Recommended: 0.5+ hrs

RN Turnover Rate

67%

Warning if >40%

Total Nurse Turnover

33%

Warning if >50%

Inspection Deficiency Citations

Recent citations from CMS health inspections. Severity A–F = no resident harm. G–L = resident harm occurred.

F0550FResident Rights Deficiencies

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

Inspection: 2025-12-05Corrected: 2026-01-19
F0605DAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

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

Inspection: 2025-12-05Corrected: 2026-01-19
F0607FAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Inspection: 2025-12-05Corrected: 2026-01-19
F0656FResident Assessment and Care Planning Deficiencies

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

Inspection: 2025-12-05Corrected: 2026-01-19
F0676EQuality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Inspection: 2025-12-05Corrected: 2026-01-19
F0684DQuality of Life and Care Deficiencies

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

Inspection: 2025-12-05Corrected: 2026-01-19
F0699DQuality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

Inspection: 2025-12-05Corrected: 2026-01-19
F0732CNursing and Physician Services Deficiencies

Post nurse staffing information every day.

Inspection: 2025-12-05Corrected: 2026-01-19
F0812FNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Inspection: 2025-12-05Corrected: 2026-01-19
F0838FAdministration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Inspection: 2025-12-05Corrected: 2026-01-19
F0947FNursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Inspection: 2025-12-05Corrected: 2026-01-19
F0550DResident Rights Deficiencies

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

Inspection: 2024-11-22Corrected: 2025-01-06
F0700EQuality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Inspection: 2024-11-22Corrected: 2025-01-06
F0727FNursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Inspection: 2024-11-22Corrected: 2025-01-06
F0812FNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Inspection: 2024-11-22Corrected: 2025-01-06
F0880DInfection Control Deficiencies

Provide and implement an infection prevention and control program.

Inspection: 2024-11-22Corrected: 2025-01-06
F0908FEnvironmental Deficiencies

Keep all essential equipment working safely.

Inspection: 2024-11-22Corrected: 2025-01-06
F0565EResident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

Inspection: 2023-09-22Corrected: 2023-10-16
F0568EResident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Inspection: 2023-09-22Corrected: 2023-10-16
F0604DAbuse CitationFreedom from Abuse, Neglect, and Exploitation Deficiencies

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

Inspection: 2023-09-22Corrected: 2023-10-16

About This Data

All data is sourced directly from the CMS Provider Data Catalog (data.cms.gov) and updated every month. NursingHomeUSA receives no compensation from this facility.

CMS Provider Number (CCN): 025030

Medicare approved: 1994-09-20

Quick Facts

Certified beds22
Avg residents/day22
OwnershipNon profit - Corporation
ChainPROVIDENCE HEALTH & SERVICES
Abuse alertNo
Special Focus (SFF)No

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