PROVIDENCE KODIAK ISLAND MED LTC
1915 E REZANOF DRIVE, KODIAK, AK 99615 · CCN 025030
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 22
- Avg residents/day
- 21.7
- Phone
- 9074867800
Inspection history vs Alaska & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Alaska avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-05 | 11 | 10.3 | 9.5 | +0.7 worse |
| 2 | 2024-11-22 | 6 | 8.5 | 9.8 | -2.5 better |
| 3 | 2023-09-22 | 9 | 8.0 | 9.3 | +1.0 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 6.79 | 32.6% |
| RN staffing (reported) | 1.49 | 66.7% |
| Total nurse staffing (adjusted) | 7.34 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- PROVIDENCE HEALTH & SERVICES
- Facilities in chain
- 7
- Chain avg overall
- 2.40 / 5
Inspection citations (26)
- FF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-05 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-12-05 · Health · corrected 2026-01-19
Potential for more than minimal harm
- FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-12-05 · Health · corrected 2026-01-19
Potential for more than minimal harm
- FF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-05 · Health · corrected 2026-01-19
Potential for more than minimal harm
- EF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-12-05 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-05 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2025-12-05 · Health · corrected 2026-01-19
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-12-05 · Health · corrected 2026-01-19
Potential for minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-05 · Health · corrected 2026-01-19
Potential for more than minimal harm
- FF0838Conduct 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.2025-12-05 · Health · corrected 2026-01-19
Potential for more than minimal harm
- FF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-12-05 · Health · corrected 2026-01-19
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-22 · Health · corrected 2025-01-06
Potential for more than minimal harm
- EF0700Try 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.2024-11-22 · Health · corrected 2025-01-06
Potential for more than minimal harm
- FF0727Have 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.2024-11-22 · Health · corrected 2025-01-06
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-22 · Health · corrected 2025-01-06
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-11-22 · Health · corrected 2025-01-06
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2024-11-22 · Health · corrected 2025-01-06
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-09-22 · Health · corrected 2023-10-16
Potential for more than minimal harm
- EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2023-09-22 · Health · corrected 2023-10-16
Potential for more than minimal harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-09-22 · Health · corrected 2023-10-16
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-09-22 · Health · corrected 2023-12-01
Potential for more than minimal harm
- FF0732Post nurse staffing information every day.2023-09-22 · Health · corrected 2023-10-16
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-09-22 · Health · corrected 2023-10-16
Potential for more than minimal harm
- DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2023-09-22 · Health · corrected 2023-10-16
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-22 · Health · corrected 2023-10-16
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2023-09-22 · Health · corrected 2023-10-16
Potential for more than minimal harm
Ownership
No ownership records.
Other facilities in KODIAK
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.