Starfile

Starfile / Alaska

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.

CycleInspection dateThis facilityAlaska avgNational avgvs state
12025-12-051110.39.5+0.7 worse
22024-11-2268.59.8-2.5 better
32023-09-2298.09.3+1.0 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care3
Resident assessment and care planning1
Nursing and physician services2
Resident rights1
Nutrition and dietary1
Administration1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)6.7932.6%
RN staffing (reported)1.4966.7%
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)

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. CF0732Post nurse staffing information every day.2025-12-05 · Health · corrected 2026-01-19

    Potential for minimal harm

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. DF0880Provide and implement an infection prevention and control program.2024-11-22 · Health · corrected 2025-01-06

    Potential for more than minimal harm

  17. FF0908Keep all essential equipment working safely.2024-11-22 · Health · corrected 2025-01-06

    Potential for more than minimal harm

  18. 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

  19. 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

  20. 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

  21. DF0641Ensure each resident receives an accurate assessment.2023-09-22 · Health · corrected 2023-12-01

    Potential for more than minimal harm

  22. FF0732Post nurse staffing information every day.2023-09-22 · Health · corrected 2023-10-16

    Potential for more than minimal harm

  23. DF0760Ensure that residents are free from significant medication errors.2023-09-22 · Health · corrected 2023-10-16

    Potential for more than minimal harm

  24. 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

  25. 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

  26. 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

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.