Cycle 1
Health 2025-11-21 · Fire 2025-11-21
11 health deficiencies
Top issue: Resident Rights (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Anchorage, AK
Polaris Transitional Care
3-star overall rating with 2-star inspections with $109,382 in total fines with 11 recent health deficiencies
910 Compassion Circle, Anchorage, AK
(907) 212-9200
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
48
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Ensign Group
Operator or chain grouping
Approved since
1983-09-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
329 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
2.73
Registered nurse staffing · state 2.15 · national 0.68
LPN hours / resident day
0.34
Licensed practical nurse staffing · state 0.86 · national 0.87
Aide hours / resident day
2.49
Nurse aide staffing · state 4.17 · national 2.35
Total nurse hours
5.56
All reported nurse hours · state 7.00 · national 3.89
Licensed hours
3.07
RN + LPN hours · state 2.83 · national 1.54
Weekend hours
4.57
Weekend nurse staffing · state 6.21 · national 3.43
Weekend RN hours
1.95
Weekend registered nurse coverage · state 1.62 · national 0.47
Physical therapist
0.24
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
2.61
CMS adjusted RN staffing hours
Adjusted total hours
5.32
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
111
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
84.64
Composite VBP score used to determine payment impact.
Payment multiplier
1.0267
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 16.16% · Performance 15.52% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
8.06
Baseline 3.92% · Performance 5.42% · Measure score 8.06 · Achievement 8.06 · Improvement 0
Total nurse turnover
5.79
Baseline 57.69% · Performance 40.00% · Measure score 5.79 · Achievement 5.79 · Improvement 4.89
Adjusted total nurse staffing
10
Baseline 6.65 hours · Performance 6.63 hours · Measure score 10 · Achievement 10 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 7.78% |
10.72%
2.9 pts better
|
No Different than the National Rate · Eligible stays 210 · Observed rate 4.76% · Lower 95% interval 5.52% |
| Discharge to community | 65.03% |
50.57%
14.5 pts better
|
Better than the National Rate · Eligible stays 237 · Observed rate 52.32% · Lower 95% interval 56.28% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 98.81% |
95.27%
3.5 pts better
|
Numerator 166 · Denominator 168 |
| Falls with major injury | 0.6% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 168 |
| Discharge self-care score | 57.34% |
53.69%
3.7 pts better
|
Numerator 82 · Denominator 143 |
| Discharge mobility score | 57.34% |
50.94%
6.4 pts better
|
Numerator 82 · Denominator 143 |
| Pressure ulcers or injuries, new or worsened | 5.95% |
2.29%
3.7 pts worse
|
Numerator 10 · Denominator 168 · Adjusted rate 8.67% |
| Healthcare-associated infections requiring hospitalization | 5.43% |
7.12%
1.7 pts better
|
No Different than the National Rate · Eligible stays 156 · Observed rate 3.85% · Lower 95% interval 3.15% |
| Staff COVID-19 vaccination coverage | 1.82% |
8.2%
6.4 pts worse
|
Numerator 2 · Denominator 110 |
| Staff flu vaccination coverage | 5.96% |
42%
36 pts worse
|
Numerator 9 · Denominator 151 |
| Discharge function score | 51.05% |
56.45%
5.4 pts worse
|
Numerator 73 · Denominator 143 |
| Transfer of health information to provider | 96.77% |
95.95%
0.8 pts better
|
Numerator 30 · Denominator 31 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 99 · Denominator 99 |
| Resident COVID-19 vaccinations up to date | 20.2% |
25.2%
5 pts worse
|
Numerator 20 · Denominator 99 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.2
0.4 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 2.5 · Expected 6.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.3
0.4 pts worse
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 3.1 · Expected 3.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 58.9% |
93.8%
34.9 pts worse
|
93.4%
34.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 70.8% · Q2 54.5% · Q3 38.1% · Q4 69.6% · 4Q avg 58.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82.4% |
96.0%
13.6 pts worse
|
95.5%
13.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 82.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.0%
3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.3% |
5.3%
1 pts worse
|
11.4%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.8% · Q4 5.0% · 4Q avg 6.3% |
| Percentage of long-stay residents who lose too much weight | 3.5% |
4.9%
1.4 pts better
|
5.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 0.0% · Q4 10.0% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.0% |
14.3%
0.3 pts better
|
19.6%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 9.1% · Q3 20.0% · Q4 15.0% · 4Q avg 14.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.9% |
18.4%
1.5 pts better
|
16.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.6% |
19.9%
0.7 pts worse
|
16.3%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.0% |
16.3%
4.7 pts worse
|
14.9%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 20.0% · Q3 25.0% · 4Q avg 21.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
1.3%
0.5 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.4% |
3.5%
0.1 pts better
|
1.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.8% · Q3 0.0% · Q4 4.3% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.8% |
19.9%
3.1 pts better
|
19.8%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q3 23.7% · Q4 20.3% · 4Q avg 16.8% |
| Percentage of long-stay residents with pressure ulcers | 14.5% |
7.8%
6.7 pts worse
|
5.1%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 18.4% · Q3 19.9% · Q4 3.5% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 59.5% |
78.4%
18.9 pts worse
|
81.7%
22.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 57.3% · Q2 62.8% · Q3 58.4% · Q4 59.4% · 4Q avg 59.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.8% |
12.2%
0.6 pts worse
|
12.0%
0.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.8% · Observed 12.4% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
0.8%
0.1 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 73.0% |
85.5%
12.5 pts worse
|
79.7%
6.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.7% |
12.5%
0.8 pts better
|
23.9%
12.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 11.4% · Expected 23.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-01 · Fire 2024-11-01
6 health deficiencies
Top issue: Resident Rights (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2023-09-01 · Fire 2023-09-01
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-01
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-11-01
F · Potential for more than minimal harm
2023-09-01
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-10-27
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-11-21
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-09
E · Potential for more than minimal harm
2025-11-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-11-21
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-08-20
D · Potential for more than minimal harm
2025-11-21
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-11-21
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-11-21
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-11-21
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-11-21
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-09
D · Potential for more than minimal harm
2025-11-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-09
F · Potential for more than minimal harm
2025-07-29
F838 · Administration Deficiencies
Health
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.
Corrected 2025-08-12
D · Potential for more than minimal harm
2025-07-29
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-08-12
F · Potential for more than minimal harm
2024-11-01
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-21
D · Potential for more than minimal harm
2024-11-01
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-12-21
D · Potential for more than minimal harm
2024-11-01
F568 · Resident Rights Deficiencies
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-12-21
D · Potential for more than minimal harm
2024-11-01
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-12-21
D · Potential for more than minimal harm
2024-11-01
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-12-21
D · Potential for more than minimal harm
2024-11-01
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-12-21
J · Immediate jeopardy
2023-10-17
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-10-19
J · Immediate jeopardy
2023-10-17
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-10-19
D · Potential for more than minimal harm
2023-09-01
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-24
D · Potential for more than minimal harm
2023-09-01
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-24
Penalties and ownership
What sits behind the stars
$109,382
2023-09-01
Fine
Fine · fine $109,382
Fine
Ownership
Flagstone Healthcare Central LLC
5% Or Greater Direct Ownership Interest · Organization
The Ensign Group Inc
5% Or Greater Indirect Ownership Interest · Organization
Burnam, Soon
Corporate Officer · Individual
Cullifer, Jared
Corporate Officer · Individual
Hancox, Neil
Operational/Managerial Control · Individual
Willits, Adam
Corporate Director · Individual
Willits, Adam
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Polaris Extended Care
Anchorage, AK
1-star overall rating with 1-star inspections with abuse icon flag with $220,373 in total fines with 43 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Centennial Post Acute
Anchorage, AK
1-star overall rating with 1-star inspections with $76,749 in total fines with 34 recent health deficiencies with 23 fire-safety deficiencies in the latest cycle
#3
Maple Springs Of Wasilla
Wasilla, AK
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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