3 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Sitka, AK
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
209 Moller Avenue, Sitka, AK
(907) 747-1701
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
19
Certified beds
Average residents
18
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-11-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
2.59
Registered nurse staffing · state 2.15 · national 0.68
LPN hours / resident day
0.21
Licensed practical nurse staffing · state 0.86 · national 0.87
Aide hours / resident day
3.96
Nurse aide staffing · state 4.17 · national 2.35
Total nurse hours
6.77
All reported nurse hours · state 7.00 · national 3.89
Licensed hours
2.81
RN + LPN hours · state 2.83 · national 1.54
Weekend hours
6.52
Weekend nurse staffing · state 6.21 · national 3.43
Weekend RN hours
2.18
Weekend registered nurse coverage · state 1.62 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
2.65
CMS adjusted RN staffing hours
Adjusted total hours
6.93
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
62%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 47% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Medicare spending per beneficiary | Not Available |
1.02
|
No data were submitted for this measure. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Staff COVID-19 vaccination coverage | 20% |
8.2%
11.8 pts better
|
Numerator 6 · Denominator 30 |
| Staff flu vaccination coverage | 82.86% |
42%
40.9 pts better
|
Numerator 29 · Denominator 35 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
93.8%
6.2 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.5% |
5.3%
3.2 pts worse
|
11.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.5% |
| Percentage of long-stay residents who lose too much weight | 3.2% |
4.9%
1.7 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 41.3% |
14.3%
27 pts worse
|
19.6%
21.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 41.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 32.6% |
18.4%
14.2 pts worse
|
16.7%
15.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 32.6% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 9.3% |
19.9%
10.6 pts better
|
16.3%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.5% |
16.3%
4.8 pts better
|
14.9%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.3%
1.3 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.8% |
3.5%
1.3 pts worse
|
1.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.0% |
19.9%
4.1 pts worse
|
19.8%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 24.0% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
7.8%
5.8 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Rights (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-29
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-02-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-28
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-01-22
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-01-23
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-01-22
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-01-22
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-01-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-01-23
Inspection history
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-19
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 2025-04-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-08
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 2024-03-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-23
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-01-10
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Nearby options
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Wrangell, AK
5-star overall rating with 3-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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