2 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Kotzebue, AK
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
436 Mission Street, Kotzebue, AK
(907) 442-3321
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
18
Certified beds
Average residents
16
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2012-03-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.84
Registered nurse staffing
LPN hours / resident day
1.82
Licensed practical nurse staffing
Aide hours / resident day
5.75
Nurse aide staffing
Weekend hours
7.92
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
73%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.2
0.2 pts worse
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0 |
1.3
1.3 pts better
|
1.8
1.8 pts better
|
Long Stay · 20240701-20250630 |
| 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 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.6% |
3.0%
2.6 pts worse
|
3.3%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
5.3%
5.3 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 0.0% |
4.9%
4.9 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.2% |
14.3%
10.1 pts better
|
19.6%
15.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 33.9% |
18.4%
15.5 pts worse
|
16.7%
17.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.7% |
19.9%
4.8 pts worse
|
16.3%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.3% |
16.3%
8 pts worse
|
14.9%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
3.5%
2.1 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.7% |
19.9%
10.2 pts better
|
19.8%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
7.8%
7.8 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
Survey summary
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-06-10
Fire Safety
Construct fire resistant interior walls.
Corrected 2024-06-10
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-06-10
Fire Safety
Install proper backup exit lighting.
Corrected 2023-03-15
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-03-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-03-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-03-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-03-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-03-15
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-11-05
Fire Safety
Provide family notifications of emergency plan.
Corrected 2021-11-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-11-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-11-05
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-11-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-11-05
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-31
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-05-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-31
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-03-02
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-02
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-02
Penalties and ownership
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