Cordova Community Med LTC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. Inspectors cited this home for failing to submit its staffing data to CMS (F0851) — see the citation below. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · F2026-03-16 · tag F0607 — failed to have anti-abuse policies — widespread
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to implement an abuse, neglect, and exploitation screening policy accordingly. Specifically, the facility failed to ensure individuals who had direct contact with residents, their medical or financial records, or control over or impact on the financial well-being of residents had a valid criminal history check conducted under 7 Alaska Administrative Code (AAC) 10.900-10.990. This resulted in 6 employees working at the facility without valid clearance from the Alaska Background Check program. This failed practice placed all residents (based on a census of 8) at risk for abuse and neglect. Findings:Infection Control Nurse (ICN) Review of the State of Alaska background check clearance letter for the ICN, dated 1/6/21, revealed: .The Background Check Program has completed the background check for [ICN] and the individual has been issued an Eligible Determination for association with Cordova Community Medical Center. The determination is valid from 01/06/2021 to 12/30/2025. Review of email correspondence sent from the State of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-03-16 · tag F0726 — failed to have competent, trained nursing staff — widespread
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY .Based on record review and interview, the facility failed to ensure nursing staff had the appropriate competencies, skill sets, and techniques to care for resident's needs. Specifically, nursing staff did not receive Trauma-Informed Care specific training. This failed practice had the potential to 1) exacerbate past trauma for 1 resident (#3), out of 8 residents, and affect the resident's ability to attain the highest practicable mental and psychosocial well-being; and 2) affect all residents (based on a census of 8) with any newly identified trauma during the course of their residency in the facility. Findings:Trauma-Informed Care (TIC) training Review of the facility's Facility-Wide self assessment, dated [DATE], revealed: .Staff competencies and annual training requirements per regulatory and/or facility policy:. Further review revealed no TIC training listed with their staff competencies and annual training requirements. During an interview on [DATE] at 3:50 PM, the Director of Nursing (DON) stated that…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-03-16 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY .Based on observation, interview, and record review, the facility failed to ensure that food was stored, prepared, and served in accordance with professional standards for food safety. Specifically, the facility failed to ensure: 1) food was stored under proper sanitation practices in the main kitchen; and 2) expired food items were discarded timely. These failed practices had the potential of causing or spreading foodborne illness to 6 out of 8 residents who receive food from the kitchen. Findings: An observation, during the initial main kitchen tour, on 3/9/26 at 3:08 PM, revealed: 1) Dry Storage/Pantry Area: - 1 30-ounce can of [NAME] Mexican Style Hominy, with a best by date of 4/13/25; and- 1 unopened box of microwave popcorn (6 bags in the box), with a best by date of 1/2/26. 2) Large Bin Container Closet: An observation of one metal bin labeled white rice 2 years + [good for more than 2 years] and sugar U.B. [use by] 11/10/26. Further observation revealed this label was not accurate. There were multiple…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-16 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interview and observation, the facility failed to ensure the MDS (Minimum Data Set- a federally required nursing assessment) assessment accurately represented the residents' status for 2 residents (#'s 1 and 3), out of 8 sampled residents. This failed practice placed the residents at risk for inadequate care planning and goals which could affect their overall health and wellbeing. Findings:Resident #1 Record review on 3/9-13/26 revealed Resident #1 was admitted to the facility with diagnoses that included adult failure to thrive, acquired absence of left leg below knee, and history of falling. Review of Resident #1's quarterly MDS assessment, dated 12/20/25, revealed: [Section] J1800. Has the resident had any falls since admission/entry or reentry or the prior assessment. whichever is more recent? 0 [No]. Review of Resident#1's ED Note, dated 10/7/25, revealed: [Resident #1] reports [he/she] was in [his/her] wheelchair tonight and leaned forward to pick up something. As [he/she] leaned, [he/she] slipped out of the wheelchair and landed on the floor, striking…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-16 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY .Based on record review and interview, the facility failed to develop a comprehensive person-centered care plan for 1 resident (#3), out of 8 sampled residents. Specifically, the resident's identified trauma history was not care planned for to ensure trauma-informed care interventions were implemented. This failed practice had the potential to exacerbate past trauma and affect the resident's ability to attain the highest practicable mental and psychosocial well-being. Findings:Record review on 3/9-13/26 revealed Resident #3 was admitted to the facility with diagnoses that included dementia (a decline in intellectual functioning, including problems with memory, reasoning and thinking) with behavioral disturbance, personality disorder (a mental health condition that involves long lasting, all-encompassing, disruptive patterns of thinking, behavior, mood, and relating to others), and insomnia (difficulty falling asleep, staying asleep, or waking up too early). Review of Resident #3's SOCIAL HISTORY/ Trauma and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-01-31 · tag F0729 — widespread
  Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to provide proof that the Alaska Nurse Aide Abuse Registry was checked before hiring Certified Nurse Aides (CNAs). This failed practice placed all residents, based on a census of eight, at potential risk of abuse by individuals who may have had a documented history of misconduct. Findings: Record review on 1/30/25 revealed the facility had 13 CNAs working at the Long-Term Care (LTC). Review of the CNA employee records revealed no documentation that the Alaska Nurse Aide Abuse Registry was checked, prior to the CNAs starting work with residents of the LTC. During the course of this survey, proof was requested that the Alaska Nurse Aide Abuse Registry was checked for all CNAs working at the LTC. Review of the facility-provided form,Nurse Aides Abuse Registry, revealed this form was dated 1/29/16. During an interview on 1/30/25 at 8:30 AM, the facility's Chief Executive Officer (CEO) stated the Human Resources (HR) staff took screenshots of the abuse registry to confirm that an employee was not listed and placed this…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-31 · tag F0625 — isolated
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on record review and interview, the facility failed to provide written notice of the bed hold policy and provide the facility's bed hold form (policy of reserving a resident's bed for a specified period when the resident is temporarily transferred to a hospital or another healthcare setting) for two residents (#'s eight and nine), out of nine residents reviewed, who were transferred to the emergency department (ED) and/or hospital, for medical treatment. This failed practice had the potential for the residents and/or their resident representatives to not be informed of the facility's bed hold policy, placing these residents at risk for losing their beds at the facility due to an extended stay at another healthcare facility. Findings: Resident #8 Record review from 1/27- 31/25 revealed Resident #8 was admitted to the facility with diagnoses that included sequelae of central nervous system tuberculosis (long-term complications or residual effects that persist after an individual has recovered from…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-12-15 · tag F0761 — failed to label and store drugs safely — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on observation, interview, and record review, the facility failed to: 1) ensure expired medical products were removed from the medical supply storage room; and 2) ensure the medication cart drawers were locked when unsupervised. These failed practices placed all residents (based on a census of 9) at risk for: 1) adverse effects or complications from use of expired products; and/or 2) potential loss, diversion, or accidental exposure to medications. Findings: Expired medical products: An observation on [DATE] at 3:27 PM, of the medical supply storage room, revealed the following expired medical supplies: 1- Copan eSWAB collection and preservation swab, expired on [DATE]; 3- BD Vacutainer Serum red top vials, expired on [DATE]; and 1- BD Vacutainer Serum green top vial, expired on [DATE]. During an interview on [DATE] at 3:27 PM, Licensed Nurse (LN) #2 stated the night shift LN was responsible to check the medical supply room for expiration dates but was unsure of the frequency it was checked. LN #2 was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-12-15 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to 1) store food under proper sanitary conditions; and 2) regularly maintain the ice machine based on manufacturer's instructions. This failed practice placed 6 residents (#s 1, 2, 5, 6, 7, and 8) out 6 residents who received meals from the kitchen, at risk for foodborne illnesses and communicable disease. Findings: Food Storage An observation, during the initial kitchen tour on 12/11/23 at 4:00 PM, revealed the following spoiled fruits and vegetables in the walk-in cooler: 1 open pack of Kale had yellow leaves; 1 tomato with a dime-sized black spot ; 3 whole cantaloupes containing multiple silver dollar sized black spots and several soft brown spots; and 7 whole cantaloupes containing multiple various sized soft brown spots. During an interview on 12/11/23 at 4:25 PM, Dietary Staff (DS) #1 stated he/she was responsible to check expired and spoiled items in the walk-in cooler. He/she stated the facility's process was to remove the spoiled and expired items from the cooler. For spoiled fruits, he/she stated they…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2023-12-15 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure infection prevention and control protocols were performed during food preparation, medication administration, and enteral feeding (receiving nutrition through a gastrostomy tube [a tube inserted through the stomach]). These failed practices had the potential to affect all residents (based on census of 9) for the development and/or transmission of communicable diseases and infections. Findings: Food Preparation During an observation on 12/13/23 between 4:30 PM to 5:15 PM, [NAME] #1 prepared dinner menu items such as sausage patties, gravy, waffles, and hot fruit compote. [NAME] #1 wore gloves when he/she started the food preparation. The cook removed the steam table tray lid and dished out one sausage patty. He/she covered the steam table with the lid then took milk from the walk-in cooler. The cook cut the sausage patty into chunks and with the same gloved hands, the cook placed the chunks into a blender. [NAME] #1 returned to the steam table, uncovered the sausage patty tray and measured the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in AK