Ketchikan Med Ctr New Horizons Transitional Care

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.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.13 therapist hours per resident per day in 2026Q1 — more than 9% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 29 beds and averages 25.0 residents a day — about 86% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 6.79 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 3.25 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.54 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.90 hrs/resident/day on weekends vs 7.15 on weekdays — 18% thinner on weekends. RN hours go from 3.48 to 2.70 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

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.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · F2026-04-09 · 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 ensure food safety and sanitation guidelines were followed. Specifically, the facility failed to ensure: 1. The concentration of sanitizer, in their red sanitation buckets, met manufacturer's recommended concentration levels for effective sanitation on kitchen surfaces; 2. Food items, stocked for resident meals, had not expired; and 3. Opened packages of food items were properly labeled. These failed practices placed 22 residents who received food from the kitchen, out of 23 residents, at risk for foodborne illness and communicable disease. Findings: 1) Sanitizer concentration An observation on 4/8/26 at 11:10 AM, of the main kitchen, revealed four red sanitizer buckets at various locations in the kitchen. One of the red buckets was tested with a QT-10 Hydrion test strip for ten seconds in the solution, which revealed no color change on the strip. When compared to the color change guide on the test strip packaging, the color corresponded to a reading of 0 parts per million (ppm) of sanitizer concentration in…

  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 · E2026-04-09 · tag F0908 — failed to keep essential equipment working — pattern
  Keep all essential equipment working safely.
  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 maintain patient care equipment in a safe operating manner. Specifically, the facility failed to ensure a shower chair, which was used by 8 residents (#'s 4, 5, 6, 8, 10, 15, 23, and 24), out of 23 residents reviewed, was free of cracks and/or tears. A shower chair with a compromised surface exposed residents to the padding within, which had the potential to be contaminated with bodily fluids and diseases. A compromised surface created the inability to completely sanitize the surface between resident use, which placed all 8 residents at risk for the development and transmission of communicable diseases and infections. Findings: During an observation and concurrent interview on [DATE] at 8:49 AM, Certified Nursing Assistant (CNA) #1 removed a purple ARJO-brand shower chair from Resident #6's room and placed it across the hallway into the damp community shower room. The shower room had a strong odor of urine. When asked about the urine…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0761 — failed to label and store drugs safely — isolated
  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

  Based on observation, interview, and record review, the facility failed to ensure medications were properly labeled and stored to maintain medication identity and control. This failed practice placed all residents, based on a census of 23, at risk for medication error, misidentification, and drug diversion. Findings:.An observation on 3/4/26 at 3:00 PM, revealed the following during an inspection of a medication cart: 1. Drawer 231 contained an opened individual blister pack of metoprolol succinate (medication used to treat high blood pressure, heart failure, and other heart-related conditions by slowing the heart rate and reducing cardiac workload), which held one half of a medication tablet. 2. Drawer 230 contained an opened individual blister pack of Sertraline (an antidepressant medication classified as a selective serotonin reuptake inhibitor, used to treat depression, anxiety, and other mood disorders), which held one half of a medication tablet. 3. Drawer 227 contained opened individual blister packs of Baclofen (a muscle relaxant used to treat muscle spasms, commonly…

  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 · F2025-09-09 · tag F0565 — failed to support the resident council — widespread
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to allow resident-invited visitors and/or guests to attend a resident council meeting. This failed practice denied the resident's right to invite visitors to the resident council meeting, which denied all residents (based on a census of 26) the right and opportunity to advocate for themselves and placed them at risk for decreased feelings of self-worth and had the potential to affect their mood and overall wellbeing. Findings:During an interview on 9/2/25 at 1:45 PM, Resident #12 stated that he/she invited his/her family member, who was his/her resident representative, to the resident council meeting that occurred on 7/23/25. Resident #12 further stated that his/her family member invited the Mayor and a City Council member, along with a previous member, to the meeting on his/her behalf. Resident #12 wanted his/her family member and local officials in the meeting to hear of program concerns that had been happening in the facility lately, such as limited activities and low staffing. Resident #12 stated that when the family…

  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 · F2025-09-09 · tag F0600 — failed to protect residents from abuse and neglect — widespread
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure residents were free from abuse. Specifically, the Administrator's conduct towards residents was construed, by residents and staff, as verbally abusive. This failed practice placed all residents (based on a census of 26) at risk for continued exposure to verbal abuse and mental anguish which had the potential to affect their overall health and well-being.Findings:Resident #12 During an interview on 9/2/25 at 1:45 PM, Resident #12 stated she felt verbally abused by negative comments the Administrator had said to him/her, and this made him/her very sad, and he/she was now hopeless, like I'll never get out of here. It was observed that Resident #12 was physically shaking when he/she told this story, wringing his/her hands and his/her voice was cracking with emotion. Resident #20 During an interview on 9/2/25 at 4:10 PM, Resident #20 stated the Administrator, scares me, [he/she] is really bossy and is mean to me. When asked to elaborate on anything the Administrator may have said, Resident #20 couldn't recall a specific…

  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 · F2025-09-09 · 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 written policies and procedures to investigate an allegation of abuse for 1 Resident (#12), out of 1 allegation of abuse investigation reviewed. Specifically, the facility's HR Department and Risk Management Department failed to: 1) adequately monitor the investigation process to ensure all steps of the investigation procedure were completed appropriately; 2) ensure all investigations processes were adequately documented; and 3) ensure additional investigations from the results of the investigation process were appropriately carried out 2 residents (#'s 20 and 25), out of 5 residents interviewed during the investigation. This failed practice resulted in an inadequate grievance investigation which placed all residents (based on a census of 26) at risk for suboptimal investigations of any resident complaints and grievances. Findings:Incident Reported A facility reported incident (FRI) was submitted to the State Agency for an allegation of verbal abuse, dated 7/23/25, by the Chief Nursing Officer (CNO).…

  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 · F2025-09-09 · tag F0609 — failed to report abuse allegations — widespread
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 report the results of an investigation of an allegation of abuse to the State Agency within 5 working days as required under CFR 483.12(c)(4). The lack reporting investigation results concerning an allegation of abuse in an appropriate and timely manner inhibited the State Agency from accurately assessing and investigating this allegation, which placed all residents (based on a census of 26) at risk for future exposure to potential abuse. Findings:A facility reported incident (FRI) was submitted to the State Agency for an allegation of verbal abuse, dated 7/23/25, by the Chief Nursing Officer (CNO). During an interview on 9/3/25 at 1:34 PM, the CNO stated she faxed the final report to the State Agency on 8/4/25. When asked to show proof of this fax, the CNO stated she could not provide this proof. A review of the State Agency's fax line and email revealed no final report received from the facility for the 7/23/25 incident. Review of an email received…

  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 · F2025-09-09 · 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

  Based on record review and interview, the facility failed to ensure float nursing staff (NS) and travel NS, had the job specific competencies and skill sets necessary to care for long-term care (LTC) residents' needs. Specifically, the facility failed to ensure: 1) float/travel NS had current LTC training for ADL (activities of daily living) Coding and Definitions;2) float/travel NS had current LTC training for Behavioral Health (BH);3) float/travel NS had current LTC training for QAPI (quality assurance performance improvement);4) float/travel NS had current LTC training for Dementia for LTC; and5) float/travel NS had current LTC training for Trauma Informed Care. This failed practice had the potential to place all residents (based on a census of 26) at risk of not receiving the necessary specific treatment and care needed to attain or maintain the highest practicable physical, mental, and psychosocial well-being .Findings: Record review on 9/2-5/25 of the float NS training records revealed: 1) 17 NS (NS #'s 1, 2, 3, 4, 5, 6, 8, 9,10, 11, 12, 13, 14, 16, 17, 19, 20), out of 20 NS…

  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 · F2025-09-09 · tag F0838 — failed to assess facility resources and resident needs — widespread
  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.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to ensure their facility assessment was reviewed and updated annually. This failed practice had the potential to place all residents (based on a census of 26) at risk of not having the necessary care and resources from an accurate assessment. Findings:Review of the facility's Proactive LTC Consulting Facility Assessment revealed this assessment was last updated on 5/21/24. The Chief Nursing Officer (CNO) acknowledged this finding and stated the facility assessment needed to be updated

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-09-09 · tag F0947 — failed to train nurse aides adequately — widespread
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  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 four float Certified Nurse Assistants (CNAs) out of four float CNAs chosen for review, received the required 12 hours of annual in-service training, specifically including education on dementia care and abuse/neglect prevention. This failed practice placed all residents (based on a census of 26) at risk for substandard care due to staff not being provided with the education necessary to ensure continuing competence in the care of long-term care (LTC) residents .Findings: Record review on 9/2-5/25 of CNA training records revealed:CNA #52 - 12 Hour Annual CNA Training with Dementia/Abuse/Neglect, expired on [DATE];CNA #53 - 12 Hour Annual CNA Training with Dementia/Abuse/Neglect, not completed;CNA #54 - 12 Hour Annual CNA Training with Dementia/Abuse/Neglect, not completed;CNA #55 - 12 Hour Annual CNA Training with Dementia/Abuse/Neglect, expired on [DATE]. Review of the facility provided schedule document Charge Back - Non Home Employee Detail,…

  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

“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

CMS files one row per role, so the 26 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in AK