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Quyanna Care Center

1100 Greg Kruschek Avenue, Nome, AK 99762 · Non profit - Corporation · 18 certified beds · (907) 443-3311 Medicare & Medicaid certified

Call the home — (907) 443-3311 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 23 lower-level deficiencies on record (see below)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ)Not rated
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Urgent care / clinic
829 Chief Eddie Hoffman Hwy · (907) 543-6000 · Call to confirm hours
Grocery
1 Bering St · (907) 443-2243 · Call to confirm hours
Park
214 W Front St · (907) 443-2522 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. From Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased10.7%16.7%15.4%better
Long-stay residents who lose too much weight4.2%5.3%5.4%better
Long-stay residents with a catheter left in their bladder0.0%1.4%0.9%better
Long-stay residents with a urinary tract infection2.8%2.5%2.0%worse
Long-stay residents with depressive symptoms1.5%6.5%6.5%better
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury1.4%3.2%3.3%better
Long-stay residents whose ability to walk worsened5.0%19.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication9.9%14.7%18.9%better
Long-stay residents with pressure ulcers0.0%6.9%4.7%check this — see note marked star below the table
Long-stay residents with worsening bladder/bowel control16.5%20.0%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table27.7%18.8%17.1%worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Staffing

CMS has not published payroll-based (PBJ) staffing hours for this facility yet — this can happen for newer, hospital-based, or recently-certified homes. It can also mean the home simply did not file, which CMS does not distinguish in this data, so treat the gap as unexplained rather than benign. Staffing is one of the three parts of the CMS star rating; where it’s missing, weigh the independent health-inspection score most, and ask the facility directly about its nurse-to-resident ratios and weekend RN coverage.

Inspection trend

3
deficiencies at the latest standard inspection (2026-01-20)
7
at the previous standard inspection (2024-10-04)

Deficiencies are fewer than at the previous inspection — improving. 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.

ABCDEFGHIJKL

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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

  • Potential for harm · Fcited before2026-01-20 · 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 foods were labeled and stored in accordance with professional standards for food service safety for 17 residents (#2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18) out of 17 residents who received meals from the kitchen. Specifically: 1) frozen custom foods were labeled incorrectly; 2) spoiled fruits and vegetables were stored in the cooler; and 3) failure to conduct planned manufacturer's required 6 months maintenance on the kitchen's ice machine. These failed practices placed the residents who received meals from the kitchen at risk of consuming contaminated food and at risk of contracting foodborne illness .Findings:Food LabelingDuring an initial tour in the facility's main kitchen on 1/12/26 at 11:22 AM, revealed the custom frozen food in the walk-in freezer were labeled as follows:Six small bowls of tomato garlic beans, labeled as USE FIRST FRI [Friday] 12/26/25 6:59 PM;Six small Ziploc (a…

    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 · Dcited before2026-01-20 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, and interview, the facility failed to maintain the dignity and respect of 1 resident (#12) out of 18 residents. Specifically, a Certified Nursing Assistant (CNA) used the resident's clothing protector to wipe the resident's mouth while dining. This failed practice undermined the resident's right to a dignified existence and placing the resident at risk of diminished quality of life .Findings:Record review on 1/12-20/25 revealed Resident #12 was admitted to the facility with diagnoses that included dementia with anxiety (a decline in intellectual functioning, including problems with memory, reasoning and thinking), osteoarthritis (a degenerative joint disease), spinal stenosis of lumbar region at multiple levels (narrowing within the spinal canal), and unable to ambulate.Review of the Resident #12's care plan, last updated 12/16/25 at 6:30 PM revealed: .[Resident #12] needs maximal assistance with meals, snacks and hydration.During an observation on 1/12/26 at 1:20 PM, CNA #3 was observed to be feeding Resident #12. Further observation revealed at…

    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 · D2026-01-20 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, and interview, the facility failed to prepare meals by methods that conserve nutritive value and ensure safe and appetizing food temperature for 1 resident (#11) out of 1 resident on a pureed diet. Specifically, 1) the cook did not measure the temperature after pureeing the food, 2) the cook added unmeasured amount of water into the food to be pureed, and 3) the cook did not follow the Simply Thick (a thickening agent) instruction for food and thickener ratio. These failed practices had the potential to compromise or diminish the nutritive value of food and palatability and affect resident's nutritional intake and/or weight loss .Findings:Record review on 1/12-20/26, revealed Resident #11 was admitted to the facility with diagnoses that included Alzheimer's dementia (a progressive neurodegenerative disorder that primarily affects memory, thinking, and behavior), impaired physical mobility and dysphagia (difficulty swallowing).Review of the diet order, dated 9/27/25, revealed: Regular Diet. Further review of the order, revealed on 4/7/25 the diet…

    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 · F2024-10-04 · tag F0732 — widespread
    Post nurse staffing information every day.
    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 complete nurse staffing information for each shift was posted to provide accurate information to all residents (based on a census of 18) and representatives. Specifically, the facility failed to post the total number and actual hours worked by Certified Nursing Assistants (CNAs), Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) per shift. This failed practice provided incomplete information to the residents, families, and other visitors the right to know who were responsible for resident care and the number of residents in their care. Findings: An observation on 10/3/24 at 11:30 AM, of the facility document titled Quyanna Care Center - Nursing Staff, dated 10/3/24, posted on the bulletin board along the entryway of the Long-Term Care (LTC) side, revealed information including, the facility's census (resident census) and the nursing staff (CNA, LPN, RN and other staff) scheduled for the day. Further review of the posting revealed the total number and actual work hours of nursing staff per…

    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 before2024-10-04 · 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

    Based on interview, observation, and record review, the facility failed to properly label and store drugs and medical supplies. Specifically, the facility failed to ensure: 1) expired medication was removed from 1 medication storage room, out of 1 total medication storage rooms; 2) opened and damaged sterile medical supplies were removed from 1 medication storage room, out of 1 total medication storage rooms; and 3) opened medications were labeled with an expiration date. These failed practices had the potential to place all residents (based on a census of 18) at risk of receiving expired and/or damaged medications and supplies and subsequent adverse effects. Findings: During an interview on 9/30/24 at 2:04 PM, License Nurse (LN) #1 stated nurses were responsible to check the medication expiration before medication administration to the resident. He/she stated expired medications would be disposed of in a disposal bin in the pharmacy. Random observations on 9/30/24-10/4/24 revealed the facility had one medication storage room and one medication cart. During a concurrent interview…

    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 before2024-10-04 · 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 potentially hazardous foods were stored and labeled accordingly for 17 residents out of 18 residents (total census) who received food from the main kitchen. Specifically, the facility failed to ensure: 1) food was labeled and dated and 2) discard expired food. These failed practices had the potential to place residents at risk of or food borne illness. Findings: During an initial tour of the main kitchen, on 9/30/24 at 10:50 AM, food items were stored and labeled as follows: One package of Knorr Hollandaise Sauce Mix, there was no opened date and no expiration date ; One green lid container, containing a brown powder resembling brown sugar; there was no opened date and with no label as to the content; One blue lid container, containing a white powder resembling white sugar; there was no label as to the content; One package of Umami Wing Sauce, there was no opened date; One package of vanilla extract, there was no opened date; One…

    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 · Ecited before2024-10-04 · tag F0726 — failed to have competent, trained nursing staff — pattern
    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 a competent nursing staff provided nursing services to 1 resident (#119) out of 12 sampled residents in accordance with the physician's order. Specifically, the nurse failed to notify the provider of Resident's high blood glucose levels. This failed practice placed the diabetic resident at risk for delay in treatment and complications. Findings: Record review on 9/30/24-10/4/24 revealed Resident #119 was admitted to the facility on [DATE] with diagnoses that included Type 2 Diabetes Mellitus (insulin resistance disorder), Cerebrovascular Accident with involvement of right side of the body (damage to the blood vessels in the brain) and Dysphagia (difficulty swallowing). Review of Resident #119's physician orders, dated 9/30/24, revealed an order for insulin aspart (a fast acting insulin that works by lowering glucose, or sugar levels) with additional instructions to . Notify provider if 2 or more Blood Glucoses are above 200 mg/dl in a 24-hour…

    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 · D2024-10-04 · tag F0678 — failed to provide CPR when needed — isolated
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    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, interview, and observation, the facility failed to ensure one Certified Nursing Assistant (CNA) (#7), out of 10 personnel records reviewed, had a valid Cardiopulmonary Resuscitation (CPR) certification. This failed practice placed all residents (based on a census of 18) at risk for not receiving timely CPR or emergency care when needed. Findings: Review of the personnel records on [DATE] at 10:18 AM, revealed CNA #7 was hired on [DATE] with a valid CPR certificate [issue date] on [DATE], and due to expire [Renew By] on 7/2024. Review of CNA #7's work schedule revealed the CNA worked at the facility from 7/2024 through [DATE] with an expired CPR license. During an interview with the Human Resources Director (HRD) on [DATE] at 10:18 AM, the HRD stated: Human Resources [HR] reached out to the Air Ambulance [entity responsible for this particular training] and his/her [CNA #7] supervisor and the employee themselves but hadn't heard back. During an interview with the Director of Nursing…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-04 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 record review and interview, the facility failed to ensure accurate medical records were maintained for 1 resident (#14), out of 12 sampled residents. Specifically, the facility failed to ensure the medical diagnoses for Resident #14 reflected his/her actual medical status. This failed practice had the potential to affect the achievement of the Resident's plan of care and goals. Findings: Record review from 9/30/24 -10/4/24, revealed Resident #14 was admitted to the facility on [DATE] with diagnoses that included dementia (a decline in intellectual functioning) and pressure ulcer. Record review on 10/1/24 at 12:59 PM, revealed Resident #14's active diagnosis list included pressure ulcer. Review of the Minimum Data Set (MDS- a federally required nursing assessment) Quarterly Assessment, dated 8/8/24, revealed in Section M-Skin Conditions, the response was no for unhealed Pressure ulcers/injuries. Review of the CMS (Centers for Medicare and Medicaid Services) form 2802 Matrix (used to identify…

    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 · D2024-10-04 · tag F0915 — isolated
    Ensure each resident room has a window to the outside that meets requirements
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview, the facility failed to provide 2 residents (#s 3 and 10), out of 12 sampled residents a window to the outside within their sleeping room. This failed practice placed the residents at risk for less than optimal living conditions and increased risk for mood changes. Findings: During random observations on 9/30/24-10/4/24, revealed Resident #3 and Resident #10's only window in his/her room were obstructed by the new addition being built onto the facility. Further observation revealed the view outside the window contained a visual of metal studs of opposing new construction wall. During random interviews on 9/30/24-10/3/24, the Director of Nursing (DON) stated that the resident's window had been obstructed by the new addition being built onto the facility. The DON stated the obstructed windows occurred after the construction company built a wall that was not in the original building plans. .

    Environmental Deficiencies · Deficient, Provider has date of correction
Show the remaining 13 citations
  • Potential for harm · Fcited before2023-06-09 · 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 ensure expired medical products were removed from the medication storage room. This failed practice placed the residents, who required these products for services, out of a census of 17, at risk of complications from use of expired products. Findings: An observation of the medication storage room on [DATE] at 3:23 PM, revealed the following expired medical supplies: 3- green top blood collection vials, expired on [DATE]; 4 - gray top blood collection vials, expired on [DATE]; 1 - yellow top Quantiferon blood collection vial, expired on [DATE]; 79 - purple top blood collection vials, expired [DATE]; 3 - Gentle heel newborn incision devices, expired on 11/2021, 9/2021, and 8/2022 During an interview on [DATE] at 3:34 PM, Licensed Nurse (LN) #2 stated everyone was supposed to pay attention to the expiration dates of supplies. LN #2 did not know who was responsible for the removal of expired supplies. During an interview on [DATE] at 3:40…

    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 before2023-06-09 · 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 with preparation and distribution. Specifically, the facility failed to ensure temperatures for hot and cold foods were measured prior to service. This failed practice had the potential to affect any resident receiving food served from the kitchen of potentially contracting food-borne illness and affecting the palatability of the food. Findings: Review of the dinner menu for 6/7/23, revealed: Herbed Pork Loin, Hawaiian Bread, Mashed Potatoes, Vegetable Blend, 2 % Milk, Chilled Fruit Salad, and Hot Tea. An observation with concurrent interview on 6/7/23 at 5:25 PM, revealed [NAME] #1 had already taken and documented temperatures for the dinner items being served. [NAME] #1 further stated that the hot cooked items were those documented on the Meal Temperature Log. During an interview on 6/8/23 at 10:40 AM, the Manager of Nutritional Services (MNS), stated that temperatures for pureed items and cold items were not being taken/documented prior to meal service. Review of facility document Meal…

    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 · F2023-06-09 · tag F0813 — widespread
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to develop a policy regarding the use and storage of food brought to residents by family and other visitors. This failed practice had the potential to place residents, based on a census of 17, at risk for foodborne illness. Findings: During an interview on 6/8/23 at 5:20 PM, the Director of Nursing and Staff Developmental Coordinator stated there was no policy or procedure with regards to food brought by visitors into the facility that required refrigeration. They further stated this was not a common occurrence and most items brought in required non-refrigeration. Review of facility policy, Native Food Usage, revised on 3/10/04, revealed the processes for donated food and food managed by the activities staff. .

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-06-09 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on record review, observation, and interview the facility failed to ensure a sanitary environment for all residents out of a census of 17. Specifically, the facility failed to ensure: 1) glove changes/hand hygiene with wound care; 2) appropriate hand hygiene with resident cares; 3) cleanliness of reusable medical equipment; and 4) cleanliness of the dining area. These failed practices had the potential to increase the development and transmission of communicable diseases and infections. Findings: Wound Care Record review on 6/5-9/23 revealed Resident #1 was admitted to the facility with diagnoses that included dementia (a decline in cognitive abilities), hypertension, and neurogenic bladder (bladder malfunction). An observation on 6/6/23 at 11:33 AM, revealed Licensed Nurse (LN) #1 performed wound care to Resident #1's buttocks. The LN performed hand hygiene, put on new gloves then removed and discarded the old wound dressing (Mepilex). The LN removed the soiled gloves and put on new gloves without…

    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
  • Potential for harm · F2023-06-09 · tag F0949 — failed to train staff on dementia and abuse — widespread
    Provide behavior health training consistent with the requirements and as determined by a facility assessment.
    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 behavioral health training consistent with the facility assessment in regards to psychosocial difficulties and history of trauma. This failed practice had the potential to exacerbate or trigger ongoing psychosocial difficulty and affect the residents' ability to attain the highest practicable mental and psychosocial well-being. Findings: Review of the facility's Matrix for Providers, revealed the resident population contains the following condition: - PTSD (Post-traumatic Stress Disorder)/Trauma: 3 residents. Review on 6/5-9/23 of the facility's CMS-672: Resident Census and Conditions of Residents form revealed: Mental Status: - Documented signs and symptoms of Depression: 11 residents; - Documented psychiatric diagnosis: 5 residents. Medications: - Antipsychotic medications: 5 residents; - Antianxiety medications: 1 resident; - Antidepressant medications: 11 residents. Review of Facility Assessment Tool revealed: - Disease/conditions, physical and cognitive disabilities .Psychosis (Hallucinations, Delusions,…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-06-09 · tag F0550 — failed to protect resident dignity and rights — pattern
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, and interview, the facility failed to ensure a culture where residents were treated with dignity and respect for 2 residents (#'s 1 and 12) out of 17 residents. This failed practice placed the residents at risk for psychological harm from feelings of poor self-esteem and/or self-worth and a potential for a poor quality of life. Findings: Assistance with meals Resident #1 Record review on 6/5-9/23 of Resident #1's medical record revealed admission to the facility with diagnoses that included dysphagia (difficulty in swallowing food or liquid). A continuous dining observation on 6/6/23 from 8:05 AM to 8:24 AM, revealed Resident #1 was on a pureed diet. Certified Nurse Assistant (CNA) #1 was feeding the Resident cream of wheat, egg omelet, cinnamon toast, chilled mandarin, jelly, lemonade, almond milk, and prune juice. The following observation was made: From 8:07 AM to 8:24 AM, CNA #1 fed the Resident a spoonsful of pureed food eight times. Each time the CNA fed the resident, the CNA collected excess food from around the Resident's mouth and fed…

    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 · E2023-06-09 · tag F0552 — pattern
    Ensure that residents are fully informed and understand their health status, care and treatments.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to obtain informed consent for psychotropic medications (medications in the class of either antipsychotics, antianxiety, or antidepressants that would have affected behavior, mood, thoughts, or perception) prior to use for 3 residents (#'s 7, 12 and 16) out of 5 residents reviewed for unnecessary medications. This failed practice denied the resident the right to consent to medications and be informed of the risk and benefits for medication use. Findings: Resident #7 Record review from 6/5-9/23 revealed Resident #7 was admitted to the facility with a diagnosis of PTSD (Post-Traumatic Stress Disorder). Review of Resident #7's current [Physician] Orders, revealed: Duloxetine 20 mg, Oral, Cap-DR [delayed release], BIDAB [Twice a day Morning/Bedtime], Start date: 01/10/23 . No indication/diagnosis included in the order. During an interview on 6/8/23 at 6:21 PM, the Director of Nursing (DON) stated a psychotropic medication consent was unable to be found for the medication duloxetine. Resident # 12 Record review on 6/5-9/23…

    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 · E2023-06-09 · tag F0656 — failed to write and follow a full care plan — pattern
    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

    Based on record review and interview, the facility failed to ensure care plans were individualized to meet the psychosocial needs for 2 residents (#'s 7 and 16), out of 8 sampled residents. Specifically, trauma informed care interventions were not included in the care plans. This failed practice placed the residents at risk for not receiving necessary services to address their individual needs to attain or maintain their highest practicable well-being. Findings: Record review from 6/5-9/23 of the facility's Matrix for Providers revealed the resident population contained the following condition: PTSD (post-traumatic stress disorder)/Trauma: 3 residents. Resident #7 Record review from 6/5-9/23 revealed Resident #7 was admitted to the facility with diagnoses that included PTSD. Record review of Resident #7's, Behavioral Health Psych [psychiatric] Provider Note, dated 1/16/20, revealed: .Psychiatric Review of Systems: .Active Problems . Chronic post-traumatic stress disorder (PTSD) after military combat . During an interview on 6/8/23 at 10:03 AM, the Director of Nursing (DON) stated as…

    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 · E2023-06-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    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 residents that wore a wander guard received adequate supervision and monitoring. This failed practice placed 4 residents (#s 12, 4, 8, and 11) out of 4 residents reviewed for wander guard, at risk for potential elopement. Findings: Resident #12 Record review on 6/5-9/23 revealed Resident #12 was admitted to the facility with a diagnosis that included dementia (a decline of cognitive abilities) with psychosis (a severe mental condition affecting thought and emotions). Review of Resident #12's Minimum Data Set (MDS- a federally required nursing assessment) Quarterly Assessment, dated 4/16/23, revealed: . Section E- Behavior. E0900 Wandering .Behavior of this type occurred 4 to 6 days, but less than daily was marked .P0200. Alarms. Wander/ elopement alarm was marked . used daily . Review of Resident #12's Care Plan, dated 5/18/23, revealed behavioral symptom interventions .Monitor [Resident #12] for possible wandering into rooms . During an interview on 6/7/23 at 11:36 AM, Certified Nurse Assistant (CNA) #2 confirmed…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-06-09 · tag F0757 — failed to avoid unnecessary drugs — pattern
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    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 drug regimens/medication orders included an indication and/or diagnosis for 4 residents (#'s 3, 7, 11 and 12) out of 8 sampled residents. This failed practice had the potential to place residents at risk for medication errors and adverse effects. Findings: Resident #3 Record review from 6/5-9/23 revealed Resident #3 was admitted to the facility with diagnoses that included urinary incontinence and recurrent urinary tract infections (UTI). Review of Resident #3's [Physician] Order, with a start date 5/6/23 for a duration of 5 days, for sulfamethoxazole-trimethoprim (Bactrim DS) (an antibiotic), revealed no diagnosis or indication. Resident #7 Record review from 6/5-9/23 revealed Resident #7 was admitted to the facility with diagnoses that included atrial fibrillation or other dysrhythmias and heart failure. Review of Resident #7's current [Physician] Orders, revealed: apixaban [a blood thinner] 2.5 mg, Oral Tab, BIDAB [twice a day Morning/Bedtime], Start date 5/23/23. No diagnosis documented. During an interview on…

    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 · D2023-06-09 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 baseline care plans were initiated within 48 hours of admission for 2 residents (#'s 16 and 17), out of a census of 17. This failed practice placed the residents at risk for not receiving necessary care and services. Findings: Resident #16 Record review on 6/5-9/23 revealed Resident #16 was admitted to the facility on [DATE] with diagnoses that included a history of falls, neurogenic bladder (a urinary dysfunction in which the bladder does not empty properly), osteopenia (a condition of below normal mineralized bone), dementia (a decline in cognitive abilities), psychiatric disorder, and a history of above the left knee amputation. Review of Resident #16's comprehensive care plan, revealed it was initiated on 2/8/23, 22 days after admission. During an interview on 6/7/23 at 3:33 PM, the Director of Nursing (DON) confirmed Resident #16's care plan was initiated on 2/8/23. She stated the care plan should have been created within 48 hours 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-06-09 · tag F0726 — failed to have competent, trained nursing staff — isolated
    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, observation and interview, the facility failed to ensure nursing staff were provided the appropriate competencies and skill sets to provide nursing care and related services to 3 residents (#'s 3, 11, and 16) out of census of 17 residents. Specifically, the facility failed to ensure: 1) staff had training and competency regarding medication administration assessments; and 2) staff were able to interpret medication order abbreviations. These failed practices placed all residents at risk of receiving inaccurate medication dosages. Findings: Medication assessments Review of Resident #11's current [Physician] Orders, revealed: metoprolol (metoprolol succinate 100 mg oral tablet, extended release) 100 mg, Oral, Tab-ER, qAM [every morning] Start date 8/6/21 . No indication/diagnosis included in the order. Review of Resident #11's Vital Signs dated from 5/18/23 to 6/7/23, revealed: In a period of 21 days the Apical Heart Rate was assessed once on 6/6/23. Peripheral Pulse Rates were assesed on 6/6/23, 5/24/23, 5/23/23, 5/21/23. During an interview on 6/7/23 at 9:32…

    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 · D2023-06-09 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation and interview, the facility failed to ensure medication order dosing was clear and accurate for 1 resident (#11) out of 8 sampled residents. Specifically, the facility failed to accurately document the dosage of an antipsychotic medication in the physician's order. This failed practice had the potential to place the resident at risk for adverse medication outcomes related to receiving more or less than the intended/ordered dose. Findings: Record review on 6/5-9/23 revealed Resident #11 was admitted to the facility with a diagnosis that included dementia (decline in cognitive abilities) with behavioral symptoms. Review of Resident #11's current [Physician] Orders, revealed: Aripiprazole (Abilify) 10 mg, Oral, Tab, qAM [every morning], Start date 6/6/23, Special Instruction: Use 5 mg half tab from pill bottle. Aripiprazole (Aripiprazole 5 mg oral tablet) 5 mg, Oral, Tab, HS [at night], Start date 5/19/23. During an interview with concurrent observation on 6/7/23 at 9:32 AM, when asked what the morning dose of Abilify was, Licensed Nurse (LN) #2…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
HAUGEN, ANTHONYIndividualDIRECT OWNERSHIP INTERESTsince 10/01/2023
BOGART, KELLYIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/01/2011
LEVIN, MARCIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/09/2018
GORN, ANGELAIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/01/2006
BOLTON, CHRISTOPHERIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/15/2015
NORTON SOUND HEALTH CORPORATIONOrganizationADP OF THE SNFsince 10/01/1972

CMS files one row per role, so the 15 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Alaska Medicaid page.

Typical monthly cost in Alaska
$27,831/mo
Nursing home (semi-private)
$10,798/mo
Nursing home (private)*
$9,882/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner. The starred figure is the national median (no state figure published).

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 025026. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-20, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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