No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Heritage Place

232 Rockwell Avenue, Soldotna, AK 99669 · For profit - Corporation · 60 certified beds · (907) 262-2545 Medicare & Medicaid certified

Call the home — (907) 262-2545 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 19 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
  • lower-than-typical staff turnover (24% vs 45% nationally) — better care continuity
Worth asking about
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing score sits well above its independent inspection score

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 5 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
247 N Fireweed St Ste A · (907) 262-8597 · Call to confirm hours
Pharmacy
299 N Binkley St · (907) 262-3800 · Call to confirm hours
Grocery
The Goods0.5 mi
35911 Kenai Spur Hwy
Park
1 Ski Hl Rd · Typically dawn to dusk
Place of worship
159 W Marydale Ave · (907) 262-4253

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

Overall quality measures 4 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 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 fell from 5 to 4 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 rating4★
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 increased17.0%16.7%15.4%worse
Long-stay residents who lose too much weight1.5%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 infection2.6%2.5%2.0%worse
Long-stay residents with depressive symptoms4.3%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 injury4.5%3.2%3.3%worse
Long-stay residents whose ability to walk worsened21.4%19.5%16.1%worse
Long-stay residents on antianxiety or hypnotic medication2.2%14.7%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%96.0%95.3%typical
Long-stay residents with pressure ulcers4.1%6.9%4.7%better
Long-stay residents with worsening bladder/bowel control22.8%20.0%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table15.5%18.8%17.1%typical
Short-stay residents who newly got an antipsychotic medication2.2%0.5%1.4%worse than state — see note marked double-dagger below the table
Short-stay residents rehospitalized after admission15.9%15.0%22.6%better
Short-stay residents with an outpatient ER visit11.5%11.0%12.0%typical
Long-stay hospitalizations per 1,000 resident days2.151.001.67worse
Long-stay outpatient ER visits per 1,000 resident days1.401.361.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ 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.

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.

64.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 79 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

64.4%U.S. median 51.5%
Got home and stayed home
9.3%U.S. median 10.7%
Went back to hospital
63.0%U.S. median 56.6%
Met the expected recovery
0.34U.S. median 0.31
Therapy hours / resident / day
0.25hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy

Met the expected recovery: 63.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 27 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.34 therapist hours per resident per day in 2026Q1 — more than 57% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF64.4%CMS range 56.4–72.951.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.3%CMS range 6.0–13.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge63.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge51.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge70.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay3.2%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.0%CMS range 3.6–14.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.611.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

1.64
RN hours/ resident / day
0.43
LPN hours/ resident / day
4.78
Aide hours/ resident / day
6.85
Total nurse hours/ resident / day
1.34
RN hoursweekends
23.6%
Total nursing turnover
23.5%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 40.4 residents a day — about 67% occupied, or roughly 20 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 6.85 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.64 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.78 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 6.39 hrs/resident/day on weekends vs 7.03 on weekdays — 9% thinner on weekends. RN hours go from 1.76 to 1.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below 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

8
deficiencies at the latest standard inspection (2025-06-13)
5
at the previous standard inspection (2024-05-17)

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.

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.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

  • Potential for harm · F2025-06-13 · tag F0727 — failed to provide required RN coverage — widespread
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    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 the designated Director of Nursing (DON) worked 40 hours a week. This failed practice had the potential to place all residents (based on a census of 44) at risk of not receiving quality nursing services due to a lack of oversight. Findings: During the entrance conference interview on 6/9/25 at 10:45 AM, the DON stated she was designated as the DON and Administrator of the facility. She further stated she worked 35 hours per week as the DON and 5 hours per week as the Administrator. During a follow-up interview on 6/11/25 at 2:03 PM, the DON stated she did not complete a timecard because she was not required to clock-in. She stated she used Monday mornings to perform Administrator duties and the rest of the hours for DON time. During an interview on 6/13/25 at 9:30 AM, the DON stated she assumed the Administrator role since October 2024 after the previous Administrator retired. Record review on 6/11/25 at 2:35 PM, of the POSITION DESCRIPTION [PD], version 2024.04 Title: Administrative/Director, Heritage Place,…

    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 before2025-06-13 · 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 and interview, the facility failed to ensure medical supplies were labeled appropriately and removed from storage if expired. These failed practices placed all residents (based on a census of 44) at risk for adverse effects or complications from use of the expired products. Findings: Central Medical Supply Room: An observation on [DATE] at 10:05 AM, of the central medical supply room, revealed the following expired medical supplies: 1 - Bard 16 french (diameter size) urethral catheters with a coude tip (meaning, the tip is slightly bent, helping the catheter bypass obstructions within the urethra that would hinder a straight catheter's path), expired on [DATE]; and 2 - Bard 24 french urethral catheter, expired on [DATE]. Further observation revealed the following sterile suction catheters without documented expiration dates: 4 - AirLife Tri Flo 5/6 french suction catheters, with no expiration date; and 1 - AirLife Tri-Flo 14 french suction catheter, with no expiration date. During an…

    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 before2025-06-13 · 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 was stored under proper sanitary conditions in the main kitchen and in the Sitka [NAME] unit. This failed practice placed all residents (based on a census of 44), who received food from both kitchens at risk for foodborne illness and communicable disease. Findings: Main Kitchen An observation, during the initial kitchen tour, on 6/9/25 at 8:09 AM, revealed: 1) Dry Storage/Pantry: - 1 opened 25 ounce bottle of Traditional Style Rotisserie Seasoning, 3/4 full, received on 11/12/20, no open date; - 1 opened 16 ounce bottle of Whole Celery Seeds, 5/6 full, received on 10/12/20, no open date; - 1 opened 4 ounce bottle of Whole Tarragon Leaves, 3/4 full, received on 10/3/20, no open date, and; - 1 opened 18 ounce bottle of Mild Chili Powder, 5/6 full, received on 10/11/21, no open date. 2) Food Preparation area: - 1 opened 25 ounce bottle of Traditional Style Rotisserie Seasoning, 1/2 full, received on 11/12/20, no open date; - 1 opened 5 ounce bottle of Dill Weed, 3/4 full, received on 10/5[no year],…

    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 · E2025-06-13 · tag F0805 — failed to prepare food in a form residents can eat — pattern
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    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 pureed food was prepared to the appropriate consistency to meet 3 resident's (#6, #15, and #19 ) individual needs out of 3 residents on a pureed diet. This failed practice had the potential to place the residents at risk for aspiration and compromised nutritional intake. Findings: Record review on 6/9-13/25 revealed Resident #6 was admitted to the facility with diagnoses that included multiple sclerosis (a disease of the central nervous system marked by numbness, weakness, loss of muscle coordination, and problems with vision, speech, and bladder control), Alzheimer's disease (progressive mental deterioration that can occur in middle or old age, due to generalized degeneration of the brain), and dysphagia (difficulty swallowing). Further review revealed Resident #6 was on a pureed/level four texture diet (foods that are blended to a smooth, thick consistency without lumps, making them safe and easy to swallow for individuals with chewing or swallowing difficulties). Record review on 6/9-13/25 revealed…

    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 before2025-06-13 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 comprehensive care plans were revised to meet the changing needs of 3 residents (#'s 26, 31, and 33), out of 12 sampled residents. Specifically, the facility failed to revise care plans to reflect: 1) the use of a foot cradle for Resident #26; 2) a change in cognition and activities of daily living (ADLs) for Resident #31, and; 3) the use of enhanced barrier precautions (EBP) for Resident #33. This failed practice placed the residents at risk for less than the highest practicable mental, physical, and psychosocial well-being. Findings: Resident #26 Record review on 6/9-13/25 revealed Resident #26 was admitted to the facility with diagnoses that included vascular dementia (reduced blood flow to the brain affecting cognition and brain function), major depressive disorder, delusional disorder (a condition in which a person has one or more fixed persistent beliefs that are not based on reality), and disorders of bone density and structure. Random observations on 6/9-11/25 revealed Resident #26's feet were…

    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 before2025-06-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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 consistent oral care was provided to 1 resident (# 31), out of 12 residents sampled. This failed practice had the potential to place the resident at risk of poor oral health outcomes. Findings: Record review on 6/9-13/25 revealed Resident #31 was admitted to the facility with diagnoses that included dementia (a decline in cognitive function), congestive heart failure (a long term condition where the heart is unable to pump blood efficiently), and ischemic cardiomyopathy (a condition where the heart muscle is weakened as a result of a heart attack or coronary artery disease). During an interview and concurrent observation on 6/9/25 at 2:25 PM, Resident #31's Resident Representative (RR) stated he/she was concerned Resident #31 was not receiving oral care on a regular basis. The RR also stated Resident #31 had experienced a health decline during the last two weeks, which affected the resident's cognition and activities of daily living, such as his/her dexterity. The change had resulted in the resident…

    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 · D2025-06-13 · 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

    Based on record review and interview, the facility failed to ensure medical records were complete for 1 sampled resident (#33), out of 12 sampled residents. Specifically, physician signatures on written orders were not dated. This failed practice created incomplete medical records which placed the resident at risk for inconsistencies in treatment and care provided. Findings: Record review on 6/9-13/25 revealed Resident #33 was admitted to the facility with diagnoses that included cellulitis (a bacterial infection of the skin and soft tissues underneath), peripheral vascular disease (a condition where blood circulation is reduced to body parts outside of the brain and heart), and was under palliative care (a treatment approach for individuals living with a life-limiting illness). Review of Resident #33's physician telephone/verbal order sheets, from 1/3/25 to 5/8/25, revealed the following: A telephone/verbal order slip, dated 1/3/25, was written to: Hold KCl [potassium chloride - a mineral supplement] Repeat BMP [lab work: basic metabolic panel] in 1 wk [week] . The handwritten…

    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 before2025-06-13 · tag F0880 — failed to prevent and control infections — isolated
    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 control procedures were properly implemented in the facility. Specifically, the Certified Nurse Assistants (CNAs) failed to change gloves and perform hand hygiene while providing personal cares, for 2 residents (#s 26 and 35), out of 2 residents observed for personal cares. This failed practice had the potential to place all residents at risk of contamination and transmission of infections. Findings: Resident #26 An observation on 6/10/25 at 9:04 AM, revealed both CNAs were wearing gloves. CNA #1 and CNA #2 began to assist the resident put on brief and pants up to Resident #26's lower legs while the resident was on lying position. Next, CNA #1 inserted an absorbent pad liner in between the resident's legs. Then the CNAs helped the resident change into a clean shirt. Next, CNA #1 wiped Resident #26's abdominal skin folds with wet wipes and applied cream on the skin and then inserted dry wipes in between the skin folds. Afterwards, CNA #1 and CNA #2 turned the resident onto his/her right side,…

    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 · Fcited before2024-05-17 · 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 and food handling practices in the main kitchen; 2) food was stored under proper sanitation and food handling practices on the Sitka [NAME] unit; and 3) the dishwasher water temperature was at appropriate temperature range, prior to washing dishes, for proper sanitation of all dishware and food service equipment. These failed practices had the potential of causing or spreading foodborne illness to all residents, based on a census of 43. Findings: Main Kitchen An observation, during the initial kitchen tour, on 5/13/24 at 11:05 AM, revealed: 1) Dry Storage/Pantry area: - 4- 28-ounce containers of Danish Orchards Blackberry Fruit Preserves, manufacture expiration date was 4/9/24; - Penne Noodles loose, in Rubbermaid bin, no packaging and no open…

    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 · E2024-05-17 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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: 1) a properly sized sling was used in transfers for 1 resident (#195), out of 12 sampled residents; and 2) neurological (or neuro) checks (assessments to determine if any neurological symptoms arose from potential head injuries) were performed after unwitnessed falls for 2 residents (#'s 18 and 20), out of 4 sampled residents for falls. These failed practices had the potential to: 1) cause pain and distress to the resident; and 2) delay treatment if the resident had a change in neurological status. Findings: Transfer Sling Record review from 5/13-17/24 revealed Resident #195 was admitted to the facility with diagnoses that included lung cancer, chronic obstructive pulmonary disease (COPD, a disease making breathing difficult, which involves impaired gas exchange in the lungs), peripheral vascular disease (a condition that cause blood vessels to narrow, block or spasm), and atrial fibrillation (an abnormal heart rhythm…

    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
Show the remaining 9 citations
  • Potential for harm · Ecited before2024-05-17 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY . Based on record review and interview, the facility failed to adequately monitor the functional status of wander guard tags (a safety assistance device placed on a resident at risk for wandering and possible elopement. This device would trigger an alarm at any exit equipped with a wander guard sensor, alerting staff to a possible elopement attempt). Specifically, the facility used an outdated, obsolete tag battery tester, incapable of accurately indicating battery level status, for 1 Resident's (#30) tag device, out of 3 residents reviewed with wander guards, and which resulted in an elopement from the facility. This failed practice placed all residents with wander guard safety precautions (based on a census of 6) at risk for wander guard tag failure and possible elopement. Findings: Resident #30 Record review on 5/13-17/24 revealed Resident #30 was admitted to the facility with a diagnosis of dementia (a decline in intellectual functioning, including problems with memory, reasoning and thinking). Review 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-05-17 · tag F0761 — failed to label and store drugs safely — pattern
    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 medical supply storage areas. This failed practice placed all residents (based on a census of 43) at risk for adverse effects or complications from use of the expired products. Findings: Central Medical Supply Room: An observation and concurrent interview on [DATE] at 9:09 AM, revealed the following expired medical supplies: 5 - Bard Urethral Catheterization trays (contains a flexible tube that is inserted through the urethra to help drain urine from the bladder) with preconnected drain bag, 15 french (size of the tube), expired on [DATE]; 3 - Bard 14 french urethral catheters with a coude tip (meaning, the tip is slightly bent, helping the catheter bypass obstructions within the urethra that would hinder a straight catheter's path), expired on [DATE]; and 1 - Bard 14 french urethral catheter with a coude tip, expired on [DATE]. Licensed Nurse (LN) #1 stated the maintenance…

    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 · E2024-05-17 · tag F0802 — failed to prepare enough nourishing food — pattern
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    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 appropriate competencies and skills sets were properly established for Resident Aides (RAs), Licensed Nurses (LNs), and Food Service Staff who prepared modified diets for Sitka [NAME] residents. Specifically, the facility failed to ensure: 1) the RAs and LNs, as well as food service staff, were trained to operate a Cuisinart chopper/grinder food processor used on the Sitka [NAME] unit for preparing modified diets; and 2) RAs and LNs had food worker cards to certify they were appropriately trained to prepare modified diets. These failed practices placed 3 unsampled Sitka [NAME] residents (#s 15, 21, and 38) who were on modified diets, and potentially future residents placed on modified diets, at risk for improper food preparation and food borne illnesses. Findings: Food Processor Training and Operation During an interview on 5/13/24 at 11:46 AM, the Dietary Manager stated all personnel in the kitchen preparing food were required to wear a hairnet. An observation on 5/13/24 at 3:32 PM, revealed RA #1…

    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 before2023-03-10 · tag F0880 — failed to prevent and control infections — pattern
    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 policy review, the facility failed to ensure infection control procedures were properly implemented. Specifically, the facility failed to: 1) ensure staff removed soiled gloves and performed hand hygiene after completing dirty tasks to clean tasks for 1 unsampled resident (#10), out of 3 residents (1 unsampled and 2 sampled) observed for residents' care; and 2) ensure soiled personal protective equipment (PPE) were disposed of safely for 1 unsampled resident (#44), out of 2 residents (1 unsampled and 1 sampled) observed for transmission-based precautions (TBP). These failed practices had the potential to affect all residents, based on a census of 51, for risk of the spread of the Covid-19 virus and other infectious diseases. Findings: Hand Hygiene An observation on 3/6/23 at 1:34 PM, revealed Resident #10 was sitting in a wheelchair. A Hoyer sling was behind and under the Resident. CNA #1 (Certified Nursing Assistant) placed the sling's straps onto the hooks of the hanger bar on the Hoyer lift (an assistive device used by caregivers to safely…

    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 · D2023-03-10 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    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 the discharge status of resident (#55), out of 3 closed records reviewed, was updated. Specifically, the facility failed to update the discharge location of the resident. This failed practice provided inaccurate discharge information. Findings: Resident #55 Record review on 3/6-10/23 revealed Resident #55 was admitted to the facility with diagnoses that included dementia (loss of cognitive functioning), psychotic disturbance (a severe mental disorder that causes abnormal thinking and perceptions), and heart failure. Review of the resident's Care Plan, dated 1/1/23, revealed: .Discharge to another care setting Assisted living facility [ALF] when bed/room available . Review of the Discharge summary, dated [DATE], revealed Resident #55 will transfer to an ALF. Review of the Progress notes, dated 2/1/23, revealed: . [Resident # 55's representative] decided to have [Resident #55] sent to the ER [Emergency Room] for evaluation prior to discharge to…

    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 · Dcited before2023-03-10 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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 the comprehensive care plan was updated to meet the needs of 2 residents (#1 and #39) out of 13 sampled residents. This failed practice had the potential to cause an inconsistent provision of treatment and services. Findings: Resident #1 Record review on 3/6-10/23 revealed Resident #1 was admitted with diagnoses that included Malignant Neoplasm of Rectum, other specified injuries of head, post traumatic seizures, Stevens-Johnson Syndrome (a rare, serious disorder of the skin and mucous membranes), and aphasia (a disorder that affects how you communicate.) Review of the Minimum Data Set (MDS, a federal mandated nursing assessment) quarterly assessment, dated 12/19/22, revealed the resident needed extensive assistance with eating. A review of the Care plan, dated 12/22/22, revealed that this care plan was not followed on two separate dining room observations on 3/6/22 including providing timely assistance to the resident during 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-03-10 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    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 provide assistance with dining for 2 of 2 dining observations with Resident #1. This failed practice placed dependent residents at risk for potential harm from weight loss, hunger, dehydration, and decreased quality of life. Findings: Resident #1 Record review on 3/6/-10/23 revealed Resident #1 was admitted with diagnoses of Malignant Neoplasm of rectum, other specified injuries of head, post traumatic seizures, [NAME] - [NAME] Syndrome (disorder of the skin and mucous membranes), and aphasia (a disorder that affects how you communicate). Review of the Minimum Data Set (MDS, a federal mandated nursing assessment) quarterly assessment, dated 12/19/22, revealed the resident needed extensive assistance with eating. A review of the Care plan, dated 12/22/22, revealed that this care plan was not followed on two separate dining room observations on 3/6/22 including providing timely assistance to the resident during the meal. This care plan…

    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 · Dcited before2023-03-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    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 observation and interview, the facility failed to ensure the resident environment was free of accidents and hazards. Specifically, the facility failed to: 1) assess and identify potential hazards before the installation of a wooden shelf in a resident room, above the resident's bed, for 1 resident (#4), out of 13 sampled residents; and 2) ensure staff monitored the temperature of reheated food for 1 unsampled resident (#40), out of 1 observation for reheated food. These failed practices placed all residents, based on a census of 51, at risk of having an avoidable accident such as a burn or other injury. Findings: Resident #4 Record review on 3/6-10/23, revealed Resident #4 was admitted to the facility with diagnoses that included Dementia (loss of cognitive functioning), and Multiple Sclerosis (an autoimmune disease in which the body's immune system attacks its own tissues.) An observation and interview on 3/7/23 at 9:03 AM, revealed Resident #4 was laying down on his/her bed. When asked about how he/she would call the staff if he/she needed assistance, Resident #4 stated…

    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 · D2023-03-10 · tag F0757 — failed to avoid unnecessary drugs — isolated
    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 medication orders did not contain excessive dosing or duplicate drug therapy for 1 resident (#24) out of 5 sampled residents for unnecessary medications. Specifically, the facility failed to ensure: 1) scheduled and PRN (as needed) Tylenol orders were within the recommended daily maximum dose for the same resident; and 2) multiple PRN medications for pain had appropriate parameters for administration. These failed practices placed the resident at risk of receiving unnecessary medication, excessive dosage, or uncontrolled pain relief. Findings: Record Review from 3/6/23-3/10/23, revealed Resident #24 was admitted to the facility with diagnoses that included aftercare following joint replacement surgery, osteoarthritis, epigastric pain (stomach pain) and other chest pain. Review of a Physician order, dated 9/11/20 revealed Tylenol Tablet (Acetaminophen) Give 1000 mg by mouth two times a day for CHRONIC RT KNEE PAIN. Review of a Physician order, dated 9/11/20 revealed Tylenol Tablet 325 MG (Acetaminophen) Give 650 mg…

    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 / managerTypeRoleShareSince
CENTRAL PENINSULA GENERAL HOSPITAL INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 02/03/2026
BELLOUMINI, BARBIndividualCORPORATE DIRECTORsince 01/01/2025
BEST, MAXIndividualCORPORATE DIRECTORsince 01/01/2021
COUEY, CARRIEIndividualCORPORATE DIRECTORsince 01/01/2020
CROSS, BRADLEYIndividualCORPORATE DIRECTORsince 01/01/2023
KINCAID, JESSEIndividualCORPORATE DIRECTORsince 01/01/2022
MATTERO, SILVERIOIndividualCORPORATE DIRECTORsince 01/01/2022
OSTRANDER, PAULIndividualCORPORATE DIRECTORsince 01/01/2022
QUEEN, STEPHANIEIndividualCORPORATE DIRECTORsince 01/01/2023
REYES, MICHAELIndividualCORPORATE DIRECTORsince 01/01/2023
RICHARDSON, TRENAIndividualCORPORATE DIRECTORsince 10/01/2009
ROHLOFF, JAYIndividualCORPORATE DIRECTORsince 01/01/2021
HERTZ, KARLIndividualCORPORATE OFFICERsince 06/16/2025
HINNEGAN, ANGELAIndividualCORPORATE OFFICERsince 01/03/2026
MULLOWNEY, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/30/2025
REAKTENWALT, CATHERINEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/26/2024
RICHARDS, SHANDAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/14/2020

CMS files one row per role, so the 21 rows in the source record cover these 17 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

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 025021. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-13, 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.

What to do next