Ketchikan Med Ctr: Abuse Prevention Failures - AK
On July 23, 2025, a visitor arrived at the resident council meeting at Ketchikan Med Ctr New Horizons Transitional Care, invited by residents who had concerns they wanted to raise about activities at the facility. The administrator was also there. She told the visitor she didn't want the meeting to turn political, and asked him or her several times not to attend.
The visitor left. He or she told inspectors later that leaving felt like the only option that wouldn't cause a disruption.
The Chief Nursing Officer was in the room when it happened. She confirmed to inspectors on September 4 that the administrator told the visitor they could not stay, and that she personally witnessed several residents say out loud that they wanted the visitor there.
The facility's own written policies, available to all residents, state that residents have the right to visitors of their choosing at the time of their choosing, and that visitation will be resident-centered. A separate resident rights form promises the right to exercise those rights without interference, coercion, discrimination, or reprisal. The resident council policy describes its purpose as promoting empowerment and giving residents a voice.
Inspectors found no documentation in the council meeting policy that residents were permitted to invite guests, despite that being their stated right under the facility's own materials.
The deficiency was cited at a level of minimal harm or potential for actual harm, affecting many residents.
What the residents said they wanted, on the record, in their own meeting, was overruled. The visitor drove away.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Ketchikan Med Ctr New Horizons Transitional Care from 2025-09-09 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE in KETCHIKAN, AK was cited for abuse-related violations during a health inspection on September 9, 2025.
The administrator was also there.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.