Ketchikan Med Ctr: Abuse Protection Failures - AK
The incident at Ketchikan Med Ctr New Horizons Transitional Care, part of the PeaceHealth system, occurred on July 23, 2025. Three visitors had come to the resident council meeting at the residents' request. When they arrived, the administrator told them they could not stay, citing concerns that the meeting would "turn political." She asked one visitor to leave multiple times.
The Chief Nursing Officer was in the room when it happened. She told inspectors on September 4 that she witnessed several residents say they wanted the visitors to stay. The visitors left anyway, not wanting to cause a disruption.
One of the visitors, identified in the inspection report only as Visitor 3, told inspectors the residents had specifically wanted to talk about activities. He or she had come because residents had concerns they wanted to voice. After the administrator's repeated requests, Visitor 3 left.
The facility's own written policies said residents have the right to visitors of their choosing, at any time, and that visitation would be "resident-centered." A separate resident rights document, available to all residents, stated they could organize and participate in resident groups and exercise their rights without interference, coercion, discrimination, or reprisal. The resident council policy described the meetings as a way to "promote empowerment" and give residents a voice.
Inspectors found no documentation in the resident council policy permitting residents to invite visitors to meetings, which they noted was itself a problem, since inviting visitors is a resident right.
The deficiency was cited at a level of minimal harm or potential for actual harm, affecting many residents. The residents who wanted their visitors in the room that July afternoon did not get them.
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 4, 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 incident at Ketchikan Med Ctr New Horizons Transitional Care, part of the PeaceHealth system, occurred on July 23, 2025.
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.