Inspection Report

Ketchikan Med Ctr: Abuse Response Failures - AK

February 28, 2026

Ketchikan, AK

1,718 views

Ketchikan Med Ctr New Horizons Transitional Care

The visitor, identified in inspection records only as Visitor #3, said he or she had heard residents wanted to raise concerns about activities and came to the July 23, 2025 meeting at their invitation. When the visitor arrived, the administrator said she didn't want the meeting to turn political. She asked the visitor several times not to attend. The visitor left, explaining later that he or she didn't want to cause a problem or disrupt the meeting.

The Chief Nursing Officer told inspectors she was in that meeting and watched it happen. She confirmed the administrator told the visitor they could not stay. She also confirmed that several residents said, out loud, that they wanted the visitor there.

Those residents were not accommodated.

Federal inspectors cited the facility under a deficiency tag covering resident rights, noting the violation affected many residents. The harm level was recorded as minimal harm or potential for actual harm.

The facility's own written policies stated that residents are permitted to have visitors of their choosing at the time of their choosing, that visitation will be resident-centered, and that residents have the right to access community members and visitors without interference, coercion, discrimination, or reprisal. A separate resident rights form available to all residents stated they could organize and participate in resident and family groups and exercise their rights without interference.

Inspectors also found that the facility's resident council meeting policy contained no documentation that residents were permitted to invite visitors to meetings at all, despite that being their right.

The residents who asked for the visitor to stay, and said so in front of the administrator and the CNO, were outvoted by neither. They were simply overruled.

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

Editorial Standards

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

Quick Answer

KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE in KETCHIKAN, AK was cited for abuse-related violations during a health inspection on September 9, 2025.

When the visitor arrived, the administrator said she didn't want the meeting to turn political.

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.

Frequently Asked Questions

What happened at KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE?

When the visitor arrived, the administrator said she didn't want the meeting to turn political.

How serious are these violations?

These are very serious violations that may indicate significant patient safety concerns. Federal regulations require nursing homes to maintain the highest standards of care. Families should review the full inspection report and consider whether this facility meets their safety expectations.

What should families do?

Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in KETCHIKAN, AK, (5) Report any new concerns directly to state authorities.

Where can I see the full inspection report?

The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 025010.

Has this facility had violations before?

To check KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.