Ketchikan Med Ctr: 10 Deficiencies, Training Gaps - AK
The incident happened July 23, 2025, at Ketchikan Med Ctr New Horizons Transitional Care. According to inspectors who investigated a complaint and completed their review September 9, the administrator turned away at least three visitors the residents had invited to attend their monthly council meeting.
One of those visitors, identified in the inspection report as Visitor #3, told inspectors he or she had been invited specifically because residents had concerns they wanted to raise. 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. Visitor #3 left rather than cause a disruption.
The Chief Nursing Officer told inspectors she was in that meeting. She confirmed the administrator told the visitors they could not stay. She also confirmed she witnessed several residents say they wanted the visitors there.
The facility's own written policies promised residents the right to visitors of their choosing, at the time of their choosing. The Resident Rights form given to all residents stated they could organize and participate in resident group meetings and access community members inside the facility. The visitation policy, dated January 2025, said visitation would be "resident-centered."
Inspectors reviewed the facility's Resident Council Meetings policy and found no documentation that residents were permitted to invite visitors to those meetings, a right the inspection report identified as belonging to residents.
The deficiency was cited at a level of harm described as minimal harm or potential for actual harm, affecting many residents.
What the residents wanted to talk about — their concerns regarding activities — went unheard by the visitors they had asked to be there.
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 violations during a health inspection on September 9, 2025.
The incident happened July 23, 2025, at Ketchikan Med Ctr New Horizons Transitional Care.
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.