Centennial Post Acute
CENTENNIAL POST ACUTE in ANCHORAGE, AK — inspection on December 24, 2025.
Found 9 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Acute.
Notice of Medicare Non-Coverage document, dated 11/3/25, revealed: Your Right to Appeal This Decision.
You have the right to an immediate, independent medical review (appeal) of the decision to end Medicare coverage of these services.
Your services will continue during the appeal. If you choose to appeal, the independent reviewer will ask for your opinion.
The reviewer also will look at your medical records and/or other relevant information.
You do not have to prepare anything in writing, but you have the right to do so if you wish.
How to Ask for an Immediate Appeal.
You must make your request to your Quality Improvement Organization (also known as a QIO). A QIO is the independent reviewer authorized by Medicare to review the decision to end these services.
Your request for an immediate appeal should be made as soon as possible, but no later than noon of the day before the effective date indicated above.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Centennial Post Acute
9100 Centennial Drive Anchorage, AK 99504
SUMMARY STATEMENT OF DEFICIENCIES
cooking ‘was becoming a safety concern'.
Determination.
Nursing facility services. are needed.
Mental Illness.
Individual has mental illness.
Specialized services. are needed. [Resident #113] would benefit from continuing to receive medication management following discharge from Providence Alaska Medical Center.Further review revealed: Additional PASRR Determination Information. A level II evaluation was completed. on 9/18/25.
The evaluator found that [Resident #113] would benefit from nursing facility services and required specialized services (SS) for mental health needs. If the LTC [long-term care] facility chooses to admit [Resident #113], but finds they can no longer safely meet [his/her] care needs, please consider the options listed below: The LTC facility can pursue placement at an ALH [assisted living home] that offers more mental health supports (may obtain list from the Division of Behavioral Health)[;] The LTC facility can issue a formal 30-day discharge notice to the client, stating they cannot safely meet the client's care needs.
If this occurs, a copy of the discharge notice should be submitted to SDS [Senior and Disabilities Services] in Harmony [an electronic data base][;]
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Centennial Post Acute
9100 Centennial Drive Anchorage, AK 99504
SUMMARY STATEMENT OF DEFICIENCIES
Review of resident #113's nursing progress notes, 10/17/25 through 11/6/25, revealed multiple episodes of aggression, combativeness, and non-compliance with staff and services being offered (showers, PT, wound care, etc.).Review of Resident #113's Discharge Summary and Post-Care Instructions V2.0, dated 11/3/25, revealed no documentation of the required need for specialized services for mental health treatment, as listed in the PASSR Level II report, nor did the discharge plan follow the recommended Level II discharge options for the resident.
During an interview on 12/17/25 at 12:03 PM, after reviewing Resident #113's medical record, the DSS stated there was not adequate documentation in the record to show that the discharge planning was sufficient and there were concerns about how this resident was discharged .
Regarding the PASRR Level II report, the DSS stated had they had this information and its recommendation for long-term care services, this would have affected the discharge planning for this resident.
Review of the facility policy PASRR Process, dated 3/2025, revealed: Upon admission to the facility the Admissions Coordinator, Medical Records Director or designee will ensure that a PASRR Level I is included in the admission paperwork.
The Social Service Director will ensure that a care plan is initiated related to the mental health diagnosis with initial, person centered approaches.
Once a Level II Evaluation is complete, the Social Service Director will give to the Medical Records Director to be placed in the EHR [electronic health record].
Additionally, the Social Service Director will expand the care plan to include recommended approaches noted on the PASRR II evaluation as well as through observations and interviews by not only the Social Services Director but all member[s] of the IDT [interdisciplinary Team].
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Centennial Post Acute
9100 Centennial Drive Anchorage, AK 99504
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility's Fall Risk and Neurological Assessment policy, revised 11/6/23, revealed: .It is the policy of the center that residents are evaluated for their risk of falls upon admission. A plan of prevention is initiated, as appropriate, for identified risks.PROCEDURE: 1.
The Morse Fall Risk Scale is completed on admission. 2.
The Kardex includes interventions based on the results identified in the Morse fall scale and includes specific interventions for fall prevention. 3.
The MDS including Care Area Assessments (CAA) is utilized to further evaluate resident's risk of falls and development of the comprehensive care plan. 4.
History and physicals are reviewed to identify fall history, if applicable, and contributing diagnosis and other factors this information is utilized to initiate individualized interventions to prevent or reduce risk of falls and identify need for referral to other disciplines, including but not limited to PT, OT, ST, pharmacist, optometrist .
Review of the facility's Care Plans, Comprehensive Person- Centered policy, revised 3/2022, revealed: .A comprehensive person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. 3.
The care plan interventions are derived from a thorough analysis of the information gathered as part of the comprehensive assessment.7.
The comprehensive, person-centered care plan: .e. reflects currently recognized standards of practice for problem areas and conditions. 8.
Services provided for or arranged by the facility and outlined in the comprehensive care plan are:.c. trauma informed.9.
Care plan interventions are chosen only after data gathering, proper sequencing of events, careful consideration of the relationship between the resident's problem and their causes, and relevant clinical decision making .
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Centennial Post Acute
9100 Centennial Drive Anchorage, AK 99504
SUMMARY STATEMENT OF DEFICIENCIES
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
.Based on record review, interview, and observation, the facility failed to ensure treatment and care was provided, based on physician orders and comprehensive person-centered care plans, for 2 residents (#23 and #27), out of 20 sampled residents.
This failed practice had the potential to diminish overall health and wellbeing, placing Resident #23 at risk for unrecognized blood pressure instability related to antihypertensive therapy and Resident #27 at risk for impaired skin integrity due to failure to implement ordered offloading and pressure reduction measures Findings: Resident #23Record Review on 12/14-24/25 revealed Resident #23 was admitted to the facility with diagnoses that included hypertension (elevated blood pressure), heart failure (condition in which the heart pumps ineffectively) and history of transient ischemic attack (stroke).Review of Resident #23's electronic health record (EHR) revealed a physician's order, dated 6/18/25: .Vital signs daily.
Further review revealed an order for blood pressure medication, dated 9/12/25: .Coreg Oral Tablet 6.25 MG (Carvedilol).
Give 1 tablet by mouth two times a day for HTN (hypertension - elevated blood pressure).Review of Resident #23's Care Plan Report, last reviewed 10/8/25, revealed: .Goal.
Will exhibit a therapeutic effect related to the use of the medication.
Interventions/Tasks.
Vital signs as ordered.Review of Resident #23's vital signs flowsheets dated 6/18/25-12/14/25 revealed only two documented vital sign assessments (9/1/25 and 9/11/25), with no documentation of daily vital signs for the remaining 177 days.
During an interview with the facility's acting Director of Nursing (DON) on 12/17/25 at 9:30 AM, the DON confirmed that the facility should have been checking vital signs daily on Resident #23.
Review of the facility policy Vital Sign Monitoring, last revised 3/2025, revealed: .It is the policy of this facility to monitor the resident's vital signs.
Vital signs will be monitored for residents receiving medications including but not limited to anti-hypertensives and psychotropics.
Vital signs, to include temperature, blood pressure, pulse and respirations are done no less often than monthly, unless physician's orders or the plan of care specifies differently.
Resident #27Record Review from 12/14-24/25 revealed Resident #27 was admitted to the facility with diagnoses that included weakness, mild cognitive impairment of uncertain or unknown etiology and osteoarthritis.An observation on 12/14/25 at 10:00 AM, revealed Resident #27 was laying supine (on back) in bed, with both heels of his/her feet on the mattress.
Further observation revealed his/her feet and heels were covered by non-skid socks.Review of Resident #27's EHR revealed two wound care orders:1.Left heel (vascular). leave open to air.
Start Date. 11/9/2025,2.offloading boots to LLE (left lower extremity).
Start Date. 11/3/2025.Review of Resident #27's Care Plan Report, last reviewed 10/24/25, revealed: .Focus.
Skin: Resident is at risk for skin breakdown related to immobility, and central cord syndrome, and malnutrition.
Goal.
Will prevent or delay skin breakdown to the extent possible given risk factors.
Interventions.
Keep skin clean and dry to the extent possible.
Further review revealed no interventions to keep Resident #27's left heel open to air or for the use of offloading boots.
During an interview on 12/14/25 at 1:00 PM, when asked if Resident #27 should have been wearing heel boots, Licensed Nurse (LN) #12 agreed that there was an order to have heel boots in place.
Review of the facility provided policy Care Plans, Comprehensive Person-Centered, last revised 3/2022, revealed: .The comprehensive, person-centered care plan. describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. reflects currently recognized standards of practice for problem areas and conditions.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Centennial Post Acute
9100 Centennial Drive Anchorage, AK 99504
SUMMARY STATEMENT OF DEFICIENCIES
to put in the referral.
The facility never did this despite the RR requesting them to do so. To the RR's knowledge, he/she stated Resident #110 was never taken to PAMC for outpatient wound care or the VA follow up appointment.Review of Resident #110's medical record revealed no documentation that the facility talked with the RR about the referrals, the steps the facility took to initiate referrals, or guidance/education the facility provided to the RR to initiate the referrals.8. 7/23/25:Review of Resident #110's second SNF Wound Care note, dated 7/23/25 and completed by Wound Care PA #5, revealed the left sacral wound measured 6.1 cm long by 3.8 cm wide by 1.3 cm deep and had tunneling at 12 o'clock of 1.2 cm, 3 o'clock 0.5 cm, 6 o'clock 2.0 cm, and 9 o'clock 2.1 cm.
Further review revealed the wound care plan changed: Cleanse with wound cleanser, apply barrier cream to peri-wound, followed by pluro gel to the wound bed and wound VAC every three days.
Continue the prescribed antibiotics as per primary care provider.Further review revealed: .The patient is noncompliant.Review of Resident #110's TAR, dated 6/2025, revealed the wound treatment order that started on 6/5/25 had not changed to reflect the planned wound care treatment documented in the 7/23/25 SNF Wound Care notes (different peri-wound order, changing from santyl and alginate to pluro gel, different dressing).Review of Resident #110's TAR, dated 7/16-23/25, revealed all left iliac crest dressing changes were documented as completed with the exception of 7/17/25 and 7/23/25 where it was documented Other/See Nurses Note and 7/22/25 whe
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Centennial Post Acute
9100 Centennial Drive Anchorage, AK 99504
SUMMARY STATEMENT OF DEFICIENCIES
elopement/exit seeking/wandering related to wanders aimlessly. GOAL: Resident's safety will not be endangered related to behaviors.
Will have reduced episodes of exit-seeking behaviors.
Will not leave the facility without a responsible person.
Will not wander out of the facility. INTERVENTIONS: Administer medications as ordered.
Allow wandering in safe areas within the facility.
Approach in calm, non-threatening manner.
Check exit, stairwell and door alarms on a routine schedule for operability.
Check function of wander alarm per manufacturer recommendations.
Check placement of wander alarm every shift.
Document and notify physician if behavior interferes with daily functioning.
Elopement risk assessment per facility policy.
During an interview on 12/28/25 at 6:38 PM, when asked if the facility had made any changes to Resident #90's care plan after this elopement, LN #7 stated they added a goal for the resident to notify staff when he/she would like to go to the store.Review of Resident #90's revised care plan, dated 11/20/25, revealed the addition of this goal: resident will notify staff when [he/she] would like to go to the store.
Further review revealed no other interventions were included to help mitigate future elopements.Review of the facility policy Wanderguards/Elopement Prevention Systems, dated 2/2025, revealed: It is the policy of this facility that residents will be safe and secure in their environment.
Those residents, who have been identified as exit seeking, will have a wanderguard or similar device placed on their person, to assist in preventing them from wandering out of the facility and potentially being harmed.
Risk for elopement will be placed on the care plan, along with interventions, to include wanderguard.
Review of the facility policy Elopement/Wandering, dated 10/2025, revealed: .
Upon return to the center, the licensed nurse completes the following.
Review and update care plan and in room care plan/Kardex - Update interventions.Facility policies failed to define staff roles and required actions when a wander guard alarm activated, resulting in delayed response and resident elopement
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Centennial Post Acute
9100 Centennial Drive Anchorage, AK 99504
SUMMARY STATEMENT OF DEFICIENCIES
services were routinely provided on weekdays and were not offered on weekends.
The DOR further stated he believed the physician was notified of the lapse in services but was not aware of any corresponding physician order changes or care plan revisions during the period PT services were not provided.During an interview on 12/16/25 at 4:00 PM, the Regional Director of Clinical Nursing Services (RDCNS) stated that during the lapse in PT services, the facility did not update care plans or modify physician orders for residents receiving PT services.
The RDCNS further stated the facility discussed plans to hold Interdisciplinary Team (IDT) conferences to notify residents of service interruptions in the future.
The Regional DON stated these discussions occurred during morning rounds; however, there was no documentation available to confirm the discussion during morning rounds.
Review of the Centennial Post Acute Facility Assessment, updated 11/25/25, revealed: We provide long-term care and short-term care to include rehab. 2.
Services we utilize to provide care for our residents include physical, occupational and speech therapies.
Our rehab staff provide services in our facility in a manner to meet the needs of the residents and the facility. We are proficient with and continue to learn new telehealth platforms to utilize provider services to meet the needs of our residents.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/24/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Centennial Post Acute
9100 Centennial Drive Anchorage, AK 99504
SUMMARY STATEMENT OF DEFICIENCIES
he/she was at the facility because he/she was not receiving physical therapy (PT). RR further stated the physical therapist went on leave.
Review of the Minimum Data Set (MDS- a federally required assessment), admission Assessment, dated 8/21/25, revealed, under Section GG-Functional Abilities, Resident #111 was coded as requiring substantial/maximal assistance for toileting hygiene, shower/bathe self and upper body dressing and dependent -where a helper does all the effort and the resident does none of the effort for lower body dressing and putting on/taking off footwear.
Further review revealed Resident #111 was coded as requiring substantial/maximal assistance for sitting on side of bed to lying flat on the bed, lying on the back to sitting on the side of the bed with no back support, getting on and off a toilet and getting in and out of a tub/shower and dependent - where a helper does all the effort and the resident does none of the effort to complete the activities of coming to a standing position from sitting in a chair, wheelchair, or on the side of the bed and transferring to and from a bed to a chair.Review of Resident #111's Medicare PT Evaluation & Plan of Treatment, dated 8/16/25, revealed: Plan of Treatment.Frequency: 5/time(s)/week Duration 4 week(s) Intensity: Daily.Review of Resident #111's Physical Therapy Treatment Encounter Note(s) revealed Resident #111 had PT sessions on 8/16/25, 8/18/25 and 8/19/25 and no PT services for 12 [NAME]
Facility ID: