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Complaint Investigation

Ketchikan Med Ctr New Horizons Transitional Care

Inspection Date: September 9, 2025
Total Violations 10
Facility ID 025010
Location KETCHIKAN, AK
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Inspection Findings

F-Tag F0557

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE in KETCHIKAN, AK for a deficiency under regulatory tag F-F0557 during a complaint investigation conducted on 2025-09-09.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0565

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE in KETCHIKAN, AK for a deficiency under regulatory tag F-F0565 during a complaint investigation conducted on 2025-09-09.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to organize and participate in resident/family groups in the facility.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE in KETCHIKAN, AK for a deficiency under regulatory tag F-F0600 during a complaint investigation conducted on 2025-09-09.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0607

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE in KETCHIKAN, AK for a deficiency under regulatory tag F-F0607 during a complaint investigation conducted on 2025-09-09.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE in KETCHIKAN, AK for a deficiency under regulatory tag F-F0609 during a complaint investigation conducted on 2025-09-09.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0610

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE in KETCHIKAN, AK for a deficiency under regulatory tag F-F0610 during a complaint investigation conducted on 2025-09-09.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Respond appropriately to all alleged violations.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0679

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE in KETCHIKAN, AK for a deficiency under regulatory tag F-F0679 during a complaint investigation conducted on 2025-09-09.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide activities to meet all resident's needs.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0726

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE in KETCHIKAN, AK for a deficiency under regulatory tag F-F0726 during a complaint investigation conducted on 2025-09-09.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0838

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE in KETCHIKAN, AK for a deficiency under regulatory tag F-F0838 during a complaint investigation conducted on 2025-09-09.

Category: Administration Deficiencies

The facility was found deficient in the following area: Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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F-Tag F0947

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE in KETCHIKAN, AK for a deficiency under regulatory tag F-F0947 during a complaint investigation conducted on 2025-09-09.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-12-05.

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