Ketchikan Med Ctr: 10 Deficiencies Found - AK
The incident took place on July 23, 2025, at Ketchikan Med Ctr New Horizons Transitional Care, during what is supposed to be a protected space for residents to raise issues about their care. Inspectors documented the sequence in a complaint investigation completed September 9.
One of the visitors, identified in the report as Visitor #3, told inspectors he or she had come specifically because residents wanted to voice concerns about activities. When Visitor #3 arrived, the administrator said she didn't want the meeting to turn political and asked the visitor multiple times to leave. Visitor #3 did leave, explaining to inspectors that he or she didn't want to disrupt the meeting or cause a problem.
The Chief Nursing Officer told inspectors she was in the room when it happened. She confirmed the administrator told the visitors they could not stay. She also said she witnessed several residents state, in that moment, that they wanted the visitors there.
The facility's own written policies describe visitation as resident-centered and state that residents are permitted to have visitors of their choosing at the time of their choosing, including representatives from resident advocacy organizations. The resident rights form available to all residents at the facility promises that they can exercise rights without interference, coercion, discrimination, or reprisal, and that they may organize and participate in resident and family groups.
Inspectors also noted that the facility's resident council meeting policy contained no documentation that residents were permitted to invite visitors to those meetings, which is itself a resident right.
The deficiency was cited at a level of minimal harm or potential for actual harm, and inspectors found it affected many residents. What residents had wanted to say about activities at their July meeting, and whether they have since had any forum to say it, the report does not record.
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 6, 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.
Inspectors documented the sequence in a complaint investigation completed September 9.
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.