Based on record review and interview, the facility failed to ensure comfortable and safe temperature levels. Specifically, the facility failed to respond to the rising heat in the facility in a timely manner, and a temperature reading on 8/16/20 was measured at 89.5 degrees. This failed practice caused resident #1 to suffer medical problems requiring hospitalization . Record review from 10/20-27/20 revealed Resident #1 was admitted to the facility with [DIAGNOSES REDACTED]. other heart-related complications). …
F584 citations in Alaska
Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alaska cites F584 less often than its own record predicts
0.51 times the national share — cited less often here than elsewhere.
Of every deficiency written in Alaska in 2025, this is the portion that was F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alaska surveyors wrote
F584 findings written in Alaska, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
.Based on interview, observation, and record review, the facility failed to ensure a safe, comfortable and homelike environment was provided for all residents (based on a census of 97). Specifically, the facility failed to ensure: 1) the elevator flooring was properly installed; 2) windows were functional to keep wind and cold from entering resident bedrooms; and 3) room temperature level was within 71 degrees Fahrenheit (F) to 81 degrees F. These failed practices denied all residents the right to have a safe and comfortable homelike environment Findings: Elevator floorDuring random observations from 12/14-18/25, the elevator floor was observed to be composed of approximately 6-inch square sections of linoleum like material curling around the edges. …
Based on observation, interview, and record review, the facility failed to ensure a homelike environment for all residents, based on a census of 14. Specifically, institutional signage was placed on doors throughout the facility. This failed practice increased the institutional character of the home and had the potential to cause diminished self-worth and a reduced sense of well-being for all residents. Findings: Random observations from 1/22-25/24 revealed signage placed on multiple doors, facing common areas, throughout the facility to include: - A door to the bath reading DO NOT OPEN DOOR TOO WIDE IT WILL BREAK, and another sign reading Attention Do not force the door open wider than it is designed to go (it damages the mechanism at the top); - Double door at the end of the hall near… …
The short window
Recent years
| Year | Share of Alaska citations | vs expected |
|---|---|---|
| 2023 | 1.46% | 0.65× |
| 2024 | 2.33% | 1.09× |
| 2025 | 1.06% | 0.51× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alaska surveyors cite →
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