Based on record review and interview, the facility failed to ensure two nursing staff (Certified Nursing Assistant [CNA] #3 and Licensed Nurse [LN] #7), out of 15 personnel records reviewed, had valid Cardiopulmonary Resuscitation (CPR) certificates. This failed practice placed all residents at risk for not receiving timely CPR or emergency care when needed. Findings: CNA#3 Review of the personnel records on [DATE] at 3:16 PM, revealed CNA #3 was hired on [DATE] with an expired CPR certificate, dated ,d+[DATE]. Review of CNA #3's work schedule, revealed the CNA worked on the following dates: ,d+[DATE]-,d+[DATE], [DATE], ,d+[DATE]-,d+[DATE], [DATE], [DATE], [DATE], [DATE], ,d+[DATE]-,d+[DATE], and ,d+[DATE]-,d+[DATE], with a total of 17 days worked without a valid CPR certificate. …
F678 citations in Alaska
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alaska cites F678 more often than its own record predicts
2.93 times the share F678 takes of citations nationally.
Of every deficiency written in Alaska in 2025, this is the portion that was F678.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alaska surveyors wrote
F678 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 record review and interview, the facility failed to ensure 1 Certified Nurse Aide (CNA #1), out of 3 CNAs personnel file reviewed, had Cardiopulmonary Resuscitation (CPR) certificate before providing direct patient care. This failed practice had the potential to place all residents (based on a census of 53) at risk of not receiving CPR immediately during an emergency. Findings: Review of facility personnel files on [DATE] at 3:35 PM, revealed the Human Resources (HR) Manager stated CNA #1 was hired on [DATE]. Further review revealed CNA #1's personnel file did not contain a CPR certificate. During an interview on [DATE] at 4:20 PM, the HR Manager confirmed that CNA #1 had no CPR certificate since hire. …
The short window
Recent years
| Year | Share of Alaska citations | vs expected |
|---|---|---|
| 2024 | 1.55% | 7.37× |
| 2025 | 0.53% | 2.93× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alaska surveyors cite →
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