Based on observation, interview, and record review, the facility failed to ensure the resident environment was free of accident hazards. Specifically, the facility failed to: 1) Establish safety measures for proper cigarette disposal and the use of required adaptive devices, identified during smoking safety assessments, for residents who smoke tobacco on the facility's campus for 5 residents (#'s 9, 10, 21, 32, and 47), out of 7 total residents who smoked; 2) Complete annual smoking safety screening assessments for 4 residents (#'s 9, 21, 32, and 47), out of 7 total residents who smoked; 3) Complete smoking safety screening assessments for 3 residents (#'s 12, 25, and 54), out of 3 total residents who used electronic cigarettes (known as vapes); and 4) Secure lighters within the facility… …
F689 citations in Alaska
Accidents and supervision · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alaska cites F689 less often than its own record predicts
0.77 times the national share — cited less often here than elsewhere.
Of every deficiency written in Alaska in 2025, this is the portion that was F689.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alaska surveyors wrote
F689 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, observation, and interview, the facility failed to ensure the resident environment was free from accident hazards by failing to monitor and control the temperature of hot beverages provided to 1 resident (#29), out of 18 sampled residents. Specifically, staff served hot coffee from a staff designated coffee pot to a cognitively impaired resident without verifying safe temperature parameters, resulting in burns that required nursing assessment and treatment. This failed practice caused the resident to endure second degree burns and constituted actual harm to the resident. …
.Based on record review, interview, and observation, the facility failed to provide adequate supervision and effective use of assistive fall-prevention devices for 2 residents (#17 and #37), out of 4 residents reviewed for fall precautions. Specifically, the facility failed to: 1) Ensure adequate supervision and effective use of an assistive fall-prevention device for resident #37, who was found on the floor following an unwitnessed fall; and2) Ensure the Smart Caregiver sensor pad monitoring system used for Residents #17 and #37 were functioning properly and set at an audible volume to alert staff. These failures resulted in Resident #37 experiencing an unwitnessed fall and placed both residents at risk for delayed staff response, falls, and fall-related injury. …
The short window
Recent years
| Year | Share of Alaska citations | vs expected |
|---|---|---|
| 2023 | 3.65% | 0.74× |
| 2024 | 3.88% | 0.72× |
| 2025 | 4.26% | 0.77× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alaska surveyors cite →
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