Based on record review, interview, and observation, the facility failed to ensure sufficient Licensed Nurses (LNs) and Certified Nursing Assistants (CNAs) were available to provide care to all residents, based on a census of 93, as determined by resident acuity (acuity is a measurement of the level of care a resident needs, based on the severity of either an illness or mental condition). This failed practice, to ensure sufficient staff to provide basic nursing care such as turning and repositioning and getting residents out of bed, resulted in harm to residents who developed Stage III, IV, unstageable pressure ulcers and deep tissue injuries. These failed practices caused actual harm due to the of deterioration of pressure ulcers. …
F725 citations in Alaska
Sufficient nursing staff · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alaska cites F725 more often than its own record predicts
1.37 times the share F725 takes of citations nationally.
Of every deficiency written in Alaska in 2025, this is the portion that was F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alaska surveyors wrote
F725 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, interview, and observation the facility failed to ensure sufficient nursing staff to meet residents' needs, (based on a census of 93) as established by the facility assessment (a mandatory, comprehensive evaluation to understand the specific resident population's needs and match them with necessary staffing, equipment, and resources to meet those needs). Specifically: The facility assessment identified minimum staffing requirements; however, actual staffing schedules showed fewer certified nursing assistants (CNAs), and licensed nurses (LNs) than defined.Residents (#2 and #3) were not provided ADLs according to their care plans. …
The short window
Recent years
| Year | Share of Alaska citations | vs expected |
|---|---|---|
| 2024 | 0.78% | 0.97× |
| 2025 | 1.06% | 1.37× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Alaska surveyors cite →
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