Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F838 in Alaska. Pick another state for the same tag.
Against expectation — 2025
Alaska cites F838 more often than its own record predicts
Versus expected share10.52×
10.52 times the share F838 takes of citations nationally.
Share of Alaska citations2.66%
Of every deficiency written in Alaska in 2025, this is the portion that was F838.
Alaska2.66%
National0.25%
Share of all citations that were F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alaska surveyors wrote
F838 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.
F · No harm, potential for more than minimal, widespreadJanuary 20, 2026
.Based on record review and interview, the facility failed to establish an accurate competency training program for travel Licensed Nurses (LNs) and Certified Nursing Assistants (CNAs) to ensure all travel nursing staff had the specific competencies and skill sets necessary to care for resident's needs as identified in the facility's facility assessment. This failed practice had the potential to place all residents (based on a census of 77) at risk of: 1) not having the necessary care and resources required for day-to-day operations (including nights and weekends) and emergencies; and 2) not receiving services that enable them to attain or maintain their highest practicable physical, mental, and psychosocial well-being. …
C · No harm, potential for minimal, widespreadMarch 16, 2026
.Based on record review and interview, the facility failed to address or include the staff competencies and skill sets that are necessary to provide the level and types of care needed for their resident population in their facility assessment. Specifically, trauma-informed care (TIC) training was not included in their annual facility-wide assessment. This failed practice: 1) placed 1 resident (#3), out of 8 resident's reviewed, at risk of having their past trauma exacerbated which had the potential to affect the resident's ability to attain the highest practicable mental and psychosocial well-being; and 2) placed all residents (based on a census of 8) at risk of not having newly identified trauma care planned for to mitigate retraumatization. …
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