Providence Kodiak Island Med LTC

In the surveyor’s words

From the most serious findings on record at Providence Kodiak Island Med LTC, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF550Dec 5, 2025

  .Based on record review, observation, and interview, the facility failed to ensure a culture where residents were treated with dignity and respect for 2 residents (#'s 6 and 19), out of 13 sampled residents. Specifically, the facility failed to: 1) Respond appropriately to the toileting needs for Resident #6, which resulted in the resident being forced to defecate the bed; 2) Maintain Resident #6's dignity and privacy by allowing the resident's catheter urine collection bag to remain uncovered and visible to individuals passing by in the hallway; and 3) Ensure Resident #19's privacy, by way of closing the bedroom door, while providing personal care. These failed practices placed the residents at risk for diminished self-esteem and/or self-worth and the potential for a poor quality of life. […]

• No harm, potential for more than minimal, widespreadF607Dec 5, 2025

  .Based on record review and interview, the facility failed to ensure adequate screening was conducted in accordance with the abuse and neglect policy. Specifically, the facility did not reference the State Nurse Aide Abuse & Neglect Registry for potential new Certified Nursing Assistant (CNA) hires. This failed practice placed all residents (based on a census of 21) at risk for exposure to abuse, neglect, exploitation, mistreatment, and misappropriation of their property. Findings: Review of the facility's HR Employee Personnel surveyor sheet, where the facility documented personnel credential/training information for a selected sample, revealed there was no documentation for checking the State nurse aide abuse registry prior to hire. […]

• No harm, potential for more than minimal, widespreadF656Dec 5, 2025

  .Based on record review, interview, and observation, the facility failed to develop and implement comprehensive, person-centered care plans for 6 Residents (#'s 1, 2, 12, 13, 16, and 17), out of 13 sampled residents. Specifically, the facility failed to: 1) Develop and maintain accurate care plans to meet the current needs of 5 Residents (#'s 1, 2, 13, 16, and 17); and 2) Carry forward previously identified needs, that were care planned for, when the facility initiated the use of a new electronic medical record (EMR) for 2 Residents (#'s 12 and 16). These failed practices placed the residents at risk of not receiving services that enable them to attain or maintain their highest practicable physical, mental, and psychosocial well-being. […]

• No harm, potential for more than minimal, widespreadF812Dec 5, 2025

  .Based on record review, observation, and interview, the facility failed to adhere to professional standards for food safety. Specifically, the facility failed to ensure: 1) Food items stocked for residents had not expired; 3) Canned foods with damaged rims were removed from inventory; 4) Opened food items were properly labeled and stored; 5) The dishwasher on the Salmonberry unit had achieved proper temperature during the wash cycle; and 6) Safe food temperatures were maintained prior to serving. These failed practices placed all residents (based on a census of 21) at increased risk for foodborne illness. Findings: Expired Food An observation on 12/1/25 at 5:20 PM, inside the main kitchen's walk-in refrigerator, revealed: one 5 lb container of Minor's culinary cream. […]

• No harm, potential for more than minimal, widespreadF838Dec 5, 2025

  .Based on record review and interview, the facility failed to: 1) Ensure their 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) was up to date and accurate; and 2) Establish an accurate competency training program for Licensed Nurses (LNs) and Certified Nursing Assistants (CNAs) to ensure all nursing staff had the specific competencies and skill sets necessary to care for resident's needs as identified in the facility's facility assessment. […]