Yukon Kuskokwim Elder's Home

In the surveyor’s words

From the most serious findings on record at Yukon Kuskokwim Elder's Home, in the surveyor’s own words.

• Immediate jeopardy, widespreadF684Aug 11, 2021

  Based on record review, interview, and observation; the facility failed to ensure: 1) oral suctioning equipment was available in a ready state for immediate use for choking emergencies. The facility failed to ensure staff were trained and competent to assemble and use emergency suction equipment. These failures resulted in delayed emergency care, the facility did not provide emergency suctioning for 27 minutes when R8 was unable to clear his throat while eating (choking). The facility provided care to residents with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF552Mar 6, 2026

  .Based on record review and interview, the facility failed to honor the rights of 17 residents (#s 1-17) out of 18 residents (total census) to be informed of, to participate in, or refuse the facility's decolonization program (a medical intervention aimed at eliminating antimicrobial-resistant microorganisms). Specifically, the facility did not notify the residents and/or their representatives of the decolonization program, the rationale and risks and benefits of the use of the following interventions: Chlorhexidine as a soap substitute used during showers, andMupirocin 2% topical ointment (used to treat bacterial skin infections) nasal swab for five days every other week. […]

• No harm, potential for more than minimal, widespreadF585Mar 6, 2026

  Based on observation, interview, and record review, the facility failed to ensure:1) accurate grievance officer contact information was available to residents and representatives through required postings or individual notice, and2) clear instructions were provided on how to file and submit grievances, as grievance forms and admission information did not include submission instructions.These failed practices resulted in all residents (based on a census of 18) and resident representatives not having reliable access to the grievance process due to inaccurate grievance officer identification and unclear submission instructions. […]

• No harm, potential for more than minimal, widespreadF812Mar 6, 2026

  .Based on observation, interview and record review the facility failed to ensure food was stored, labeled, and prepared in accordance with professional standards of practice for food safety. Specifically, the facility failed to ensure: 1) foods were properly labeled and dated; 2) expired foods were removed and discarded; and 3) food items were stored in a manner that maintained the required clearance from sprinkler heads to promote temperature distribution.These failed practices had the potential of causing or spreading foodborne illness to all residents (based on a census of 18), who received food from the kitchen .Findings:.Main KitchenAn observation, during the initial main kitchen tour, on 3/2/26 at 3:01 PM, revealed:1) Meal Prep Area Refrigerator:One half-gallon carton of open… […]

• No harm, potential for more than minimal, widespreadF867Mar 6, 2026

  .Based on interview and record review, the facility failed to monitor the effectiveness of its performance improvement activities to ensure that improvements were sustained. Specifically, the facility had no evidence of tracking, trending or monitoring the decolonization (a medical intervention aimed at eliminating antimicrobial-resistant microorganisms) program. This failed practice placed all residents (based on a census of 18) at risk of receiving an ineffective decolonization intervention and at potential risk for adverse effects .Findings:.Residents' Medical Record ReviewRecord review on 3/2-6/26 of the quarterly Minimum Data Set (MDS - a federally required nursing assessment), revealed 15 residents had antibiotics checked as is taking with indication noted in the following… […]