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Sitka Community Hospital-ltc

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209 Moller Avenue
Sitka, AK 99835
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Details

Type of Ownership Government - City
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 15
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 02/17/2011

Date of last standard health inspection: 02/17/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 12/01/2010 - 11/30/2011
Total number of Health Deficiencies for this nursing home: 2
Average number of Health Deficiencies in AK: 6
Average number of Health Deficiencies in US: 8
Range of Health Deficiencies in AK: 0 - 15
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and give out food in a safe and clean way. 02/17/2011 03/11/2011 Minimal harm or potential for actual harm Widespread
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. 02/17/2011 03/11/2011 Minimal harm or potential for actual harm Pattern

Inspection, 03/19/2010

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program to keep infection from spreading. 03/19/2010 04/02/2010 Minimal harm or potential for actual harm Isolated
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and give out food in a safe and clean way. 03/19/2010 04/28/2010 Minimal harm or potential for actual harm Widespread
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. 03/19/2010 04/02/2010 Minimal harm or potential for actual harm Isolated
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the needs of each resident. 03/19/2010 04/19/2010 Minimal harm or potential for actual harm Isolated
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. 03/19/2010 04/19/2010 Minimal harm or potential for actual harm Isolated
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. 03/19/2010 04/10/2010 Minimal harm or potential for actual harm Isolated
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Tell the resident completely about his or her health status. 03/19/2010 04/19/2010 Minimal harm or potential for actual harm Isolated

Inspection, 03/28/2009

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month, have a licensed pharmacist check the drugs that each resident takes. 03/28/2009 04/17/2009 Minimal harm or potential for actual harm Widespread
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 03/28/2009 04/22/2009 Minimal harm or potential for actual harm Pattern

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in AK Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 38 13
Total, Licensed Nurse Staff Hours
per Resident per Day 		1 hour 29 minutes 2 hours 36 minutes 2 hours 17 minutes
RN Hours
per Resident per Day 		40 minutes 1 hour 47 minutes 1 hour 52 minutes
LPN/LVN Hours
per Resident per Day 		49 minutes 53 minutes 24 minutes
CNA Hours
per Resident per Day 		2 hours 25 minutes 3 hours 53 minutes 4 hours 43 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Percent of high-risk long-stay residents who have pressure sores Not Available
Percent of long-stay residents given influenza vaccination during the flu season 90+%
Percent of long-stay residents who are more depressed or anxious Not Available
Percent of long-stay residents who had a urinary tract infection 13%
Percent of long-stay residents who have moderate to severe pain Not Available
Percent of long-stay residents who have/had a catheter inserted and left in their bladder Not Available
Percent of long-stay residents who spend most of their time in bed or in a chair 7%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 90+%
Percent of long-stay residents who were physically restrained 0%
Percent of long-stay residents whose ability to move about in and around their room got worse Not Available
Percent of long-stay residents whose need for help with daily activities has increased Not Available
Percent of low-risk long-stay residents who have pressure sores Not Available
Percent of low-risk long-stay residents who lose control of their bowels or bladder Not Available

Short-Term Residents

Percent of long-stay residents who lose too much weight Not Available
Percent of short-stay residents given influenza vaccination during the flu season Not Available
Percent of short-stay residents who had moderate to severe pain Not Available
Percent of short-stay residents who have delirium Not Available
Percent of short-stay residents who have pressure sores Not Available
Percent of short-stay residents who were assessed and given pneumococcal vaccination Not Available

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 02/23/2011

Automatic Sprinkler Systems in all required areas fully sprinklered
Date of last standard fire safety inspection: 02/23/2011
Dates of Complaint Investigations: 12/01/2010 - 11/30/2011
Total number of Fire Safety Deficiencies for this nursing home: 4
Average number of Fire Safety Deficiencies in AK: 4
Average number of Fire Safety Deficiencies in US: 4
Range of Fire Safety Deficiencies in AK: 0 - 5
Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
portable fire extinguishers. 02/23/2011 02/24/2011 Minimal harm or potential for actual harm Isolated
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
weekly inspections and monthly testing of generators. 02/23/2011 03/23/2011 Minimal harm or potential for actual harm Widespread
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
record of quarterly fire drills for each shift under varying conditions. 02/23/2011 02/24/2011 Minimal harm or potential for actual harm Pattern
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
properly constructed and protected anesthetizing areas. 02/23/2011 02/24/2011 Minimal harm or potential for actual harm Pattern

Inspection, 03/16/2010

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
corridor and hallway doors that block smoke. 03/16/2010 05/01/2010 Minimal harm or potential for actual harm Pattern
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
properly installed electrical wiring and equipment. 03/16/2010 04/01/2010 Minimal harm or potential for actual harm Widespread
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
record of quarterly fire drills for each shift under varying conditions. 03/16/2010 05/01/2010 Minimal harm or potential for actual harm Pattern

Inspection, 03/27/2009

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
properly constructed linen or trash chutes. 03/27/2009 04/14/2009 Minimal harm or potential for actual harm Widespread
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
corridor and hallway doors that block smoke. 03/27/2009 04/15/2009 Minimal harm or potential for actual harm Isolated
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
exits that are free from obstructions and can be used at all times. 03/27/2009 04/17/2009 Minimal harm or potential for actual harm Widespread
restrictions on the use of highly flammable materials. 03/27/2009 04/17/2009 Minimal harm or potential for actual harm Widespread
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
posted "No-smoking" signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed. 03/27/2009 05/12/2009 Minimal harm or potential for actual harm Isolated