Sitka Community Hospital-ltc
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209 Moller Avenue
Sitka, AK 99835
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0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| 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: 03/28/2009
| Date of last standard health inspection: | 03/28/2009 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 01/01/2009 - 12/31/2009 |
| 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 - 17 |
Pharmacy Service Deficiencies |
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| 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 |
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| 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 |
Inspection, 04/02/2008
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep all essential equipment working safely. | 04/02/2008 | 05/17/2008 | Minimal harm or potential for actual harm | Isolated |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 04/02/2008 | 05/17/2008 | Minimal harm or potential for actual harm | Pattern |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and give out food in a safe and clean way. | 04/02/2008 | 05/17/2008 | Minimal harm or potential for actual harm | Widespread |
Inspection, 04/05/2007
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that staff members wash their hands when needed. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Isolated |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Widespread |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that residents are well nourished. | 04/05/2007 | 05/16/2007 | Potential for minimal harm | Widespread |
| Store, cook, and give out food in a safe and clean way. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Widespread |
Pharmacy Service Deficiencies |
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| 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. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Pattern |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Isolated |
| Give professional services that meet a professional standard of quality. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Pattern |
| Give professional services that follow each resident's written care plan. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Isolated |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Isolated |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Isolated |
| Make sure that each resident's nutritional needs were met. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Isolated |
Resident Assessment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Pattern |
| Check and update (if needed) each resident's assessment every 3 months. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Isolated |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | 04/05/2007 | 05/16/2007 | Potential for minimal harm | Widespread |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Isolated |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | 04/05/2007 | 05/16/2007 | Potential for minimal harm | Pattern |
| Provide services to meet the needs and preferences of each resident. | 04/05/2007 | 05/16/2007 | Minimal harm or potential for actual harm | Isolated |
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 | 88 | 40 | 12 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
1 hour 25 minutes | 2 hours 30 minutes | 2 hours 5 minutes |
|
RN Hours per Resident per Day |
35 minutes | 1 hour 42 minutes | 1 hour 39 minutes |
|
LPN/LVN Hours per Resident per Day |
49 minutes | 48 minutes | 26 minutes |
|
CNA Hours per Resident per Day |
2 hours 24 minutes | 3 hours 42 minutes | 4 hours 41 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 | Not Available |
| Percent of long-stay residents who are more depressed or anxious | 21% |
| Percent of long-stay residents who had a urinary tract infection | 3% |
| Percent of long-stay residents who have moderate to severe pain | 2% |
| Percent of long-stay residents who have/had a catheter inserted and left in their bladder | 12% |
| Percent of long-stay residents who spend most of their time in bed or in a chair | 12% |
| 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 | 9% |
| 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: 03/27/2009
| Automatic Sprinkler Systems in all required areas | fully sprinklered |
| Date of last standard fire safety inspection: | 03/27/2009 |
| Dates of Complaint Investigations: | 01/01/2009 - 12/31/2009 |
| Total number of Fire Safety Deficiencies for this nursing home: | 5 |
| Average number of Fire Safety Deficiencies in AK: | 0 |
| Average number of Fire Safety Deficiencies in US: | 4 |
| Range of Fire Safety Deficiencies in AK: | 0 - 0 |
Building Service Equipment Deficiencies |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
Inspection, 04/01/2008
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 04/01/2008 | 05/16/2008 | Minimal harm or potential for actual harm | Isolated |
Emergency Plans and Fire Drills Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| record of quarterly fire drills for each shift under varying conditions. | 04/01/2008 | 05/16/2008 | Minimal harm or potential for actual harm | Widespread |
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. | 04/01/2008 | 05/16/2008 | Minimal harm or potential for actual harm | Pattern |
| properly sized and located linen or trash receptacles. | 04/01/2008 | 05/16/2008 | Minimal harm or potential for actual harm | Isolated |
Smoking Regulations Deficiencies |
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| 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. | 04/01/2008 | 05/16/2008 | Minimal harm or potential for actual harm | Isolated |
Inspection, 04/05/2007
Automatic Sprinkler Systems Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| an approved automatic sprinkler system connected to the fire alarm system. | 04/05/2007 | 05/21/2007 | Minimal harm or potential for actual harm | Pattern |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| corridor and hallway doors that block smoke. | 04/05/2007 | 04/16/2007 | Minimal harm or potential for actual harm | Isolated |
Electrical Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| properly installed electrical wiring and equipment. | 04/05/2007 | 04/06/2007 | Minimal harm or potential for actual harm | Isolated |
Exits and Egress Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| exits that are accessible at all times. | 04/05/2007 | 04/05/2007 | Minimal harm or potential for actual harm | Isolated |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | 04/05/2007 | 04/05/2007 | Minimal harm or potential for actual harm | Isolated |
| smoke barrier doors that can resist smoke for at least 20 minutes. | 04/05/2007 | 05/21/2007 | Minimal harm or potential for actual harm | Isolated |
| proper construction of ducts through walls designed to prevent smoke passage. | 04/05/2007 | 04/09/2007 | Minimal harm or potential for actual harm | Isolated |
