Contact Information

PROVIDENCE KODIAK ISLAND MED LTC
1915 E REZANOF DRIVE
KODIAK, AK 99615
(907) 486-7800
Non profit - Corporation
Medicare certification date2: September 20, 1994
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  19 residents

  22 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident and Family Council

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints None
Facility reported incidents None
Number of fines 3
Number of penalties 3
Number of payment denials None

Staffing

Staffing for 19 residents Alaska Average National Average
Hours by Registered Nurse (RN) per resident per day n/a 2 hours, 2 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day n/a 41 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day n/a 4 hours, 21 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day n/a 6 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

Ownership Data Not Available



Health & Fire Inspection

Most recent health inspection: May 18, 2018; fire safety inspection: May 18, 2018

Health Deficiencies as of 05/18/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 2
Resident Assessment and Care Planning 1
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies 3
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 05/18/2018
Emergency Preparedness 5
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies None
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 1
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations 1

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See also