The home failed to protect residents’ right to organize and take part in resident and family groups. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: F
Nursing home report
KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE
KETCHIKAN, AK · Medicare-certified · 29 beds
Needs attention
Non-profit
1 of 5 overall
1 out of 5 stars overall. This facility has the lowest overall rating, with 1-star health inspection and staffing scores, though its quality measures are 4 stars and it has had no fines in the last 24 months; recent inspection issues cited resident rights and abuse/neglect protections.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: September 9, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 57%
Registered nurse turnover: 58%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—14.3%—
Residents with a fall causing major injury
10%4%Improving
Residents with pressure ulcers (bedsores)
10.3%6.8%Improving
Residents with a urinary tract infection
5%8%Worsening
Residents who lost too much weight
15%4.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—18.2%—
Residents whose ability to walk got worse
—34.6%—
Long-stay residents on antianxiety or sleep medication
20%28%Worsening
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
—21.1%—
Residents with depressive symptoms
—8.7%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
80%96%Improving
Short-stay residents given the pneumonia vaccine
—73.2%—
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: F
The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: F
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: F
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: F
Recent history
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 25.4 residents on an average day (88% of 29 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 57 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.