Providence Kodiak Island Med Long Term Care

Contact Information:
1915 E. Rezanof Drive
Kodiak, Alaska 99615
Phone Number: (907) 486-9532

Providence Kodiak Island Med Long Term Care Facility Information

Number of Certified Beds	19	Sprinkler Systems	Fully Sprinklered
Total Residents	18	Part of a Chain	Yes
Precent of Beds Occupied	95%	Located Within Hospital	Yes
Resident and Family Conseling	Resident & Family Counseling	Company Type	Non profit - Corporation
Medicare/Medicaid	Participating in Medicare and Medicaid

Providence Kodiak Island Med Long Term Care Nursing Home Staff

Average number of registered nurse (rn) hours per day per resident.	1.29
Average number of licensed practical or vocational nurse hours per day per nursing home resident.	0.23
Total number of hours worked by nursing staff for each resident in the nursing home.	1.52
Average number of certified nursing assistant (CNA) hours worked each week per resident.	3.16

Providence Kodiak Island Med Long Term Care Resident Information

Percent of High Risk Long Term Nursing Home Residents Who Have Pressure Sores: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Long Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Long Term Nursing Home Residents Who are More Depressed or Anxious: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Long Term Nursing Home Residents Who Have Moderate to Severe Pain: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Long Term Nursing Home Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Long Term Nursing Home Residents Who Lose Too Much Weight: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Long Term Nursing Home Residents Who Spend Most of Their Time in Bed or in a Chair: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Long Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Long Term Nursing Home Residents Who Were Physically Restrained: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Long Term Nursing Home Residents Whose Ability to Move About in and Around Their Room Got Worse: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Long Term Nursing Home Residents Whose Need for Help With Daily Activities Has Increased: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Long Term Nursing Home Residents With a Urinary Tract Infection: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Low-Risk Long Term Nursing Home Residents Who Have Pressure Sores: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Low-Risk Long Term Nursing Home Residents Who Lose Control of Their Bowels or Bladder: Not Available - This facility has too few residents at the moment to give an accurate report. Please contact the nursing home directly to obtain current information.

Percent of Short Term Nursing Home Residents Given Influenza Vaccination During the Flu Season: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report.

Percent of Short Term Nursing Home Residents Who Had Moderate to Severe Pain: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report.

Percent of Short Term Nursing Home Residents Who Were Assessed and Given Pneumococcal Vaccination: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report.

Percent of Short Term Nursing Home Residents With Delirium: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report.

Percent of Short Term Nursing Home Residents With Pressure Sores: Not Available - The nursing home has not reported this data to us. Please contact the nursing home for a current report.

Nursing Home Violations by Providence Kodiak Island Med Long Term Care

Health Violations:
Category:	Date:	Specific Violation:	Scope:	Level of Harm Caused:
Environmental Deficiencies	06/25/2004	Provide needed housekeeping and maintenance.	Widespread	Potential for minimal harm
Environmental Deficiencies	06/25/2004	Make sure that the nursing home area is free of dangers that cause accidents.	Pattern	Potential for minimal harm
Environmental Deficiencies	06/25/2004	Have a program to keep infection from spreading.	Widespread	Potential for minimal harm
Environmental Deficiencies	04/08/2005	Provide needed housekeeping and maintenance.	Isolated	Minimal harm or potential for actual harm
Environmental Deficiencies	04/08/2005	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
Pharmacy Service Deficiencies	04/08/2005	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	04/08/2005	Provide activities to meet the needs of each resident.	Pattern	Minimal harm or potential for actual harm
Quality Care Deficiencies	04/08/2005	Give professional services that meet a professional standard of quality.	Isolated	Minimal harm or potential for actual harm
Quality Care Deficiencies	04/08/2005	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Pattern	Potential for minimal harm
Quality Care Deficiencies	04/08/2005	Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion.	Isolated	Minimal harm or potential for actual harm
Resident Assessment Deficiencies	04/08/2005	Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them.	Widespread	Potential for minimal harm
Resident Assessment Deficiencies	04/08/2005	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	Pattern	Potential for minimal harm
Resident Rights Deficiencies	04/08/2005	Let residents give themselves their drugs if they are able.	Isolated	Minimal harm or potential for actual harm
Environmental Deficiencies	02/09/2006	Get rid of garbage properly.	Widespread	Potential for minimal harm
Quality Care Deficiencies	02/09/2006	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
Fire Safety Violations:
Category:	Date:	Specific Violation:	Scope:	Level of Harm Caused:
Automatic Sprinkler Systems Deficiencies	07/15/2005	automatic sprinkler systems that have been maintained in working order.	Isolated	Minimal harm or potential for actual harm
Miscellaneous Deficiencies	07/15/2005	fire safety features required by current fire safety codes.	Isolated	Actual harm
Building Service Equipment Deficiencies	03/17/2006	properly protected cooking facilities.	Isolated	Minimal harm or potential for actual harm
Electrical Deficiencies	03/17/2006	properly installed electrical wiring and equipment.	Isolated	Minimal harm or potential for actual harm
Illumination and Emergency Power Deficiencies	03/17/2006	properly located and lighted Exit signs.	Isolated	Minimal harm or potential for actual harm

Providence Kodiak Island Med Long Term Care

Providence Kodiak Island Med Long Term Care Facility Information

Providence Kodiak Island Med Long Term Care Nursing Home Staff

Providence Kodiak Island Med Long Term Care Resident Information

Nursing Home Violations by Providence Kodiak Island Med Long Term Care