Ketchikan Med Ctr New Horizons Transitional Care
3100 Tongass Avenue · Ketchikan, AK · 99901 · 9072255171
29 certified beds Non profit - Corporation Hospital-based
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · D September 9, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected December 5, 2025 · Resident Rights
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Potential for harm · F September 9, 2025 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected December 5, 2025 · Resident Rights
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Potential for harm · F September 9, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F September 9, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F September 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 9, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 9, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected December 5, 2025 · Quality of Life and Care
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Potential for harm · F September 9, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected December 5, 2025 · Nursing and Physician Services
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Potential for harm · F September 9, 2025 · found via complaint
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected December 5, 2025 · Administration
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Potential for harm · F September 9, 2025 · found via complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected December 5, 2025 · Nursing and Physician Services
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Potential for harm · E February 28, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 15, 2024
Provide activities to meet all resident's needs.
Corrected April 12, 2024 · Quality of Life and Care
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Potential for harm · D March 15, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected April 12, 2024 · Quality of Life and Care
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No harm found · C March 15, 2024
Post nurse staffing information every day.
Corrected April 12, 2024 · Nursing and Physician Services
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Potential for harm · D December 5, 2022
Reasonably accommodate the needs and preferences of each resident.
Corrected January 19, 2023 · Resident Rights
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Potential for harm · E December 5, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 19, 2023 · Resident Rights
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Potential for harm · F December 5, 2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 19, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2022
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected January 19, 2023 · Resident Rights
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Potential for harm · D December 5, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 19, 2023 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2022
Provide or obtain dental services for each resident.
Corrected January 19, 2023 · Quality of Life and Care
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Potential for harm · D December 5, 2022
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected January 19, 2023 · Nutrition and Dietary
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Potential for harm · F December 5, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 19, 2023 · Nutrition and Dietary
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Potential for harm · D December 5, 2022
Provide and implement an infection prevention and control program.
Corrected January 19, 2023 · Infection Control
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Potential for harm · E December 5, 2022
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected January 19, 2023 · Administration
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No harm found · C December 5, 2022
Give residents a notice of rights, rules, services and charges.
Corrected January 19, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 025010 · certified since July 1, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.