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Providence Kodiak Island Med Ltc

Kodiak, AK, 99615

1915 E Rezanof Drive

Telephone 9074867800

CMS certification number (CCN) 025030

Ownership, as reported by CMS: Non profit - Corporation

Last verified: 2026-09-29

Audience

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Professional snapshot

What am I walking into if I work here? CareRecon shows the evidence. You make the decision.

Facility scale

Certified beds
22
Average number of residents per day
21.5

Measurement period: 2026-01-01 through 2026-03-31

Workforce hours

Reported total nurse staffing hours per resident per day
Not reported in this source
Reported RN hours per resident per day
Not reported in this source
Reported LPN hours per resident per day
Not reported in this source
Reported nurse aide hours per resident per day
Not reported in this source

Weekend RN hours and weekend total nurse hours are listed in the workforce section, not in this snapshot.

Stability

Total nursing staff turnover
34.1

Measurement period: 2025-01-01 through 2025-12-31

RN turnover
44.4

Measurement period: 2025-01-01 through 2025-12-31

Administrators who left
Not reported in this source

CMS regulatory history is in this record. It is listed below as separate inspections, deficiencies, penalties, and survey summaries. This is not a regulatory score.

Provider Information processing date: 2026-08-01. The Provider Information processing date is separate from the staffing period and the turnover period.

Source: CMS Provider Information (4pq5-n9py). Periods above are the stored measurement dates, not the processing date.

“Not reported in this source” is not zero, not none, and not a finding about this facility.

Workforce snapshot

These are reported hours per resident per day, not nurse-to-patient ratios.

“Not reported in this source” is not zero, not none, and not a finding about this facility.

Census

Certified beds
22

Why this may matter

Bed count reported for this nursing home on the CMS snapshot.

Number of certified beds on the CMS Provider Information file. This is not available beds and not a daily census.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Average number of residents per day
21.5

Measurement period: 2026-01-01 through 2026-03-31

Why this may matter

Resident census CMS used with the staffing hours for this period.

CMS census for the staffing measurement period. This is not current occupancy and not available beds.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Reported hours

Reported total nurse staffing hours per resident per day
Not reported in this source
Reported RN hours per resident per day
Not reported in this source
Reported LPN hours per resident per day
Not reported in this source
Reported nurse aide hours per resident per day
Not reported in this source
Reported RN hours per resident per day on the weekend
Not reported in this source
Reported total nurse staff hours per resident per day on the weekend
Not reported in this source

Workforce stability

Historical measures give context and do not predict an individual’s experience.

Administrators who left is a count, not a turnover rate.

“Not reported in this source” is not zero, not none, and not a finding about this facility.

Total nursing staff turnover
34.1

Measurement period: 2025-01-01 through 2025-12-31

Why this may matter

CMS-reported nursing staff turnover for this period, as staffing-stability context.

Turnover figure CMS reported for the turnover period. CareRecon does not recalculate it and does not treat it as a rating.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

RN turnover
44.4

Measurement period: 2025-01-01 through 2025-12-31

Why this may matter

CMS-reported RN turnover for this period, as staffing-stability context.

RN turnover figure CMS reported for the turnover period. CareRecon does not recalculate it and does not treat it as a rating.

Source: CMS Provider Information (4pq5-n9py)

Last update: 2026-09-29; CMS processing date 2026-08-01

Administrators who left
Not reported in this source

Regulatory history

Inspections, health deficiencies, fire-safety findings, survey-summary counts, and penalties are separate CMS records. A deficiency is not proof of ongoing unsafe conditions. A penalty is not a deficiency. An inspection is not a deficiency.

A complaint-survey mark means CMS reported that the deficiency came from a complaint survey. It does not say the complaint was substantiated. Standard survey is shown only when CMS reported yes or no for that deficiency.

Inspections

Survey dates and survey types reported by CMS. An inspection date is not a deficiency.

  • Fire Safety Standard · 2025-12-05

    Survey cycle 1

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Standard · 2025-12-05

    Survey cycle 1

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Fire Safety Standard · 2024-11-22

    Survey cycle 2

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Standard · 2024-11-22

    Survey cycle 2

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Fire Safety Standard · 2023-09-22

    Survey cycle 3

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Health Standard · 2023-09-22

    Survey cycle 3

    Source: CMS Inspection Dates (svdt-c123). Last update: 2026-09-29; CMS processing date 2026-08-01.

Health deficiencies

Health citations from the CMS health deficiencies file. A deficiency is not proof of ongoing unsafe conditions.

  • Tag 0550 · 2025-12-05

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    • Survey type: Health
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0605 · 2025-12-05

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0607 · 2025-12-05

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    • Survey type: Health
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0656 · 2025-12-05

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    • Survey type: Health
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0676 · 2025-12-05

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    • Survey type: Health
    • Scope and severity code: E
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0684 · 2025-12-05

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0699 · 2025-12-05

    Provide care or services that was trauma informed and/or culturally competent.

    • Survey type: Health
    • Scope and severity code: D
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0732 · 2025-12-05

    Post nurse staffing information every day.

    • Survey type: Health
    • Scope and severity code: C
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Health Deficiencies (r5ix-sfxw). Last update: 2026-09-29; CMS processing date 2026-08-01.

Showing the 8 most recent rows in this snapshot. 26 rows are indexed.

Fire-safety findings

Fire-safety citations. These are not health deficiencies.

  • Tag 0015 · 2025-12-05

    Address subsistence needs for staff and patients.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0300 · 2025-12-05

    Meet other general requirements that are deficient.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0712 · 2025-12-05

    Have simulated fire drills held at unexpected times.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0921 · 2025-12-05

    Ensure that testing and maintenance of electrical equipment is performed.

    • Survey type: Fire Safety
    • Scope and severity code: E
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0923 · 2025-12-05

    Have proper medical gas storage and administration areas.

    • Survey type: Fire Safety
    • Scope and severity code: E
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2026-01-19

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0345 · 2024-11-22

    Have approved installation, maintenance and testing program for fire alarm systems.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-01-05

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0351 · 2024-11-22

    Install an approved automatic sprinkler system.

    • Survey type: Fire Safety
    • Scope and severity code: F
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-01-05

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Tag 0920 · 2024-11-22

    Ensure proper usage of power strips and extension cords.

    • Survey type: Fire Safety
    • Scope and severity code: E
    • Complaint survey: No
    • Standard survey: Yes
    • Infection-control inspection deficiency: No
    • Deficiency corrected, as reported by CMS: Deficient, Provider has date of correction
    • Correction date: 2025-01-05

    Source: CMS Fire Safety Deficiencies (ifjz-ge4w). Last update: 2026-09-29; CMS processing date 2026-08-01.

Showing the 8 most recent rows in this snapshot. 15 rows are indexed.

Survey summary

Category totals from the CMS survey summary. These counts are not the citation list.

  • Inspection cycle 1

    Counts from the CMS survey summary. A count is not a citation narrative.

    • Health survey date: 2025-12-05
    • Fire-safety survey date: 2025-12-05
    • Health deficiencies in this survey summary: 11
    • Fire-safety deficiencies in this survey summary: 5
    • Infection-control deficiencies in this survey summary: 0

    Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Inspection cycle 2

    Counts from the CMS survey summary. A count is not a citation narrative.

    • Health survey date: 2024-11-22
    • Fire-safety survey date: 2024-11-22
    • Health deficiencies in this survey summary: 6
    • Fire-safety deficiencies in this survey summary: 3
    • Infection-control deficiencies in this survey summary: 1

    Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.

  • Inspection cycle 3

    Counts from the CMS survey summary. A count is not a citation narrative.

    • Health survey date: 2023-09-22
    • Fire-safety survey date: 2023-09-22
    • Health deficiencies in this survey summary: 9
    • Fire-safety deficiencies in this survey summary: 7
    • Infection-control deficiencies in this survey summary: 1

    Source: CMS Survey Summary (tbry-pc2d). Last update: 2026-09-29; CMS processing date 2026-08-01.

Job openings, pay, shifts, satisfaction, reviews, and workplace scores are not in this record. That is a limit of the catalog, not a finding about this facility.

Where this data came from

Source
CMS
Dataset
Provider Information
Last verified
2026-09-29
CMS dataset modified
2026-08-01

Last verified is when CareRecon last included this facility in a successful CMS import. It is not a CMS endorsement of CareRecon. Empty sections are omitted. Missing source values are not shown as “no” or “not offered.”

About the data

Other Nursing homes / skilled nursing facilities in this state

Same-type listings from this state directory, in alphabetical order. Distance is not calculated. This is not a similarity score or a recommendation.

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