Ketchikan Med Ctr New Horizons Transitional Care
3100 Tongass Avenue, Ketchikan, AK 99901 · Ketchikan Gateway County · 29 certified beds · avg 25 residents/day · certified since Jul 1, 1968 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (17)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 9, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 9, 2026 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Apr 9, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 9, 2025 | F · Potential for harm, facility-wide | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint |
| Sep 9, 2025 | F · Potential for harm, facility-wide | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 9, 2025 | F · Potential for harm, facility-wide | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Sep 9, 2025 | F · Potential for harm, facility-wide | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Sep 9, 2025 | F · Potential for harm, facility-wide | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Sep 9, 2025 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint |
| Sep 9, 2025 | F · Potential for harm, facility-wide | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. · from a complaint |
| Sep 9, 2025 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Sep 9, 2025 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint |
| Sep 9, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Feb 28, 2025 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 15, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | D |
| 2025 | 11 | 0 | F |
| 2026 | 3 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Alaska avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 7.49 | 7.40 | 3.95 | top 50% in Alaska; top 1% in the U.S. |
| Registered Nurse hours | 3.59 | 2.28 | 0.69 | top 19% in Alaska; top 1% in the U.S. |
| Weekend total nurse staffing | 6.51 | 6.63 | 3.50 | top 50% in Alaska; top 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 2.70 | 1.59 | 0.48 | top 19% in Alaska; top 1% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 48.3 | 45.8 | bottom 46% in Alaska; bottom 38% in the U.S. |
| RN turnover (%) | 44.4 | 46.0 | 42.9 | top 33% in Alaska; bottom 45% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 6.79, RN 3.25, weekend 5.90. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Peacehealth | Organization | 5% or Greater Direct Ownership Interest | — | 11/25/1986 |
| Aaron, Carolyn | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Ackman, Timothy | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Adams, Ione | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Arvin, Lorraine | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Davenport, Charlotte | Individual | Corporate Director | NOT APPLICABLE | 07/01/2016 |
| Demars, Sandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/22/2021 |
| Demars, Sandra | Individual | ADP of the SNF | NOT APPLICABLE | 06/22/2021 |
| Hodges, Gerald | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/06/2025 |
| Hodges, Gerald | Individual | ADP of the SNF | NOT APPLICABLE | 10/06/2025 |
| Hollingshead, Danny | Individual | Corporate Director | NOT APPLICABLE | 06/01/2017 |
| Jackson, Linda | Individual | Corporate Director | NOT APPLICABLE | 07/15/2023 |
| Karnes, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 01/27/2023 |
| Kearney, Leonard | Individual | Corporate Director | NOT APPLICABLE | 01/01/2011 |
| King, Donna | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Magnuson, Richard | Individual | Corporate Officer | NOT APPLICABLE | 06/16/2025 |
| McWilliams, Mary | Individual | Corporate Director | NOT APPLICABLE | 09/24/2021 |
| Meashintubby, Deleesa | Individual | Corporate Director | NOT APPLICABLE | 06/30/2023 |
| Nenzel, Andrea | Individual | Corporate Director | NOT APPLICABLE | 07/01/2015 |
| Ness, Sarah | Individual | Corporate Officer | NOT APPLICABLE | 01/03/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
No other Medicare-certified nursing homes within 20 miles in the current records.
Facility data as of CMS processing date 2026-08-01. CCN 025010.