PROVIDENCE KODIAK ISLAND MED LTC
1915 E REZANOF DRIVE, KODIAK, AK 99615
Provider #025030 · (907) 486-7800 · Non profit - Corporation · 22 beds
Overall
3 of 5
Health inspection
2 of 5
Staffing
Not rated
Quality measures
5 of 5
Deficiencies
0
Total fines
$0
Updated
2026-08-01
Staffing
Reported nurse hours per resident per day (HPPD) from CMS Care Compare.
RN hours
—
Total nurse hours
—
Weekend RN hours
—
Possible neglect indicators
Neutral CMS-derived signals — not a legal conclusion or case determination. See our Terms of Use.
- Health inspection rating is 2 stars or lower
Severity mix
Scope/severity codes across loaded citations.
- F12
- D9
- E4
- C1
Complaint vs standard surveys
How citations were opened in the CMS deficiency file.
- Complaint
- 0
- Standard
- 26
- Other
- 0
Inspection timeline
2025-12-05 · 11 citations
- 0699 · D · HealthQuality of Life and Care Deficiencies
- 0732 · C · HealthNursing and Physician Services Deficiencies
- 0550 · F · HealthResident Rights Deficiencies
- 0607 · F · HealthFreedom from Abuse, Neglect, and Exploitation Deficiencies
- 0656 · F · HealthResident Assessment and Care Planning Deficiencies
- 0812 · F · HealthNutrition and Dietary Deficiencies
- 0838 · F · HealthAdministration Deficiencies
- 0947 · F · HealthNursing and Physician Services Deficiencies
- 0676 · E · HealthQuality of Life and Care Deficiencies
- 0605 · D · HealthFreedom from Abuse, Neglect, and Exploitation Deficiencies
- 0684 · D · HealthQuality of Life and Care Deficiencies
2024-11-22 · 6 citations
- 0812 · F · HealthNutrition and Dietary Deficiencies
- 0727 · F · HealthNursing and Physician Services Deficiencies
- 0908 · F · HealthEnvironmental Deficiencies
- 0700 · E · HealthQuality of Life and Care Deficiencies
- 0550 · D · HealthResident Rights Deficiencies
- 0880 · D · HealthInfection Control Deficiencies
2023-09-22 · 9 citations
- 0800 · D · HealthNutrition and Dietary Deficiencies
- 0812 · F · HealthNutrition and Dietary Deficiencies
- 0881 · F · HealthInfection Control Deficiencies
- 0565 · E · HealthResident Rights Deficiencies
- 0568 · E · HealthResident Rights Deficiencies
- 0732 · F · HealthNursing and Physician Services Deficiencies
- 0604 · D · HealthFreedom from Abuse, Neglect, and Exploitation Deficiencies
- 0641 · D · HealthResident Assessment and Care Planning Deficiencies
- 0760 · D · HealthPharmacy Service Deficiencies
Penalties
- No recent penalties listed.
Related topics
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