🏠About Providence Kodiak Island Med Ltc, Kodiak, AK
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Providence Kodiak Island Med Ltc is located on 1915 E Rezanof Drive in Kodiak, AK 99615. The Number of Certified Beds is 22 and the Average Number of Residents per Day is . The provider type of is Medicare and Medicaid and its legal business name is Legal Business Name Not Available.
📌Providence Kodiak Island Med Ltc Map
📍Providence Kodiak Island Med Ltc Information
- Name - Providence Kodiak Island Med Ltc
- CMS Certification Number (CCN) -
- Facility Address - 1915 E Rezanof Drive
- City - Kodiak
- State Short - AK
- State Full - Alaska
- ZIP Code - 99615
- County - Kodiak Island County
- Provider SSA County Code - 150
- Telephone Number - (907) 486-7800
🏢 Providence Kodiak Island Med Ltc Ownership and Affiliation
- Ownership Type - Non profit - Corporation
- Legal Business Name Full - Legal Business Name Not Available
- Affiliated Entity Name - 430
- Affiliated Entity ID - Providence Health & Services
- Provider Type - Medicare and Medicaid
- Continuing Care Retirement Community - N
- Provider Resides in Hospital - N
- Provider Changed Ownership in Last 12 Months - N
🛏️ Providence Kodiak Island Med Ltc Capacity and Resident Info
- Number of Certified Beds - 22
- Average Number of Residents per Day - 21.3
- Average Number of Residents per Day Footnote -
- With a Resident and Family Council - Resident
📆 Providence Kodiak Island Med Ltc Certification and History
- Date First Approved to Provide Medicare and Medicaid Services - 9/20/1994
- Special Focus Status - No Data
- Abuse Icon - N
- Most Recent Health Inspection More Than 2 Years Ago - N
🚨 Providence Kodiak Island Med Ltc Safety and Features
- Automatic Sprinkler Systems in All Required Areas - Yes
🌟 Providence Kodiak Island Med Ltc Ratings
- Overall Rating - 4
- Overall Rating Footnote - No Data
- Health Inspection Rating - 2
- Health Inspection Rating Footnote - No Data
- QM Rating - 5
- QM Rating Footnote - No Data
- Long-Stay QM Rating -5
- Long-Stay QM Rating Footnote - No Data
- Short-Stay QM Rating - No Data
- Short-Stay QM Rating Footnote - 2
👩⚕️ Providence Kodiak Island Med Ltc Staffing and Hours
- Reported Staffing Footnote - No Data
- Physical Therapist Staffing Footnote - No Data
- Reported Nurse Aide Staffing Hours per Resident per Day - 0.02303
- Reported LPN Staffing Hours per Resident per Day - 0.6096
- Reported RN Staffing Hours per Resident per Day - 1.73036
- Reported Total Nurse Staffing Hours per Resident per Day -8.10423
- Total number of nurse staff hours per resident per day on the weekend - 7.28359
- Registered Nurse hours per resident per day on the weekend - 1.07838
- Reported Physical Therapist Staffing Hours per Resident Per Day - 0.02303
🔁 Providence Kodiak Island Med Ltc Staff Turnover
- Total nursing staff turnover - 35.9
- Total nursing staff turnover footnote - No Data
- Registered Nurse turnover - 33.3
- Registered Nurse turnover footnote - No Data
- Number of administrators who have left the nursing home - No Data
- Administrator turnover footnote - 26
📊 Providence Kodiak Island Med Ltc Case-Mix Index and Adjusted Staffing
- Nursing Case-Mix Index - 1.19543
- Nursing Case-Mix Index Ratio - 0.8741
- Case-Mix Nurse Aide Staffing Hours per Resident per Day -8.2838
- Case-Mix LPN Staffing Hours per Resident per Day - 2.03142
- Case-Mix RN Staffing Hours per Resident per Day - 0.58623
- Case-Mix Total Nurse Staffing Hours per Resident per Day - 2.9916
- Adjusted Nurse Aide Staffing Hours per Resident per Day - 6.55585
- Adjusted LPN Staffing Hours per Resident per Day - 0.69331
- Adjusted RN Staffing Hours per Resident per Day - 1.96798
- Adjusted Total Nurse Staffing Hours per Resident per Day - 9.21713
- Adjusted Weekend Total Nurse Staffing Hours per Resident per Day -8.2838
📋 Providence Kodiak Island Med Ltc Inspection Cycles
- Standard Survey Health Date - 11/22/2024
- Total Number of Health Deficiencies - 64
- Number of Standard Health Deficiencies - 6
- Number of Complaint Health Deficiencies - 0
- Health Deficiency Score - 64
- Number of Health Revisits - 1
- Health Revisit Score - 0
- Total Health Score - 64
⚠️ Providence Kodiak Island Med Ltc Incidents, Complaints & Penalties
- Number of Facility Reported Incidents - 0
- Number of Substantiated Complaints - 0
- Number of Citations from Infection Control Inspections - No Data
- Number of Fines - 0
- Total Amount of Fines in Dollars - 0
- Number of Payment Denials - 0
- Total Number of Penalties - 0
🕒 Providence Kodiak Island Med Ltc Metadata
- Processing Date - 4/1/2025