General Information: WRANGELL MEDICAL CENTER LTC
Nursing home name WRANGELL MEDICAL CENTER LTC
AddressP.O. BOX 1081
WRANGELL, AK 99929
Phone number (907) 874-7000
Located within a hospital No
Type of ownership Government - City
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils None
Certified number of beds 15
Total number of residents 11
Perc of occupied beds 73
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: WRANGELL MEDICAL CENTER LTC
Overall rating 3
3
Nursing Home Staffing 5
5
Registered Nurses only 5
5
Health Inspections 2
2
Quality Measures 3
3
Nursing Home Staffing Info: WRANGELL MEDICAL CENTER LTC
National AverageAlaska AverageWRANGELL MEDICAL CENTER LTC
Overall staff rating NA NA 5
5
Registered Nurses only rating NANA 5
5
Total Number of Residents NA NA 11
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 6.91 hours 9.28 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 2.78 hours 4.26 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.95 hours 3.76 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.83 hours 0.5 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 4.13 hours 5.02 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.14 hours 0.06 hours
Health Survey: WRANGELL MEDICAL CENTER LTC
Heath Survey Summary on 2013-08-23
Total Number of Health Deficiencies 19
Scope and Severity of most Severe Health Deficiency Pattern /Immediate jeopardy to resident health or safety
Heath Survey Summary on 2012-09-14
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2011-08-11
Total Number of Health Deficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: WRANGELL MEDICAL CENTER LTC
Inspection Results: 08/23/2013
Corrected Deficiency Scope and Severity
11/15/2013 Ensure that residents are fully informed and understand their health status, care and treatments. Pattern/Minimal harm or potential for actual harm
10/07/2013 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Pattern/Minimal harm or potential for actual harm
10/07/2013 Provide proof that residents' personal money that is deposited with the nursing home is secure. Pattern/Minimal harm or potential for actual harm
09/19/2013 Allow residents to easily view the results of the nursing home's most recent inspection. Widespread/Potential for minimal harm
10/07/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
11/15/2013 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread /Minimal harm or potential for actual harm
10/07/2013 Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. Widespread /Minimal harm or potential for actual harm
10/07/2013 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread /Minimal harm or potential for actual harm
10/07/2013 Have a program that investigates, controls and keeps infection from spreading. Pattern /Immediate jeopardy to resident health or safety
10/07/2013 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
10/07/2013 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
10/07/2013 Provide resident groups or resident family groups with private space to meet. Widespread/Potential for minimal harm
11/15/2013 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern/Minimal harm or potential for actual harm
11/15/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern/Minimal harm or potential for actual harm
10/07/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
11/15/2013 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
10/07/2013 Ensure each resident receives an accurate assessment by a qualified health professional. Widespread /Minimal harm or potential for actual harm
10/07/2013 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern/Minimal harm or potential for actual harm
09/10/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
Inspection Results: 08/11/2011
Corrected Deficiency Scope and Severity
09/25/2011 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Isolated/Minimal harm or potential for actual harm
09/25/2011 Reasonably accommodate the needs and preferences of each resident. Pattern/Minimal harm or potential for actual harm
09/25/2011 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
09/25/2011 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
09/25/2011 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm

Fire Safety Survey: WRANGELL MEDICAL CENTER LTC
Fire Safety Survey Summary on 2013-08-22
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-09-13
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-08-10
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: WRANGELL MEDICAL CENTER LTC
Fire Safety Survey Results: 08/22/2013
Corrected Deficiency Severity
08/23/2013 Doors of sufficient width and proper construction in smoke barriers. Pattern/Minimal harm or potential for actual harm
09/12/2013 Emergency lighting that can last at least 1 1/2 hours. Pattern/Minimal harm or potential for actual harm
09/10/2013 An approved installation, maintenance and testing program for fire alarm systems. Pattern/Minimal harm or potential for actual harm
10/06/2013 Properly maintained smoke detectors. Pattern/Minimal harm or potential for actual harm
10/04/2013 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 09/13/2012
Corrected Deficiency Severity
11/14/2012 A written emergency evacuation plan. Widespread /Minimal harm or potential for actual harm
11/14/2012 A fire alarm system that can be heard throughout the facility. Widespread /Minimal harm or potential for actual harm
11/14/2012 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
11/14/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
11/14/2012 Proper medical gas storage and administration areas. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 08/10/2011
Corrected Deficiency Severity
09/24/2011 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
09/29/2011 A fire alarm system that can be heard throughout the facility. Widespread /Minimal harm or potential for actual harm
09/24/2011 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Pattern/Minimal harm or potential for actual harm

Resident Complaints: WRANGELL MEDICAL CENTER LTC
Date Complaint Substantiated: 07/11/2012
CorrectedCategoryDeficiencySeverity
09/10/2012Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. D
09/10/20121) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. D
Date Complaint Substantiated: 05/10/2012
CorrectedCategoryDeficiencySeverity
06/24/20121) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. E

Quality Measures: WRANGELL MEDICAL CENTER LTC
Quality Measures National Average Alaska Average WRANGELL MEDICAL CENTER LTC
Overall quality rating NA NA 3
3
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 12.7% %
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 20.1% %
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.7% %
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.3% 3.2%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 37.5% %
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 4.7% 0.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 7.6% 9.7%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 7.4% 16.1%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.6% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.8% 9.7%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 95.0% 100.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 97.2% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 12.9% %
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 42.9% %
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.8% %
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 89.5% %
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 82.2% %
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 1.2% %

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