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Peacehealth Ketchikan Medical Center Home Health

(907) 228-7600212 Carlanna Lake Road Suite 100, Ketchikan, AK 99901
CMS Certification Number 027014 · Non-Profit · Medicare-certified since 03/04/1993
10deficiencies since 2018
0serious
2inspections
3.5CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2022-02-25

· Recertification · 2 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The agency failed to ensure the skilled nurse had provided care and services in accordance with the plan of care and physician orders for 1 of 10 records reviewed (#5).

Source: CMS Form 2567, inspection 2022-02-25, tag G0572 · view on CMS
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Minor Contact Info Federal/State-Funded Entities

The home health agency failed to advise the patients and their representatives of the names, addresses and telephone numbers of the following Federally - funded and state - funded entities that serve the area where the patient resides: 1. Area on Agency, 2. Center for Independent Living, 3.…

Source: CMS Form 2567, inspection 2022-02-25, tag G0446 · view on CMS
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Inspection 2019-05-13

· Recertification · 8 deficiencies · CMS source report (PDF)
Moderate Plan Based On All Hazards Risk Assessment

The agency failed to ensure the emergency preparedness (EP) plan documented an agency-based and community-based risk assessment, utilizing an all hazards approach and included strategies for addressing emergency events which were identified by the assessment.

Source: CMS Form 2567, inspection 2019-05-13, tag E0006 · view on CMS
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Moderate Ep Program Patient Population

The agency failed to ensure the emergency preparedness (EP) plan addressed their patient population, including at-risk patients, types of services the agency can provide during an emergency, and continuity of operations, including delegations of authority and succession plans for the agency.

Source: CMS Form 2567, inspection 2019-05-13, tag E0007 · view on CMS
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Moderate Homebound Hha/Hospice Inform Ep Officials

The agency emergency preparedness plan failed to include policies and procedures for notification of State and local emergency preparedness officials of the need for patient evacuations during times of emergency.

Source: CMS Form 2567, inspection 2019-05-13, tag E0019 · view on CMS
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Moderate Hha- Procedures For Follow Up Staff/Pts.

The agency Emergency Preparedness (EP) plan failed to establish written policies and/or procedures to ensure follow up with on-duty staff and patients to determine services would continue or would be provided, in the event of an interruption in services during or due to an emergency.

Source: CMS Form 2567, inspection 2019-05-13, tag E0021 · view on CMS
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Moderate Names And Contact Information

The agency failed to ensure the Emergency Preparedness (EP) communication plan included names and contact information for staff, entities providing services under arrangement, patients' physicians, and volunteers.

Source: CMS Form 2567, inspection 2019-05-13, tag E0030 · view on CMS
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Moderate Primary/Alternate Means For Communication

The agency failed to ensure the emergency preparedness (EP) communication plan included a primary and alternative means of communication with Federal, State, tribal, regional, local emergency management agencies and facility staff.

Source: CMS Form 2567, inspection 2019-05-13, tag E0032 · view on CMS
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Moderate Methods For Sharing Information

The agency failed to ensure the emergency preparedness (EP) communication plan contained the following: 1) a method for sharing information and medical documentation for patients under the agencies care, as necessary, with other health providers to maintain the continuity of care, and 2) a means of…

Source: CMS Form 2567, inspection 2019-05-13, tag E0033 · view on CMS
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Moderate Ep Training Program

The agency failed to ensure emergency preparedness training was provided to all staff upon hire and annually, maintain documentation of emergency preparedness training and demonstrated staff knowledge of emergency procedures.

Source: CMS Form 2567, inspection 2019-05-13, tag E0037 · view on CMS
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