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Petersburg Medical Center Ltc

Summary: Petersburg Medical Center Ltc is located in Petersburg, Alaska. It was first approved by Medicare and Medicaid to provide nursing home services on 1981-01-01. It currently has 15 certified beds and 15 residents in the certified beds. Petersburg Medical Center Ltc earned a 5-star overall rating in the lasted Medicare and Medicaid Health Inspections (2015-08-01) [1]. See following table for more details.

Information of Petersburg Medical Center Ltc

Nursing Home Profile
Address P.O. BOX 589, Petersburg, AK 99833
Phone 907-772-4291
Number Certified Beds / Residents in Certified Beds 15 / 15
Certification Medicare and Medicaid
Ratings
Overall Rating ★★★★★ (5)  
Health Inspection Rating ★★★★ (4)
Quality Rating ★★★★★ (5)
Staffing Rating ★★★★★ (5)
RN Staffing Rating ★★★★★ (5)
Staff and Nurse Hour Statistics
Reported CNA Staffing Hours per Resident per Day 4.67667
Reported LPN Staffing Hours per Resident per Day 0.75667
Reported RN Staffing Hours per Resident per Day 2.12000
Reported Licensed Staffing Hours per Resident per Day 2.87667
Reported Total Nurse Staffing Hours per Resident per Day 7.55334
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03000
Expected CNA Staffing Hours per Resident per Day 2.14478
Expected LPN Staffing Hours per Resident per Day 0.60600
Expected RN Staffing Hours per Resident per Day 0.78400
Expected Total Nurse Staffing Hours per Resident per Day 3.53478
Adjusted CNA Staffing Hours per Resident per Day 5.35027
Adjusted LPN Staffing Hours per Resident per Day 1.03636
Adjusted RN Staffing Hours per Resident per Day 2.02049
Adjusted Total Nurse Staffing Hours per Resident per Day 8.61349
Notes: CNA=Certified nurse attendant;   LPN=Licensed practical nurse
Health Deficiencies & Scores
Cycle 1 Total Number of Health Deficiencies 12
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 80
Cycle 1 Standard Survey Health Date 2015-01-22
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 80
Cycle 2 Total Number of Health Deficiencies 10
Cycle 2 Number of Standard Health Deficiencies 10
Cycle 2 Number of Complaint Health Deficiencies 0
Cycle 2 Health Deficiency Score 72
Cycle 2 Standard Survey Health Date 2013-10-25
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 72
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 52
Cycle 3 Standard Survey Health Date 2012-10-04
Cycle 3 Number of Health Revisits 1
Cycle 3 Health Revisit Score 0
Cycle 2 Total Health Score 52
Total Weighted Health Survey Score 72.667
Complaints, Fines & Penalties
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 0
Number of Fines 0
Total Amount of Fines in Dollars 0
Number of Payment Denials 0
Total Number of Penalties 0
Facility Information
Ownership Government - City
Date First Approved to Provide Medicare and Medicaid 1981-01-01
Provider Resides in Hospital YES
Continuing Care Retirement Community N
Special Focus Facility N
Changed Ownership in Last 12 Months N
With a Resident and Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Processing Date 2015-08-01

Ownership Information

Owner NameOwner RoleOwner Type%
The Petersburg Medical Center5% Or Greater Direct Ownership InterestOrganizationn/a
Kvernvik, JanetDirectorIndividualn/a
Dormer, JillOfficerIndividualn/a
Koeneman, TimothyOfficerIndividualn/a
Tejera, RocioOfficerIndividualn/a
Whitethorn, DarleneOfficerIndividualn/a
Woodyard, ElizabethOfficerIndividualn/a
Kvernvik, JanetManaging EmployeeIndividualn/a