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Yukon Kuskokwim Elder's Home

Summary: Yukon Kuskokwim Elder's Home is located in Bethel, Alaska. It was first approved by Medicare and Medicaid to provide nursing home services on 2014-04-10. It currently has 18 certified beds and 18 residents in the certified beds. Yukon Kuskokwim Elder's Home earned a 2-star overall rating in the lasted Medicare and Medicaid Health Inspections (2015-08-01) [1]. See following table for more details.

Information of Yukon Kuskokwim Elder's Home

Nursing Home Profile
Address 1100 CHIEF EDDIE HOFFMAN HWY, PO BOX 528, Bethel, AK 99559
Phone 907-543-6782
Number Certified Beds / Residents in Certified Beds 18 / 18
Certification Medicare and Medicaid
Ratings
Overall Rating ★★ ☆☆☆ (2)  
Health Inspection Rating ☆☆☆☆ (1)
Quality Rating ★★★ ☆☆ (3)
Staffing Rating ★★★★★ (5)
RN Staffing Rating ★★★★★ (5)
Staff and Nurse Hour Statistics
Reported CNA Staffing Hours per Resident per Day 3.43611
Reported LPN Staffing Hours per Resident per Day 2.05833
Reported RN Staffing Hours per Resident per Day 1.12500
Reported Licensed Staffing Hours per Resident per Day 3.18333
Reported Total Nurse Staffing Hours per Resident per Day 6.61944
Reported Physical Therapist Staffing Hours per Resident Per Day 0.00000
Expected CNA Staffing Hours per Resident per Day 2.32115
Expected LPN Staffing Hours per Resident per Day 0.56969
Expected RN Staffing Hours per Resident per Day 0.72542
Expected Total Nurse Staffing Hours per Resident per Day 3.61625
Adjusted CNA Staffing Hours per Resident per Day 3.63234
Adjusted LPN Staffing Hours per Resident per Day 2.99886
Adjusted RN Staffing Hours per Resident per Day 1.15878
Adjusted Total Nurse Staffing Hours per Resident per Day 7.37844
Notes: CNA=Certified nurse attendant;   LPN=Licensed practical nurse
Health Deficiencies & Scores
Cycle 1 Total Number of Health Deficiencies 16
Cycle 1 Number of Standard Health Deficiencies 16
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 293
Cycle 1 Standard Survey Health Date 2014-11-20
Cycle 1 Number of Health Revisits 1
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 293
Cycle 2 Total Number of Health Deficiencies 27
Cycle 2 Number of Standard Health Deficiencies 24
Cycle 2 Number of Complaint Health Deficiencies 3
Cycle 2 Health Deficiency Score 359
Cycle 2 Standard Survey Health Date 2013-11-01
Cycle 2 Number of Health Revisits 2
Cycle 2 Health Revisit Score 180
Cycle 2 Total Health Score 539
Cycle 3 Total Number of Health Deficiencies .
Cycle 3 Number of Standard Health Deficiencies .
Cycle 3 Number of Complaint Health Deficiencies .
Cycle 3 Health Deficiency Score .
Cycle 3 Standard Survey Health Date
Cycle 3 Number of Health Revisits .
Cycle 3 Health Revisit Score .
Cycle 2 Total Health Score .
Total Weighted Health Survey Score 391.400
Complaints, Fines & Penalties
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 1
Number of Fines 2
Total Amount of Fines in Dollars 10400
Number of Payment Denials 0
Total Number of Penalties 2
Facility Information
Ownership Non profit - Corporation
Date First Approved to Provide Medicare and Medicaid 2014-04-10
Provider Resides in Hospital NO
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%
Yukon-kuskokwim Health CorporationOperational/managerial ControlOrganizationn/a
Alexie, SamDirectorIndividualn/a
Alstrom, RaymondDirectorIndividualn/a
Ayunerak, MaryDirectorIndividualn/a
Ayunerak, PaulaDirectorIndividualn/a
Charlie, JamesDirectorIndividualn/a
David, DavidDirectorIndividualn/a
Deacon, MarvinDirectorIndividualn/a
Evan, MildredDirectorIndividualn/a
Hoffman, StanleyDirectorIndividualn/a
John, PaulDirectorIndividualn/a
Landlord, JamesDirectorIndividualn/a
Larson, ChrisDirectorIndividualn/a
Nicori, JamesDirectorIndividualn/a
Sipary, JamesDirectorIndividualn/a
Snyder, HughDirectorIndividualn/a
Stewart, BillyjeanDirectorIndividualn/a
Tall, PatrickDirectorIndividualn/a
Turner, BettyDirectorIndividualn/a
Twitchell, EsaiDirectorIndividualn/a
Ulak, ByronDirectorIndividualn/a
Watson, GlenDirectorIndividualn/a
Dovolos, ConstaninosManaging EmployeeIndividualn/a
Peltola, EugeneManaging EmployeeIndividualn/a
Winkleman, DanielManaging EmployeeIndividualn/a