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Providence Kodiak Medical Ltc
Contact Information:
Providence Kodiak Medical Ltc
1915 E. Rezanof Drive
Kodiak, AK
Nursing Home Phone Number: (907) 486-9532
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Nursing Home Details*:
| Total Number of Beds: 19 | Percent of Occupied Beds: 100% |
| Total Number of Residents: 19 | Located Within a Hospital: Yes |
| Type of Ownership: Non profit - Corporation | Multiple Nursing Homes by Same Owner: Yes |
| Councils the Nursing Home Participates in: Family & Resident | Medicare/Medicaid: Participating in Medicare and Medicaid |
| * Details Last Reported on: 05/29/2003 |
Nursing Home Staff Information:
| Number of RN Hours per Nursing Home Resident per Day: 1.01 |
| Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.63 |
| Number of CNA Hours per Nursing Home Resident per Day: 2.57 |
| Number of Staff Hours per Nursing Home Resident per Day: 4.21 |
Nursing Home Resident Information**:
** Details Last Reported on: 5/29/2003
Nursing Home Inspection Violations:
| Date of Violation |
Date Corrected |
Type of Violation |
Deficiency |
Scope |
Level of Harm |
*** All violations listed are based on federal government records.
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