YUKON KUSKOKWIM ELDER'S HOME
1100 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK, 99559
9075436782
CCN: 025037
2
Overall2
Health4
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
KUSKOKWIM INN
1128a1
Excluded 1995-10-10
Ownership
| Name | Role | % |
|---|---|---|
| YASKA, PATRICIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| ALOYSIUS, BONNIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| ANGAIAK, ANNA | CORPORATE DIRECTOR | NOT APPLICABLE |
| AYUNERAK, MARY | CORPORATE DIRECTOR | NOT APPLICABLE |
| BEANS, GERALDINE | CORPORATE DIRECTOR | NOT APPLICABLE |
| CHARLIE, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| CLEVELAND, DARREN | CORPORATE DIRECTOR | NOT APPLICABLE |
| DAVID, ABRAHAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| DEACON, MARVIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| HOFFMAN, STANLEY | CORPORATE DIRECTOR | NOT APPLICABLE |
| JIM, WALTER | CORPORATE DIRECTOR | NOT APPLICABLE |
| LARSON, CHRIS | CORPORATE DIRECTOR | NOT APPLICABLE |
| LEWIS, ADOLPH | CORPORATE DIRECTOR | NOT APPLICABLE |
| NICORI, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| PETER, PHILLIP | CORPORATE DIRECTOR | NOT APPLICABLE |
| PITKA, WASSILIE | CORPORATE DIRECTOR | NOT APPLICABLE |
| SIMEON, GLORIA | CORPORATE DIRECTOR | NOT APPLICABLE |
| SIPARY, JAMES | CORPORATE DIRECTOR | NOT APPLICABLE |
| TALL, PATRICK | CORPORATE DIRECTOR | NOT APPLICABLE |
| UTTEREYUK, JOHN | CORPORATE DIRECTOR | NOT APPLICABLE |
| WINKLEMAN, DANIEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| YUKON-KUSKOKWIM HEALTH CORPORATION | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HOLLANDSWORTH, JESSICA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| WINKLEMAN, DANIEL | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2025-01-31 | Fine | $10K |
Health Deficiencies (19)
2025-01-31 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
E
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F
F727 · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
E
F726 · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
E
F712 · Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
E
F700 · Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2023-12-15 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
2022-10-14 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
9.87
RN Hrs/Resident/Day0.54
2.39
LPN Hrs/Resident/Day0.81
2.55
CNA Hrs/Resident/Day2.33
4.93
PT Hrs/Resident/Day0.12
0.03
Data as of 2026-03-01