Inaccurate Facility Assessment Documentation
Penalty
Summary
The facility failed to ensure that its facility-wide assessment was up to date and accurate, as required. Record review revealed discrepancies in the reported bed capacity and facility description. The facility assessment stated a licensed capacity of 96 residents, while the State of Alaska license indicated the facility was licensed for 50 beds. During an interview, the Director of Community Liaison confirmed the correct bed capacity was 50 beds, highlighting the inaccuracy in the assessment documentation. Additionally, the facility assessment described the physical layout as consisting of 8 cottages, 8 courtyards, and a common building, whereas the initial licensing application described the facility as a single building with two wings, each containing specific hallway and room arrangements. These inconsistencies demonstrate that the facility assessment did not accurately reflect the facility's current resources and structure, as required for both day-to-day operations and emergency preparedness.