Peacehealth Hospice
A hospice in Ketchikan, Alaska 99901
212 Carlanna Lake Rd Ste 100, Ketchikan, Alaska 99901. (907) 228-7600.
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The short answer
Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.
- 9 deficiencies cited in the last three years
- Not rated family caregiver rating
- 9of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Mar 27, 2026: a reaccreditation inspection by The Joint Commission.
9 deficiencies cited in the last three years.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
When those deficiencies happened
9 deficiencies in 1 month of the last 36. Last cited Mar 2026. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Mar 27, 2026: reaccreditation inspection by The Joint Commission9 deficiencies
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EP Training Program (42 CFR 418.113(d)(1)(iii))
“Observed in Tracer Activities. From review of VOL#1 and discussion with the volunteer coordinator it was determined that there was not a process in place to provide emergency preparedness training at least every 2 years as required by the standard or every year as required by organization policy. This was reviewed with the volunteer coordinator.”
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Exercise of rights/respect for proprty/person (42 CFR 418.52(b)(1)(i))
“Observed in Record Review. In 1 of 2 records reviewed of live discharged patients, there was no evidence of the required Medicare Notice of Non Coverage being provided at the time of planned discharge. From the review of RRNHV#2 it was noted that there was no documented Notice of Medicare Non Coverage included in the discharged record at the time of surveyor review. This was confirmed by the accreditation manager who reviewed the record with the surveyor.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 3 of 12 patient records reviewed, the initial bereavement risk assessment was not conducted within the first 5 days of hospice care. In HV#1, NHV#6, and NHV#9 the initial bereavement risk assessment was not completed as part of the initial comprehensive hospice assessment. This was confirmed by the hospice administrator who reviewed the records with the administrator.”
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Content of plan of care (42 CFR 418.56(c)(2))
“Observed in Record Review. In 4 of 12 patient records reviewed, the hospice plan of care included prn frequency orders without routine ordered visits. In HV#1, HV#3, NHV#1, and NHV#6 the MSW frequency orders only included prn visit orders, there were no routine visits orders for MSW. This was confirmed by the hospice administrator.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Record Review. In 1 of 12 patient records reviewed, the medication order was incomplete. In HV#1 the Lorazepam order was written as, Lorazepam 1-2 tablets (0.5mg-1 mg) every 4 hours as needed for anxiety or dyspnea without direction for when to take 1 or when to take 2 tablets. This was confirmed by the Administrator who reviewed the record with the surveyor.”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Record Review. In 1 of 12 patient records reviewed, the frequency of visit orders were not followed. In HV#2 there was 1 MSW visit ordered over a 60 day period in January to March 2026 and there were no MSW visits made and no missed visit notes included in the record. This was confirmed by the accreditation manager who reviewed the record with the surveyor.”
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Education (42 CFR 418.60(c))
“Observed in Tracer Activities. From review of VOL#1 and from discussion with the volunteer coordinator it was determined that there was not a process to provide the required annual infection control training to the volunteer staff. From review of VOL#1 record the infection control training for 2025 was limited to a hand hygiene question on a written test as reported by the volunteer coordinator”
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Training (42 CFR 418.100(g)(3))
“Observed in Competency Session. In 1 of 10 HR files reviewed, it was determined that the competencies required of the volunteer coordinator had not been defined. From review of HR#2, the volunteer coordinator, it was determined that the competencies to be assessed of the volunteer coordinator had not been defined in order for the competency assessments to be documented. This was reviewed with the manager of accreditation.”
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Authentication (42 CFR 418.104(b))
“Observed in Tracer Activities. From discussion with the volunteer coordinator it was determined that the process for documenting volunteer visit notes was for the volunteer coordinator to transcribe their notes into the electronic medical record. There was no authentication of the transcription by the volunteer(s). This process was confirmed from review of NHV#5 volunteer notes that had been transcribed without authentication of the volunteer author.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 27, 2026 | Reaccreditation inspection by The Joint Commission | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since May 3, 2023.
- CMS doesn’t list its type of ownership.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 11.2 nurse care minutes per routine home care day, 5.4% of skilled nursing minutes at weekends and a visit near death for 90.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 81% at home, 15% in assisted living, 1% in a skilled nursing facility, 3% in an inpatient hospice.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 11.2 min |
| Skilled nursing minutes at weekends | 5.4% |
| Visits near death | 90.5% of patients who died |
Who owns it?
- Peacehealth owns 100% directly since Jan 1, 1984.
- 23 owners or officers are people: Charlotte Virgia Davenport (corporate director, 0%); Ione S Adams (corporate director, 0%); Leonard W Kearney (corporate director, 0%); Thomas Karnes (corporate officer, 0%); Lorraine Arvin (corporate director, 0%); Danny W Hollingshead (corporate director, 0%); Richard Harry Wollenberg (corporate director, 0%); Timothy Ackman (corporate director, 0%); Carolyn Aaron (corporate director, 0%); Arthur Craig Springer II (corporate officer, 0%); Linda Lea Jackson (corporate director, 0%); Elizabeth V Dunne (corporate director, 0%); Richard E Magnuson (corporate officer, 0%); Deleesa Meashintubby (corporate director, 0%); Mary Mcwilliams (corporate director, 0%); Kathleen Lee Pruitt (corporate director, 0%); Sarah Marie Ness (corporate officer, 0%); Andrea C Nenzel (corporate director, 0%); Christine Palmer (managing employee (on the payroll), 0%); Christine Palmer (runs it (operational or managerial control), 0%); Landon Roussel (managing employee (under contract), 0%); Landon Roussel (runs it (operational or managerial control), 0%); Donna King (corporate director, 0%).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Peacehealth | Owns 5% or more directly | 100% | Jan 1, 1984 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | Not rated |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 9 of 10 |
How does it compare nearby?
- There aren’t enough hospices serving patients in ZIP code 99901 to compare.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Peacehealth Hospice This hospice | 9 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.