Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Wrangell Medical Center Ltc during CMS and state inspections, most recent first.
A resident’s care plan was not revised to reflect a new PTSD diagnosis. The MDS listed chronic PTSD as an active diagnosis, but LTC care conference notes did not discuss it and the care plan had no related problem, outcomes, or interventions. The resident reported that loud noises triggered war-related memories, and the DON stated she was unaware of the resident’s specific PTSD triggers and confirmed the diagnosis should have been incorporated into the care plan.
Missed Mealtime Insulin Administration: A resident with DM, mild dementia, and anemia missed 74 ordered mealtime sliding scale insulin doses because staff documented the doses as not given due to the resident being asleep or due to nursing judgment. A nurse stated the facility would hold meds when the resident was sleeping and referenced an order that could not be produced in the EHR. The MAR and BG records showed repeated elevated BG readings during missed insulin opportunities, and the facility policy identified mealtime insulin as time-critical medication.
Care Plan Not Updated for Resident’s PTSD Diagnosis
Penalty
Summary
The facility failed to update and revise the care plan for one sampled resident after a new diagnosis of chronic PTSD was entered into the record. Resident #5 was admitted with diagnoses including hemiplegia and hemiparesis following a cerebral infarction. Record review showed a diagnosis of chronic PTSD first entered on 9/10/25, and a second PTSD diagnosis later entered on 2/25/26. The quarterly MDS assessment dated 12/8/25 listed PTSD, chronic, as an active diagnosis, and that diagnosis remained on subsequent assessments. Review of the resident’s quarterly LTC care conference notes from 9/24/25, 12/25/25, and 3/9/26 showed no discussion of the PTSD diagnosis. The care plan, last reviewed on 3/5/26, did not include a problem, outcomes, or interventions related to PTSD. During interview, the resident stated that loud noises such as doors slamming or the snow removal machine outside the room triggered memories of mortar shells and rockets from the war. The DON stated she was unaware of the resident’s specific PTSD triggers and confirmed the diagnosis should have been incorporated into the care plan.
Missed Mealtime Insulin Administration
Penalty
Summary
The facility failed to provide pharmaceutical services to ensure that one resident with diabetes mellitus consistently received ordered mealtime sliding scale insulin. Resident #3 was admitted with diagnoses that included diabetes mellitus, mild dementia, and anemia, and the care plan stated that the resident required medication management daily and would be provided medications as ordered. The physician order for insulin aspart required subcutaneous administration after meals using a sliding scale based on blood glucose results. Record review showed that from 10/3/25 through 3/9/26, Resident #3 missed 74 insulin administrations. The MAR documented 72 missed doses with the rationale of "Patient Asleep" and 2 missed doses with the rationale of "Nursing Judgement." During an observation on 3/11/26 at 8:20 AM, a nurse withheld the resident's morning insulin dose and stated that the facility's process was to document the medication as not administered when the resident was sleeping. The nurse also stated there was a physician communication order allowing medications to be held if the resident was asleep, but could not produce documentation supporting that statement in the EHR. Review of the blood glucose records in relation to the missed insulin opportunities showed elevated readings during the periods when insulin was not administered, including multiple values above the ordered sliding scale thresholds. The resident stated that the insulin was very important and expected to be woken up when it was due. The facility policy identified mealtime insulin as time-critical medication and required administration within 30 minutes of the intended time, and the nursing standard required documentation of the reason when a medication was not administered.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Wrangell
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| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Petersburg Medical Center Ltc | 33.2 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.