Searhc Sitka Long Term Care runs on unusually heavy nurse staffing, 7.89 hours per resident day, roughly double the national figure, and it holds that level up on weekends, when coverage dips only about 7% below its own weekday numbers. That consistency matters in a small 19-bed home, where one absence can strain a whole shift. Staff turnover sits at 31.4%, well under the national 45.8%, so the people caring for residents tend to stay. The current inspection record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with a recent survey date of April 2026. The nonprofit ownership is worth noting too. Nothing here is flashy; the numbers just hold up.
Heritage Place sits in Soldotna with 60 certified beds and a corporate for-profit owner, and the staffing numbers are the real story here: 6.85 nurse hours per resident day, roughly 77% above the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, which is worth knowing if your family visits mainly on Saturdays and Sundays. Staff turnover runs 23.6%, well under the national 45.8%, that kind of retention usually means familiar faces. The current record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in June 2025. Quality measures rate 4 out of 5 stars, and the inspection history rates 3.
South Peninsula Hospital Ltc runs on 8.87 nurse hours per resident day, more than double the national average of 3.86, and its weekend staffing only dips about 10% below weekday levels. Staff turnover sits at 36.8%, lower than the 45.8% national figure, and the home carries six deficiencies with none at the harm or jeopardy level and none related to abuse. A 5/5 inspection rating, a 4/5 on quality measures, and a September 2025 inspection round out a record that's unusually clean for a 28-bed city-run home in Homer.
Wrangell Medical Center's long-term care unit runs 7.91 nurse hours per resident day, roughly double the national figure of 3.86. That kind of staffing depth is rare anywhere, and it matters more in a place as remote as Wrangell, where bringing in backup isn't quick. Weekend coverage drops about 17% below its own weekday level, so families should ask how that gap gets filled. Turnover sits at 45.2%, essentially the national rate, and the current record shows six deficiencies with none at harm or jeopardy level and nothing abuse-related. The last inspection was March 2026, so the picture is recent. For 18 residents, that staffing ratio is the story.
Maple Springs Of Wasilla runs 5.06 total nurse hours per resident day, about 31% above the national average of 3.86, and its staff turnover of 35.9% beats the national 45.8%, a meaningful edge in a field where replacing caregivers constantly wears a building down. Weekend coverage dips roughly 12% below weekdays, so ask how that plays out on a Saturday night. The 34 deficiencies on record carry no harm or jeopardy findings and nothing abuse-related, and the most recent inspection was July 2025. A for-profit limited liability company owns it, which is worth knowing when you ask about spend on direct care versus everything else.
Wildflower Court is run by the City and Borough of Juneau, and its staffing reflects that public backing: 7.23 nurse hours per resident day, roughly 87% above the national average of 3.86, with weekends dipping only about 6% below its own weekday levels. Turnover sits at 45.7%, essentially identical to the national 45.8%, no better, no worse. The trade-off shows up in its record: 28 deficiencies, though none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated June 12, 2026. For a family weighing constant nursing presence against paperwork problems that haven't hurt anyone, the numbers point toward the care itself being the stronger part of this home.
Denali Center runs 5.36 nurse hours per resident day, roughly 39 percent above the national average, and weekends dip about 13 percent below its own weekday level, a real drop, though the floor stays higher than most places. The tradeoff shows up in inspections: 30 deficiencies on the current record, including one at harm or jeopardy level and three tied to abuse, with a $10,358 fine and a January 2026 inspection date. Quality measures score 5 out of 5, which suggests the day-to-day clinical care tracks well even where the survey history doesn't.
Ketchikan Med Ctr New Horizons runs 29 certified beds as a nonprofit, and its nurse staffing sits at 6.79 hours per resident day, roughly 76% above the national average of 3.86. That's a real margin, though weekend coverage drops about 13% below its own weekday level, and annual turnover of 50% runs slightly above the national 45.8%. The health inspection side is where it gets harder to read: a 1/5 star rating, 17 deficiencies on the current record, four of them abuse-related, and none flagged at harm or jeopardy level. The last inspection was April 9, 2026. Quality measures score 3/5 and staffing 4/5, so the numbers don't point the same direction.
Yukon Kuskokwim Elder's Home runs 18 certified beds in Bethel under nonprofit ownership, and its nurse staffing sits at 9.10 hours per resident day, roughly 136% above the national average of 3.86. Weekend coverage dips only about 5% below its own weekday level, which matters in a home this small, where one absence reshapes a shift. The inspection record shows 20 deficiencies, none at the harm or jeopardy level and none abuse-related, with a single fine of $10,117 and the most recent inspection dated March 6, 2026. Staffing and quality measures each earned 4 out of 5 stars from CMS, while health inspections came in at 3.
Providence Valdez Medical Center runs a ten-bed unit owned by the city, and its nurse staffing sits at 8.55 hours per resident day, more than double the national average of 3.86. Weekend coverage drops about 14% below its own weekday levels, so the generous weekday numbers aren't quite the whole picture. Inspectors have cited 19 deficiencies on the current record, none at the harm or jeopardy level, though two are abuse-related; the most recent inspection was in May 2026. That combination of heavy staffing, a small government-run setting, and a mixed inspection history is what lands it where it does.
Providence Kodiak Island is a small, nonprofit-run home, 22 beds, and its staff turnover sits at 34.1%, notably better than the 45.8% national average, which matters in a place as remote as Kodiak, where recruiting is hard. The trade-off shows up elsewhere: 26 deficiencies on the current record, including 3 flagged as abuse-related, though none rose to the level of actual harm or jeopardy. The health inspection rating lands at 2 out of 5, while the quality measure rating is 5 out of 5, and the most recent inspection was December 2025, so the record is current. Strong clinical measures, weaker inspection history, worth asking about directly.
Quyanna Care Center is a small nonprofit home in Nome, just 18 certified beds, which in rural Alaska usually means staff know every resident by name. Its last inspection was in January 2026, so the record is recent. The 23 deficiencies on file sound like a lot until you notice none rose to harm or jeopardy level and none involved abuse. Quality measures come in at the top of the federal scale, and inspection results sit above average too. For a family weighing a move here, the real story is a place with documented paperwork problems but no evidence anyone was actually hurt by them.
Providence Seward Mountain Haven runs on a city government license and 40 certified beds, and the staffing numbers are genuinely strong: 6.27 nurse hours per resident day, roughly 62% above the national average. That's the kind of coverage that shows up in daily care. The catch is retention. Annual turnover sits at 75% against a national rate near 46%, so residents likely see a rotating cast of caregivers even though the hours are there. Twenty deficiencies on record, none at harm level, but two tied to abuse. The last inspection was September 2024. Quality and staffing each earned 4 of 5 stars from CMS; health inspection landed at 3.
Utuqqanaat Inaat runs on a remarkably high level of nursing hours, 7.61 per resident day, roughly double the national average, and that shows up in its top staffing rating. Weekends dip only slightly below weekdays, so coverage stays fairly steady. The tradeoff is retention: turnover sits near 74%, well above the national figure, meaning many of the people providing that care are still new to the building. Inspections look clean on the serious end, eight deficiencies, none causing harm and none tied to abuse, with the most recent visit in late 2025 and a strong inspection rating. Nonprofit ownership, small size, and heavy staffing define this home; the churn is the thing to ask about.
Polaris Transitional Care runs 50 beds in Anchorage under for-profit LLC ownership, and its staffing numbers cut both ways. At 4.97 nurse hours per resident day, it beats the national average of 3.86 by roughly 29%, and weekends dip only about 16% below weekdays. But that same workforce turns over at 66% a year versus 45.8% nationally, which means the people delivering those hours keep changing.
The inspection record is where the trouble sits: a 2/5 health inspection rating, 22 deficiencies on file, two at harm or jeopardy level, one tied to abuse, and a $109,382 fine. A recent November 2025 inspection is the one bright spot. Strong quality scores don't offset that pattern.
Petersburg Medical Center's long-term care unit is a 15-bed, city-run home in a town you can only reach by boat or plane, which tends to mean staff stay put and know the residents. The inspection record backs that up: a 5-star health inspection score, six deficiencies on the current record with none causing harm and none tied to abuse, and a survey completed in August 2025. Turnover data wasn't part of what we reviewed, so treat that as an open question. What holds the grade back from the top tier is quality measures sitting at 4 stars. For a small rural home, the fundamentals look sound. Ask about staffing levels on evenings and weekends, when small facilities feel a callout most.
Maple Springs Of Palmer runs lean on one side and heavy on the other. The nurse staffing number, 5.54 hours per resident day, sits about 43% above the national average, and that shows up in a four-star staffing rating. But the inspection record is where the problems live: 36 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with $46,594 in fines across two penalties. Annual turnover of 60.4% means most of the people caring for your family member weren't there a year ago, well above the 45.8% national figure. Weekend coverage also dips about 11% below weekday levels. A for-profit LLC with a one-star health inspection rating and a recent, difficult survey history.
Centennial Post Acute has some of the better nurse staffing numbers you'll see, 4.47 hours per resident day, about 16% above the national average. That's real, though weekend coverage dips roughly 10% below its own weekday level, and turnover sits at 50.4%, higher than the national 45.8%.
The inspection record is the part to pay attention to. Eighty-three deficiencies on the current record, eight serious enough to put residents in harm's way, five tied to abuse, and three fines totaling $232,502. That's a lot of regulatory history for a 102-bed for-profit home, and it's what's driving its overall grade down despite the staffing.
Cordova Community Med Ltc is a small city- or county-run home with just 10 certified beds, which matters for how you read its record. The 15 deficiencies on file sound like a lot until you notice none of them were cited at a level that caused harm or put residents in immediate jeopardy, though one did involve abuse, and that's the kind of finding worth asking about directly. Its 2-out-of-5 quality measure rating is the weaker signal here, suggesting the clinical numbers that track resident care lag behind what you'd want. The last inspection was March 2026, so the picture is fairly current.
Polaris Extended Care runs one of the more lopsided profiles you'll see in Anchorage: nurse staffing at 4.61 hours per resident day sits about 19% above the national average, and CMS gives it 5 out of 5 stars for that. But staffing is only part of the story. The health inspection record is the problem, 82 deficiencies, including 10 at the harm or jeopardy level and 5 tied to abuse, with $231,865 in fines across four penalties. Weekend staffing also drops about 16% below its own weekday level, so the coverage isn't even all week. The most recent inspection was May 2025, so this is current, not old history.