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Lanai Community Hospital

Details

Type of Ownership Government - State
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 10
Continuing Care? No
Resident Council? Yes
Family Council? Yes
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 06/23/2011

Date of last standard health inspection: 06/23/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in HI: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in HI: 0 - 4

Inspection, 02/04/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/04/2006 03/01/2008 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/04/2006 03/01/2008 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/04/2006 03/01/2008 2 Few
Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public. 02/04/2006 03/01/2008 2 Many
Keep all essential equipment working safely. 02/04/2006 03/01/2008 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 02/04/2006 03/01/2008 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/04/2006 03/01/2008 2 Few
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/04/2006 03/01/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/04/2006 03/01/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/04/2006 03/01/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/04/2006 03/01/2008 2 Few

Inspection, 02/03/2006

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/03/2006 00/03/2008 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/03/2006 00/03/2008 2 Few
Keep all essential equipment working safely. 02/03/2006 00/03/2008 1 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 02/03/2006 00/03/2008 2 Some
Provide food in a way that meets a resident's needs. 02/03/2006 00/03/2008 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/03/2006 00/03/2008 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/03/2006 00/03/2008 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/03/2006 00/03/2008 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/03/2006 00/03/2008 2 Some

Inspection, 02/09/2005

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep clinical record information safe. 02/09/2005 00/08/2007 2 Many
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/09/2005 00/08/2007 1 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 02/09/2005 00/08/2007 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 02/09/2005 00/08/2007 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/09/2005 00/08/2007 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/09/2005 00/08/2007 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 02/09/2005 00/08/2007 1 Many
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/09/2005 00/08/2007 2 Some

Nursing Home Staffing

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in HI Golden Living Center, Asheville
RN Staff Only1 N/A N/A NA
Total Number of Residents 86 75 10
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 20 hours 17 minutes 999 hours 59 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 19 hours 51 minutes 999 hours 59 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 20 hours 15 minutes 999 hours 59 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 21 hours 19 minutes 999 hours 59 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 06/22/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 06/22/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in HI: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in HI: 0 - 0

Inspection, 02/02/2006

Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/02/2006 00/03/2008 1 Many

Inspection, 02/01/2006

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/01/2006 03/01/2008 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/01/2006 03/01/2008 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/01/2006 03/01/2008 2 Many
Properly maintained smoke detectors. 02/01/2006 03/01/2008 2 Many
 

628 7th Street
Lanai City, HI 96763

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