LANAI COMMUNITY HOSPITAL

628 7TH STREET
LANAI CITY, HI, 96763
8085658450
CCN: 125023
5
Overall
5
Health
Staffing
5
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
KAISER FOUNDATION HOSPITALS5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
MILLER, STEPHENCORPORATE DIRECTORNOT APPLICABLE
GOODFELLOW, TAMARCORPORATE DIRECTORNOT APPLICABLE
HEW, MARYCORPORATE DIRECTORNOT APPLICABLE
LANCASTER, KATHRYNCORPORATE DIRECTORNOT APPLICABLE
SMITH, BRYANCORPORATE DIRECTORNOT APPLICABLE
SUTHERLAND, RICHARDCORPORATE DIRECTORNOT APPLICABLE
TAKITANI, ANTHONYCORPORATE DIRECTORNOT APPLICABLE
YAMAMOTO, JOHNCORPORATE DIRECTORNOT APPLICABLE
EBERSOLE, WADECORPORATE OFFICERNOT APPLICABLE
REMBIS, MICHAELCORPORATE OFFICERNOT APPLICABLE
EBERSOLE, WADEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
REMBIS, MICHAELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KAISER FOUNDATION HOSPITALSOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
EBERSOLE, WADEW-2 MANAGING EMPLOYEENOT APPLICABLE
REMBIS, MICHAELW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (21)
2024-10-18 · Health
E
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
2023-10-27 · Health
D
F882 · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
D
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
2022-08-11 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F744 · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F
F727 · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
No data
3.68
RN Hrs/Resident/Day
No data
0.54
LPN Hrs/Resident/Day
No data
0.81
CNA Hrs/Resident/Day
No data
2.33
PT Hrs/Resident/Day
No data
0.12
Data as of 2026-03-01