Deficiency Records for Lanai Community Hospital

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Updated as of March 01, 2024

A list of the most recent deficiencies for Lanai Community Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-08-27 2022-10-10 N
Provide and implement an infection prevention and control program. Health 2022-08-11 2022-09-25 N
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. Health 2022-08-11 2022-09-01 N
Ensure medication error rates are not 5 percent or greater. Health 2022-08-11 2022-09-01 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-08-11 2022-08-26 N
Keep residents' personal and medical records private and confidential. Health 2022-08-11 2022-08-26 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-08-11 2022-08-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-11 2022-08-26 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-08-11 2022-08-26 N
Ensure each resident receives an accurate assessment. Health 2022-08-11 2022-08-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-08-11 2022-08-11 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-07-01 2021-09-13 N
Ensure each resident receives an accurate assessment. Health 2019-09-26 2019-12-02 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-09-26 2019-12-02 N
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. Health 2019-09-26 2019-12-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-26 2019-12-02 N
Provide and implement an infection prevention and control program. Health 2019-09-26 2019-12-02 N