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Deficiency Records for Lanai Community Hospital

View the most recent health deficiencies and inspection results for Lanai Community Hospital. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Lanai Community Hospital. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Develop Emergency Preparedness policies and procedures. Fire Safety 2026-04-02 2026-05-20 N
Keep residents' personal and medical records private and confidential. Health 2026-04-02 2026-05-15 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2026-04-02 2026-05-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-04-02 2026-05-15 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 2026-04-02 2026-05-15 N
Provide or obtain dental services for each resident. Health 2026-04-02 2026-05-15 N
Provide and implement an infection prevention and control program. Health 2026-04-02 2026-05-15 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-10-18 2024-11-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-10-18 2024-11-19 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-10-18 2024-11-19 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-10-18 2024-11-19 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 2024-10-18 2024-11-19 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-10-27 2024-01-11 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-10-27 2024-01-11 N
Respond appropriately to all alleged violations. Health 2023-10-27 2024-01-11 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-27 2024-01-11 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-10-27 2024-01-11 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-10-27 2024-01-11 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-10-27 2023-12-01 N
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 2022-08-11 2022-10-10 N

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