Deficiency Records for Lanai Community Hospital
Updated as of July 01, 2018
This is not the most recent data for Lanai Community Hospital. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2017-02-09 | 2017-04-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-02-09 | 2017-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-09 | 2017-04-13 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-02-09 | 2017-04-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-09 | 2017-04-13 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-10 | 2017-04-13 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-10 | 2017-04-13 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-10 | 2017-04-13 | N |
| Keep all essential equipment working safely. | Health | 2017-02-10 | 2017-04-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-02-10 | 2017-04-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-29 | 2017-02-22 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-29 | 2017-02-22 | Y |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-24 | 2016-05-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2016-02-26 | 2016-05-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-26 | 2016-05-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-26 | 2016-05-03 | N |
| Keep all essential equipment working safely. | Health | 2016-02-26 | 2016-05-03 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-26 | 2016-05-03 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-04-16 | 2015-06-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-04-17 | 2015-06-09 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-04-17 | 2015-06-09 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-04-17 | 2015-06-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-04-17 | 2015-06-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-04-17 | 2015-06-09 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-04-17 | 2015-06-09 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2015-04-17 | 2015-06-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-04-17 | 2015-06-09 | N |
