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? |
|---|---|---|---|---|
| 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 |
| Respond appropriately to all alleged violations. | 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 |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-27 | 2024-01-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-14 | 2023-12-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-27 | 2023-11-20 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-10-27 | 2023-11-20 | 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 | 2022-08-27 | 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 |
