Deficiency Records for Lanai Community Hospital
Updated as of July 01, 2019
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? |
|---|---|---|---|---|
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-10-05 | 2018-12-07 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-10-05 | 2018-12-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-05 | 2018-12-07 | 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 | 2018-10-05 | 2018-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-05 | 2018-12-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-05 | 2018-12-07 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-10-05 | 2018-12-07 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-10-05 | 2018-12-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-05 | 2018-12-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2018-10-05 | 2018-12-07 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-10-05 | 2018-12-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-05 | 2018-12-07 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-10-05 | 2018-12-07 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-10-05 | 2018-12-07 | N |
| 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 |
