Deficiency Records for Lanai Community Hospital
Updated as of August 01, 2020
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? |
---|---|---|---|---|
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 |
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 necessary and PRN use is limited. | 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 |