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 |