Starfile

Starfile / Hawaii

LANAI COMMUNITY HOSPITAL

628 7TH STREET, LANAI CITY, HI 96763 · CCN 125023

Ratings

Overall
★★★★★ 5
Health inspection
★★★★★ 5
Quality measures
★★★★★ 5
Staffing

Facility

Ownership type
Non profit - Corporation
Certified beds
10
Avg residents/day
9.8
Phone
8085658450

Inspection history vs Hawaii & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityHawaii avgNational avgvs state
12024-10-18510.79.5-5.7 better
22023-10-27612.49.8-6.4 better
32022-08-111012.49.3-2.4 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning2
Pharmacy service2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)52.0%
RN staffing (reported)42.9%
Total nurse staffing (adjusted)

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (21)

  1. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-10-18 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-18 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  3. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-10-18 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  4. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-10-18 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  5. EF0761Ensure 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.2024-10-18 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  6. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-10-27 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  7. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-10-27 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  8. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-10-27 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  9. DF0610Respond appropriately to all alleged violations.2023-10-27 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  10. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-10-27 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  11. DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-10-27 · Health · corrected 2024-01-11

    Potential for more than minimal harm

  12. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-08-11 · Health · corrected 2022-08-26

    Potential for more than minimal harm

  13. DF0583Keep residents' personal and medical records private and confidential.2022-08-11 · Health · corrected 2022-08-26

    Potential for more than minimal harm

  14. EF0641Ensure each resident receives an accurate assessment.2022-08-11 · Health · corrected 2022-08-24

    Potential for more than minimal harm

  15. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-08-11 · Health · corrected 2022-08-26

    Potential for more than minimal harm

  16. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-08-11 · Health · corrected 2022-08-26

    Potential for more than minimal harm

  17. FF0727Have 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.2022-08-11 · Health · corrected 2022-09-01

    Potential for more than minimal harm

  18. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-08-11 · Health · corrected 2022-08-26

    Potential for more than minimal harm

  19. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-08-11 · Health · corrected 2022-08-11

    Potential for more than minimal harm

  20. DF0759Ensure medication error rates are not 5 percent or greater.2022-08-11 · Health · corrected 2022-09-01

    Potential for more than minimal harm

  21. DF0880Provide and implement an infection prevention and control program.2022-08-11 · Health · corrected 2022-09-25

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
KAISER FOUNDATION HOSPITALSOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2015-12-24
KAISER FOUNDATION HOSPITALSOrganizationOPERATIONAL/MANAGERIAL CONTROL2017-07-01
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2017-07-01
EBERSOLE, WADEIndividualOPERATIONAL/MANAGERIAL CONTROL2023-02-23
REMBIS, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL2017-09-01
GOODFELLOW, TAMARIndividualCORPORATE DIRECTOR2021-03-31
HEW, MARYIndividualCORPORATE DIRECTOR2017-07-01
LANCASTER, KATHRYNIndividualCORPORATE DIRECTOR2017-07-01
MILLER, STEPHENIndividualCORPORATE DIRECTOR2017-07-01
SMITH, BRYANIndividualCORPORATE DIRECTOR2017-07-01
SUTHERLAND, RICHARDIndividualCORPORATE DIRECTOR2017-07-01
TAKITANI, ANTHONYIndividualCORPORATE DIRECTOR2017-07-01
YAMAMOTO, JOHNIndividualCORPORATE DIRECTOR2017-07-01
EBERSOLE, WADEIndividualCORPORATE OFFICER2023-02-23
REMBIS, MICHAELIndividualCORPORATE OFFICER2017-09-01
EBERSOLE, WADEIndividualW-2 MANAGING EMPLOYEE2023-02-23
REMBIS, MICHAELIndividualW-2 MANAGING EMPLOYEE2017-09-01

Other facilities in LANAI CITY

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.