Lanai Community Hospital

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 10 beds and averages 8.1 residents a day — about 81% occupied, or roughly 2 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 12.42 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 4.38 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 8.04 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

This home’s total nursing-staff turnover of 58% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · E2026-04-02 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on policy review and interview, the facility failed to review its infection control plan on an annual basis. The deficient practice inhibits the facilities ability to effectively implement its infection control prevention plan and has the potential to affect all of the residents in the facility by placing them at an increased risk for illness. Findings include: On 04/01/26, review of the facility's Infection Control Pan 2024 noted a reviewed and revised date of 04/2024. In section 5.1, Plan Evaluation, 5.11.1 states In preparation for the annual planning and revision of the Infection Control Plan, all components of the current plan will be evaluated to determine compliance, trends, and continued applicability to the Infection Control Plan .On 04/01/26 at 2:11 PM, interviewed the Infection Preventionist (IP) in the surveyor conference room. IP was asked when the Infection Control Plan was last reviewed and IP noted he was not sure and would check and get back to the surveyor.On 04/01/26 at 2:46 PM, during an interview with the IP, he confirmed the Infection Control Plan was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-02 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure that the personal information and clinical records of resident (R)12 were protected. As a result of this deficient practice, residents are at risk of their health information not remaining private.Findings Include:On 03/31/26 at 01:00 PM, observed the computer terminal (located on the left-side corner of the activities room) with R12's electronic health record (EHR) left open and accessible to any passerby. The screen included R12's flowsheets, diagnosis, and other healthcare information. Concurrent interview with Certified Nurse Assistant (CNA) 1 stated that she left the EHR open and forgot to exit out when passing resident food trays. CNA1 acknowledged that closing out the chart is important for the protection of residents' health information and to comply with the Health Insurance Portability and Accountability Act (HIPPA).On 03/31/26 at 01:00 PM, interview with the Director of Nursing (DON), confirmed that the resident's chart should be exited out when it is not in use to comply with HIPPA requirements.On 04/01/26…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-02 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to provide written notice of the discharge to the hospital to the resident's representative and provide a written notice to the office of the Long-Term Care Ombudsman (LTCO) for one of one resident (Resident (R) 6) sampled for hospitalization. The deficient practice potentially affects the rights of the resident and resident's representative to ensure protections are in place; and facility practices related to transfer and discharge are known to the office of the LTCO. Findings include: On 03/31/26, R6's electronic health record (EHR) was reviewed. R6 was discharged to the Emergency Department (ED) on 01/24/26 then admitted to the hospital per medicine history and physical note dated 02/04/26. admission date: 01/28/26. R6 is a [AGE] year-old female with a history of end stage renal disease (ESRD) and dementia who developed chest pain and was seen in the ED. It was felt that a pulmonary embolism (PE) needed to be excluded and she was transferred to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-02 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to develop a person-centered comprehensive care plan for one of one resident (Resident (R) 7) sampled for dental services and skin conditions.Findings Include:Cross-reference to F791R7 is a [AGE] year-old female, admitted to the facility on [DATE] with a primary diagnosis but not limited to stroke, hemiplegia affecting right side and aphasia. On 03/30/26 at 10:00 AM, observed R7 in bed, awake, able to mumble words when spoken to. R7's right hand flaccid with notable right-hand contracture. R7 with brief on, with no visible indwelling catheter assessed.On 03/31/26 at 11:30 AM, interview with R7's family member (FM) 1, noted that R7 is prone to having skin issues. FM1 stated that for the last couple of months, R7 seemed to have some kind of skin problem. FM1 also noted that she is worried about R7's worsening dental condition and was not sure what can be done about it. FM1 is afraid that R7's teeth issues may affect her eating. 1) On 03/31/26…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-02 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to revise the care plan for one of two residents (Resident, (R), 7) sampled for limited range of motion (ROM). The facility did not revise the care to include the application of a towel splint for R7's right-hand contracture. This deficient practice puts R7 at risk for worsening contractures.Findings Include:R7 is a [AGE] year-old female, admitted to the facility on [DATE] with a primary diagnosis but not limited to stroke, hemiplegia affecting right side and aphasia. On 03/30/26 at 10:00 AM, observed R7 in bed, awake with noticeable right arm flaccidity and right-hand contracture. No hand or towel splint applied.On 03/31/26 at 10:00 AM, observed right-hand contracture with rolled towel in place.On 03/31/26 at 01:00 PM, review of R7's care plan to address contractures did not include intervention of towel application to right hand. The care plan which was initiated on 11/12/25 also noted that R7 did not require a splint. On 3/31/26 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-02 · tag F0791 — failed to provide routine dental services — isolated
  Provide or obtain dental services for each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility failed to re-schedule a follow-up dental appointment for one of one resident (Resident (R), 7) sampled for dental services. This deficient practice has the potential to affect all residents currently residing in the facility.Findings Include:On 03/31/26 at 11:25 AM, interview with R7's family member (FM)1 noted that R7's teeth are getting worse and was not sure what could be done about it. FM1 stated she is worried that it will affect R7's eating. On 03/31/26 at 02:31 PM, interview with Charge Nurse (CN) confirmed that R7 did have an appointment with the health clinic on the island but initially refused. CN stated subsequent follow-up appointment could not be accommodated by the clinic, and the facility also failed to reschedule appointment. CN also acknowledged that R7's refusal and dental issues were not included in R7's care plan. On 03/31/26 at 12:00 PM, review of R7's Basic Oral Assessment flowsheet noted that on 12/23/24's assessment, R7 had plague and was referred for dental consultation and had an appointment on 06/15/25.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-18 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interview and record review, the facility failed to ensure all medications and blood glucose testing supplies were labeled in accordance with professional standards. Proper labeling is necessary to promote safe administration practices and decrease the risk for medication errors. Proper labeling of blood glucose testing supplies is necessary to ensure the efficacy of the supplies used to test the blood glucose meter for accuracy. This deficient practice has the potential to affect all residents in the facility. Findings include: 1) On 10/15/24 at 08:26 AM, inspection of the medication cart was conducted with Registered Nurse (RN)1. Three insulin syringes were found in the top drawer of the cart. Asked RN1 if all three insulin syringes were currently being used for the residents, RN1 confirmed that they were. All three syringes had a red sticker where RN1 said they would write down the open and discard dates. Asked RN1 how long are the syringes good for once they are opened, RN1 said, 28 days. Observed one of the three syringes did not have the open and discard…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-18 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure the Preadmission Screening and Resident Review (PASARR) Level I was completed accurately to determine if Resident (R)7 will have to be referred for a Level II evaluation. As a result of this deficient practice, there was a potential for R7 not receiving the appropriate care and services for his mental condition. Findings Include: Review of R7's medical records conducted. R7 was admitted to the facility on [DATE] for long term placement with a diagnosis of Dementia due to Pick's Disease. Review of the PASARR Level I Screen dated 12/11/20 under Part A revealed that for the second question, Does the SMI (Serious Mental Illness) individual have Dementia?, the box for No was checked. On 10/16/24 at 03:26 PM, a concurrent interview and record review was conducted with the MDS (Minimum Data Set) Coordinator (MDSC), Social Worker (SW) and Director of Nursing (DON) at the nurse's station. Asked MDSC and SW if a PASSAR Level II evaluation was completed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-18 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure comprehensive person-centered care plans were developed and/or implemented for three residents (Resident (R)3, R4 and R6) in the sample. Specifically, care plans were not developed or implemented to monitor for adverse effects of medications taken for all three residents and to care for the vascular access (a way to reach the blood for hemodialysis) post hemodialysis (treatment to remove waste and excess fluids from the blood) for R3. As a result of this deficient practice, these residents were placed at risk for a decline in their quality of life, and were prevented from attaining their highest practicable physical, mental, and psychosocial well-being. This deficient practice has the potential to affect all the residents at the facility. Findings include: Cross Reference to F698 (Dialysis) - pressure dressing not removed as communicated by dialysis facility. Cross Reference to F757 (Drug Regimen is Free from Unnecessary Drugs) -…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-18 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and record review, the facility failed to provide care consistent with professional standards of practice for the resident (Resident (R)3) who received hemodialysis (treatment to remove waste and excess fluids from the blood) treatments. Specifically, the facility did not provide post hemodialysis treatment care for R3's vascular access (a way to reach the blood for hemodialysis). This deficient practice could result in preventable vascular access complications that could cause serious adverse health conditions. Findings include: Cross Reference to F656 (Develop/implement Comprehensive Care Plan) - instruction to remove pressure dressing to vascular access not included in care plan. On 10/14/24 at 02:55 PM, Certified Nurse Assistant (CNA)2 said R3 has her hemodialysis treatments on Mondays, Wednesdays and Fridays at the dialysis clinic on the ground floor. On 10/15/24 at 08:39 AM, observed Registered Nurse (RN)1 administer medication to R3 in her room. R3 had two separate dressings to her left upper arm where her vascular access was. RN1 said the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 25 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in HI