With a score of 80/100 and a B grade, Lanai Community Hospital is a well-regarded option in Lanai City, Hawaii. The facility performs above average in most CMS categories, placing it in the 69th percentile statewide.
Recent inspections identified 21 deficiencies at Lanai Community Hospital. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 0 / 20 pts
N/A ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures
🏥 Staffing Details
Staffing hours data not available for this facility.
🔍 Inspection & Deficiency History
21
Total Deficiencies
Oct 17, 2024
Most Recent Inspection
🟠 21 Moderate
View recent deficiencies (5 shown)
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiOct 17, 2024 · Pharmacy Service Deficiencies
- Tag 0645 Severity DPASARR screening for Mental disorders or Intellectual DisabilitiesOct 17, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Oct 17, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0698 Severity DProvide safe, appropriate dialysis care/services for a resident who requires such services.Oct 17, 2024 · Quality of Life and Care Deficiencies
- Tag 0757 Severity DEnsure each resident’s drug regimen must be free from unnecessary drugs.Oct 17, 2024 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.0% | 4.5% | Better |
| Falls with major injury | 2.6% | 3.0% | Better |
| On antipsychotic medication | 12.1% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 6.9% | 14.0% | Better |
| Excessive weight loss | 5.7% | 7.5% | Better |
| New/worsened incontinence | 2.7% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 80 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 0★ → 0 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Ownership
Non profit - Corporation
Certified Beds
10
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Oct 17, 2024
Deficiencies (Cycle 1)
5
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