LANAI COMMUNITY HOSPITAL

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Hawaii are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 06/24/2010.

Administration

Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person. Inspection Date: 05/29/2009 Correction Date: 07/08/2009
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 06/24/2010 Correction Date: 08/31/2010

Environmental

Have a Program to Keep Infection from Spreading. Inspection Date: 06/27/2008 Correction Date: 08/08/2008
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 06/27/2008 Correction Date: 08/08/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 06/24/2010 Correction Date: 08/31/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 06/24/2010 Correction Date: 08/31/2010
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public. Inspection Date: 06/24/2010 Correction Date: 08/31/2010
Keep All Essential Equipment Working Safely. Inspection Date: 06/24/2010 Correction Date: 08/31/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 06/27/2008 Correction Date: 08/08/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 06/27/2008 Correction Date: 08/08/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 05/29/2009 Correction Date: 07/08/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents. Inspection Date: 06/24/2010 Correction Date: 08/31/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 06/24/2010 Correction Date: 08/31/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 06/27/2008 Correction Date: 08/08/2008

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects. Inspection Date: 06/27/2008 Correction Date: 08/08/2008
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/27/2008 Correction Date: 08/08/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 05/29/2009 Correction Date: 07/08/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 06/24/2010 Correction Date: 08/31/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 05/29/2009 Correction Date: 07/08/2009
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life. Inspection Date: 06/24/2010 Correction Date: 08/31/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 06/24/2010 Correction Date: 08/31/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 06/27/2008 Correction Date: 08/08/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 06/27/2008 Correction Date: 08/08/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 05/29/2009 Correction Date: 07/08/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 05/29/2009 Correction Date: 07/08/2009

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 06/27/2008 Correction Date: 08/08/2008
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 06/27/2008 Correction Date: 08/08/2008
Provide Enough Notice Before Discharging or Transferring a Resident. Inspection Date: 06/27/2008 Correction Date: 08/08/2008
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 05/29/2009 Correction Date: 07/08/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 05/29/2009 Correction Date: 07/08/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 06/24/2010 Correction Date: 08/31/2010

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Lanai Community Hospital had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/21/2010.

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 06/21/2010 Correction Date: 08/31/2010

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 06/21/2010 Correction Date: 08/31/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 06/21/2010 Correction Date: 08/31/2010
Properly Maintained Smoke Detectors. Inspection Date: 06/21/2010 Correction Date: 08/31/2010

Illumination and Emergency Power

Properly Located and Lighted "Exit" Signs. Inspection Date: 06/26/2008 Correction Date: 08/08/2008