Lanai Community Hospital
628 7th Street, Lanai City, HI 96763
Lanai Community Hospital is a nursing home in Lanai City, Hawaii. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionApril 2, 2026 (7 months ago)
- Health citations since October 27, 202317 (Hawaii average 34)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
Email alerts for this home open soon.
CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Staffing
Total nurse staffing reported to CMS went from 12.4 to 10.9 hours per resident per day.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from not rated by CMS to 5 of 5.
CMS update of June 24, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on April 2, 2026
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on May 15, 2026.
Citation F0583. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on May 15, 2026.
Citation F0628. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS lists it as corrected on May 15, 2026.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on May 15, 2026.
CMS has cited this home for F0656 2 times since 2024.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on May 15, 2026.
Citation F0791. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or obtain dental services for each resident.
CMS lists it as corrected on May 15, 2026.
Fire safety inspection on April 2, 2026
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation E0013. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop Emergency Preparedness policies and procedures.
CMS lists it as corrected on May 20, 2026.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 2, 2026.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on September 10, 2026.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 2, 2026.
Citation K0920. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on September 10, 2026.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on September 10, 2026.
Citation K0929. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
CMS lists it as corrected on September 10, 2026.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 5 of 5 to not rated by CMS.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on October 18, 2024
5 citationsCMS lists this as a standard inspection.
Show the 5 citations
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on November 19, 2024.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on November 19, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on November 19, 2024.
Citation F0698. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on November 19, 2024.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on November 19, 2024.
CMS update of May 29, 2024
Health citation
CMS changed citation F0607 from severity F to D. It is from the health inspection on October 27, 2023. Severity D: potential for more than minimal harm, isolated.
Health citation
CMS changed citation F0609 from severity F to D. It is from the health inspection on October 27, 2023. Severity D: potential for more than minimal harm, isolated.
Health citation
CMS changed citation F0867 from severity F to D. It is from the health inspection on October 27, 2023. Severity D: potential for more than minimal harm, isolated.
Health citation
CMS changed citation F0882 from severity F to D. It is from the health inspection on October 27, 2023. Severity D: potential for more than minimal harm, isolated.
CMS update of December 21, 2023
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
Health inspection on October 27, 2023
6 citationsCMS lists this as a standard inspection.
Show the 6 citations
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on January 11, 2024.
Citation F0607. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on January 11, 2024.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on January 11, 2024.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on January 11, 2024.
Citation F0867. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on January 11, 2024.
Citation F0882. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS lists it as corrected on January 11, 2024.
Fire safety inspection on October 27, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0293. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on December 1, 2023.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (808) 565-8450
- Last standard health inspection
- April 2, 2026 (7 months ago)
- Certified beds
- 10
- Residents per day, on average
- 9.7
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Maui Health System A Kaiser Foundation Hospitals LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Hawaii average (17 vs 34).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- KAISER FOUNDATION HOSPITALS5% or greater direct ownership interest · 100% · since 12/24/2015
- KAISER FOUNDATION HOSPITALSDirect ownership interest · not applicable · since 12/24/2015
- KAISER FOUNDATION HOSPITALSOperational/managerial control · not applicable · since 01/01/2017
- CARTWRIGHT, DEBRAOperational/managerial control · not applicable · since 05/01/2023
- EBERSOLE, WADEOperational/managerial control · not applicable · since 02/23/2023
Show 2 more
- FULTON, LYNNOperational/managerial control · not applicable · since 01/01/2024
- KOVAL, PENNYOperational/managerial control · not applicable · since 11/03/2024
Questions
When was Lanai Community Hospital last inspected?
CMS lists April 2, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Lanai Community Hospital have?
CMS lists 17 health citations since October 27, 2023. CMS also calls these deficiencies.
Has Lanai Community Hospital been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Lanai Community Hospital?
Its CMS overall star rating is 5 of 5.
Is Lanai Community Hospital a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.