Lanai Community Hospital
628 7TH STREET, Lanai City, HI, 96763
Yes. Federal inspectors cited 6 deficiencies against Lanai Community Hospital in Lanai City, Hawaii at its most recent standard inspection on 2026-04-02. Medicare rates it 5 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 17 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-04-02 · standard survey · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2026-04-02 · standard survey · No actual harm, potential for more than minimal harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · F0628 · 2026-04-02 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2026-04-02 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2026-04-02 · standard survey · No actual harm, potential for more than minimal harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · F0791 · 2026-04-02 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · F0698 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2024-10-18 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2023-10-27 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2023-10-27 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2023-10-27 · standard survey · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2023-10-27 · standard survey · No actual harm, potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · F0867 · 2023-10-27 · standard survey · No actual harm, potential for more than minimal harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · F0882 · 2023-10-27 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
Who owns Lanai Community Hospital
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| KAISER FOUNDATION HOSPITALS | Organization | 100% | since 12/24/2015 |
| KAISER FOUNDATION HOSPITALS | Organization | NOT APPLICABLE | since 12/24/2015 |
| GOODFELLOW, TAMAR | Individual | NOT APPLICABLE | since 03/31/2021 |
| HEW, MARY | Individual | NOT APPLICABLE | since 07/01/2017 |
| SUTHERLAND, RICHARD | Individual | NOT APPLICABLE | since 07/01/2017 |
| TAKITANI, ANTHONY | Individual | NOT APPLICABLE | since 07/01/2017 |
| YAMAMOTO, JOHN | Individual | NOT APPLICABLE | since 07/01/2017 |
| CARTWRIGHT, DEBRA | Individual | NOT APPLICABLE | since 05/01/2023 |
| CHOUCAIR, BECHARA | Individual | NOT APPLICABLE | since 01/01/2024 |
| DECOSTA-GALDEIRA, SHELBY | Individual | NOT APPLICABLE | since 09/01/2024 |
| EBERSOLE, WADE | Individual | NOT APPLICABLE | since 02/23/2023 |
| FULTON, LYNN | Individual | NOT APPLICABLE | since 01/01/2024 |
Ask Lanai Community Hospital a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 125023.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction