Nursing homeActive
Lanai Community Hospital
628 7th Street, Lanai City, HI 96763808565845010 certified beds · 8 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
17
● 0● 17● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-02
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Hawaii Office of Health Care Assurance · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-02 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2024-10-18 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2023-10-27 | Standard | 060 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Hawaii Office of Health Care Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 125023-20260402-F583
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 125023-20260402-F628
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 125023-20260402-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 125023-20260402-F657
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 125023-20260402-F791
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-15Record 125023-20260402-F880
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-19Record 125023-20241018-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-19Record 125023-20241018-F656
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-19Record 125023-20241018-F698
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-19Record 125023-20241018-F757
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-19Record 125023-20241018-F761
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 125023-20231027-F602
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 125023-20231027-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 125023-20231027-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 125023-20231027-F610
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 125023-20231027-F867
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 125023-20231027-F882
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day4.38
Facility
Hawaii
National
Hawaii 1.75 · National 0.69
Total nurse hours per resident day12.42
Facility
Hawaii
National
Hawaii 4.97 · National 3.86
Weekend total nurse hours11.27
Facility
Hawaii
National
Hawaii 4.41 · National 3.42
Total nursing staff turnover58%
Facility
Hawaii
National
Hawaii 36% · National 46%
Registered nurse turnover38%
Facility
Hawaii
National
Hawaii 32% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Hawaii | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.0% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 10.8% | 1.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 21.2% | 11.9% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.7% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 18.8% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.0% | 4.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 11.8% | 9.1% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Kaiser Foundation Hospitals Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Cartwright, Debra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ebersole, Wade Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fulton, Lynn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kaiser Foundation Hospitals Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Koval, Penny Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cartwright, Debra Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Cartwright, Debra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Choucair, Bechara Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Decosta-Galdeira, Shelby Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ebersole, Wade Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ebersole, Wade Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Fulton, Lynn Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Fulton, Lynn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goodfellow, Tamar Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hanenburg, Thomas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hew, Mary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kaiser Foundation Hospitals Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kaiser Foundation Hospitals Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Koval, Penny Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Koval, Penny Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shitamoto, Barry Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sutherland, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Takitani, Anthony Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Yamamoto, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Hawaii.
No county cost figures on file for Maui.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Hale Makua - Wailuku Wailuku | 28.1 mi | 2026-01-30 | 0170 |
| Hale Makua - Kahului Kahului | 28.6 mi | 2026-01-09 | 0536 |
| Kula Hospital Kula | 37.2 mi | 2025-01-08 | 0111 |
| Hale Malamalama Honolulu | 60.5 mi | 2025-01-31 | 0313 |
| Hi'olani Care Center at Kahala Nui Honolulu | 63.7 mi | 2024-06-27 | 080 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |