Lanai Community Hospital
628 7th Street, Lanai City, HI 96763 · Maui County · 10 certified beds · avg 8 residents/day · certified since Jan 1, 1975
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (17)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 2, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Oct 18, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 18, 2024 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Oct 18, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Oct 18, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Oct 18, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Oct 27, 2023 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Oct 27, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Oct 27, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Oct 27, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Oct 27, 2023 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Oct 27, 2023 | D · Potential for harm, one-off | The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | D |
| 2024 | 5 | 0 | E |
| 2026 | 6 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Hawaii avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 12.68 | 4.77 | 3.95 | top 2% in Hawaii; top 1% in the U.S. |
| Registered Nurse hours | 4.47 | 1.64 | 0.69 | top 2% in Hawaii; top 1% in the U.S. |
| Weekend total nurse staffing | 11.50 | 4.23 | 3.50 | top 2% in Hawaii; top 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 3.16 | 1.33 | 0.48 | top 5% in Hawaii; top 1% in the U.S. |
| Total nursing staff turnover (%) | 58.3 | 36.4 | 45.8 | bottom 12% in Hawaii; bottom 19% in the U.S. |
| RN turnover (%) | 37.5 | 31.5 | 42.9 | bottom 29% in Hawaii; top 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 12.42, RN 4.38, weekend 11.27. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kaiser Foundation Hospitals | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/24/2015 |
| Kaiser Foundation Hospitals | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/24/2015 |
| Cartwright, Debra | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2023 |
| Cartwright, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Cartwright, Debra | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Choucair, Bechara | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Decosta-Galdeira, Shelby | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2024 |
| Ebersole, Wade | Individual | Corporate Officer | NOT APPLICABLE | 02/23/2023 |
| Ebersole, Wade | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/23/2023 |
| Ebersole, Wade | Individual | ADP of the SNF | NOT APPLICABLE | 02/23/2023 |
| Fulton, Lynn | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Fulton, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Fulton, Lynn | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Goodfellow, Tamar | Individual | Corporate Director | NOT APPLICABLE | 03/31/2021 |
| Hanenburg, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Hew, Mary | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Kaiser Foundation Hospitals | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2017 |
| Kaiser Foundation Hospitals | Organization | ADP of the SNF | NOT APPLICABLE | 03/12/2026 |
| Koval, Penny | Individual | Corporate Officer | NOT APPLICABLE | 11/03/2024 |
| Koval, Penny | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/03/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
No other Medicare-certified nursing homes within 20 miles in the current records.
All facilities in Lanai City →
Facility data as of CMS processing date 2026-08-01. CCN 125023.