Lanai Community Hospital

Total Number of Beds: 10	Percent of Occupied Beds: 90%
Total Number of Residents: 9	Located Within a Hospital: Yes
Type of Ownership: Government - State	Multiple Nursing Homes by Same Owner: Yes
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 12/03/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 3.3

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0

Number of CNA Hours per Nursing Home Resident per Day: 4.92

Number of Staff Hours per Nursing Home Resident per Day: 8.22

Nursing Home Resident Information**:

** Details Last Reported on: 12/3/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-04-19	2001-06-14	Nutrition and Dietary Deficiencies	Hire enough skilled workers to carry out dietary service.	Widespread	Minimal harm or potential for actual harm
2001-04-19	2001-06-14	Nutrition and Dietary Deficiencies	Make sure that residents are well nourished.	Widespread	Minimal harm or potential for actual harm
2001-04-19	2001-06-14	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Widespread	Minimal harm or potential for actual harm
2002-09-05	2002-12-20	Resident Rights Deficiencies	Have a private telephone available for use.	Isolated	Minimal harm or potential for actual harm
2002-09-05	2002-12-20	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	Pattern	Minimal harm or potential for actual harm
2002-09-05	2002-12-20	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Potential for minimal harm
2002-09-05	2002-12-20	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
2002-09-05	2002-12-20	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable.	Widespread	Minimal harm or potential for actual harm
2003-12-03	2004-01-26	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	Widespread	Potential for minimal harm
2003-12-03	2003-12-31	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Widespread	Minimal harm or potential for actual harm
2003-12-03	2003-12-31	Environmental Deficiencies	Be designed, built, equipped, or well kept to protect the health and safety of residents, workers, and the public.	Widespread	Minimal harm or potential for actual harm
2003-12-03	2004-01-15	Environmental Deficiencies	Provide enough emergency electricity.	Widespread	Minimal harm or potential for actual harm

*** All violations listed are based on federal government records.