Lanai Community Hospital
Lanai City, Maui County, Hawaii · CCN 125023 · For-profit (LLC) · not part of a chain
CMS rates Lanai Community Hospital 5 of 5 overall as of August 2026. 10 certified beds, 8 residents a day on average. 17 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / — of 5 |
Staffing
| Total nurse staffing | 12.41956 hours per resident per day |
|---|---|
| Registered nurses | 4.37629 hours per resident per day |
| Weekend total | 11.2689 hours per resident per day |
| Nursing staff turnover | 58.3% (registered nurses 37.5%) |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-02 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-15 |
| 2026-04-02 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-15 |
| 2026-04-02 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · tag F0628 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-15 |
| 2026-04-02 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-15 |
| 2026-04-02 | 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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-15 |
| 2026-04-02 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-15 |
| 2024-10-18 | 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 · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-11-19 |
| 2024-10-18 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-19 |
| 2024-10-18 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-19 |
| 2024-10-18 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-19 |
| 2024-10-18 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-19 |
| 2023-10-27 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-11 |
| 2023-10-27 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-11 |
| 2023-10-27 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-11 |
| 2023-10-27 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-11 |
| 2023-10-27 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-11 |
| 2023-10-27 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · tag F0882 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-01-11 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Kaiser Foundation Hospitals Organization | 5% or greater direct ownership interest | 100% | 2015-12-24 |
| Kaiser Foundation Hospitals Organization | adp of the snf | — | 2026-03-12 |
| Kaiser Foundation Hospitals Organization | direct ownership interest | — | 2015-12-24 |
| Kaiser Foundation Hospitals Organization | operational/managerial control | — | 2017-01-01 |
| Cartwright, Debra Individual | adp of the snf | — | 2023-05-01 |
| Ebersole, Wade Individual | adp of the snf | — | 2023-02-23 |
| Fulton, Lynn Individual | adp of the snf | — | 2024-01-01 |
| Koval, Penny Individual | adp of the snf | — | 2025-11-18 |
| Goodfellow, Tamar Individual | corporate director | — | 2021-03-31 |
| Hew, Mary Individual | corporate director | — | 2017-07-01 |
| Sutherland, Richard Individual | corporate director | — | 2017-07-01 |
| Takitani, Anthony Individual | corporate director | — | 2017-07-01 |
| Yamamoto, John Individual | corporate director | — | 2017-07-01 |
| Cartwright, Debra Individual | corporate officer | — | 2023-05-01 |
| Choucair, Bechara Individual | corporate officer | — | 2024-01-01 |
| Decosta-Galdeira, Shelby Individual | corporate officer | — | 2024-09-01 |
| Ebersole, Wade Individual | corporate officer | — | 2023-02-23 |
| Fulton, Lynn Individual | corporate officer | — | 2024-01-01 |
| Hanenburg, Thomas Individual | corporate officer | — | 2024-01-01 |
| Koval, Penny Individual | corporate officer | — | 2024-11-03 |
| Shitamoto, Barry Individual | corporate officer | — | 2023-07-01 |
| Cartwright, Debra Individual | operational/managerial control | — | 2023-05-01 |
| Ebersole, Wade Individual | operational/managerial control | — | 2023-02-23 |
| Fulton, Lynn Individual | operational/managerial control | — | 2024-01-01 |
| Koval, Penny Individual | operational/managerial control | — | 2024-11-03 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Lanai Community Hospital.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Maui County.