Inspections
The latest standard inspection on Apr 2, 2026 cited 6 deficiencies.
View inspection evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
The latest standard inspection on Apr 2, 2026 cited 6 deficiencies.
View inspection evidenceCMS-published records list 26 ownership or control parties.
CMS records show an ownership change effective July 2017.
View ownership evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Dec 24, 2015
Other facilities connected through this exact CMS organization identity: 0 across HI.
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 23, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 12, 2026
Other facilities connected through this exact CMS organization identity: 0 across HI.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 18, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 31, 2021
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2017
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2017
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2017
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: May 1, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Feb 23, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 3, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 1, 2023
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Dec 24, 2015
Other facilities connected through this exact CMS organization identity: 0 across HI.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 23, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2017
Other facilities connected through this exact CMS organization identity: 0 across HI.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 3, 2024
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 1 across HI.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Keep residents' personal and medical records private and confidential.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
Provide or obtain dental services for each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2026)
No health-deficiency rows were deterministically linked to this inspection.
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 19, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 19, 2024)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 19, 2024)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 19, 2024)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 19, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Protect each resident from the wrongful use of the resident's belongings or money.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 11, 2024)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 11, 2024)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 11, 2024)
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 11, 2024)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 11, 2024)
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 11, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
4 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC.
LANAI COMMUNITY HOSPITAL → MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
CMS · Recorded event date · View related evidence
Staffing
No matched PBJ Daily Nurse Staffing quarter is currently loaded for this provider.
What we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.