Deficiency Records for Hanover Nursing Center
Updated as of April 01, 2021
This is not the most recent data for Hanover Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Hanover Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2020-11-16 | 2020-12-10 | N |
Provide and implement an infection prevention and control program. | Health | 2020-10-28 | 2020-12-10 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-09 | 2020-10-02 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-07-22 | 2020-08-21 | Y |
Meet other general requirements. | Fire Safety | 2020-02-18 | 2020-07-14 | N |
Have exits that are accessible at all times. | Fire Safety | 2020-02-18 | 2020-07-14 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-02-18 | 2020-07-14 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-18 | 2020-07-14 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-18 | 2020-07-14 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2020-02-18 | 2020-07-14 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2020-01-27 | 2020-02-07 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-17 | 2020-02-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-17 | 2020-02-07 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-12-17 | 2020-01-16 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-12-17 | 2020-01-16 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-17 | 2020-01-16 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-17 | 2020-01-16 | N |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-12-17 | 2020-01-16 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-12-17 | 2020-01-16 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-17 | 2020-01-16 | N |
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. | Health | 2019-12-17 | 2020-01-16 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-12-17 | 2020-01-16 | N |
Provide and implement an infection prevention and control program. | Health | 2019-12-17 | 2020-01-16 | N |
Implement a program that monitors antibiotic use. | Health | 2019-12-17 | 2020-01-16 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-11-22 | 2019-12-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-25 | 2019-10-11 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-20 | 2019-07-09 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-28 | 2019-04-01 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-01-10 | 2019-03-15 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Provide primary/alternate means for communication. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Meet other general requirements. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Construct fire resistant interior walls. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-01-28 | 2019-03-13 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-01-10 | 2019-02-09 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-01-10 | 2019-02-09 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-01-10 | 2019-02-09 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-10 | 2019-02-09 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-10 | 2019-02-09 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-01-10 | 2019-02-09 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-10 | 2019-02-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-01-10 | 2019-02-09 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-10 | 2019-02-09 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-10 | 2019-02-09 | N |
Dispose of garbage and refuse properly. | Health | 2019-01-10 | 2019-02-09 | N |
Provide and implement an infection prevention and control program. | Health | 2019-01-10 | 2019-02-09 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-07 | 2018-12-18 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-07 | 2018-12-18 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-25 | 2018-11-23 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-10-25 | 2018-11-23 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-10-25 | 2018-11-23 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-25 | 2018-11-23 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-25 | 2018-11-23 | Y |
Ensure that residents are free from significant medication errors. | Health | 2018-10-25 | 2018-11-23 | Y |
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2018-10-25 | 2018-11-23 | Y |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-07-18 | 2018-08-15 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-18 | 2018-08-15 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-18 | 2018-08-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-18 | 2018-08-15 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-18 | 2018-08-15 | Y |
Implement emergency and standby power systems. | Fire Safety | 2018-03-14 | 2018-04-16 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-03-14 | 2018-04-16 | N |
Meet other general requirements that are deficient. | Fire Safety | 2018-03-14 | 2018-04-16 | N |
Construct fire resistant interior walls. | Fire Safety | 2018-03-14 | 2018-04-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-14 | 2018-04-16 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-14 | 2018-04-16 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-14 | 2018-04-16 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-03-14 | 2018-04-16 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-14 | 2018-04-16 | N |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-01-24 | 2018-02-23 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-01-24 | 2018-02-23 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-01-24 | 2018-02-23 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-24 | 2018-02-23 | N |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-01-24 | 2018-02-23 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-24 | 2018-02-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-24 | 2018-02-23 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-01-24 | 2018-02-23 | N |
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. | Health | 2018-01-24 | 2018-02-23 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-24 | 2018-02-23 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-24 | 2018-02-23 | N |
Provide and implement an infection prevention and control program. | Health | 2018-01-24 | 2018-02-23 | N |
Implement a program that monitors antibiotic use. | Health | 2018-01-24 | 2018-02-23 | N |