Deficiency Records for Hanover Nursing Center
Updated as of April 01, 2022
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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-05 | 2022-02-22 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-12-13 | 2022-01-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-23 | 2022-01-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-13 | 2021-10-29 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-17 | 2021-08-24 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-17 | 2021-08-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-17 | 2021-08-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-17 | 2021-08-24 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2021-05-17 | 2021-08-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-17 | 2021-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-17 | 2021-08-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-17 | 2021-08-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-17 | 2021-08-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Meet other general requirements. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-17 | 2021-07-26 | 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 | 2021-05-17 | 2021-07-26 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-05-17 | 2021-07-26 | 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 | 2021-05-17 | 2021-07-26 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-17 | 2021-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-17 | 2021-06-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-05-03 | 2021-06-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-03 | 2021-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-03 | 2021-06-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-03 | 2021-06-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-03 | 2021-06-02 | 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 | 2021-05-03 | 2021-06-02 | 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 | 2021-05-03 | 2021-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-03 | 2021-06-02 | N |
| 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 |
