A list of the most recent deficiencies for Hanover Healthcare 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-12 | 2023-12-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-12 | 2023-12-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-12 | 2023-12-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-12 | 2023-12-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-14 | 2023-08-24 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-08-14 | 2023-08-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-23 | 2023-07-03 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-06-23 | 2023-07-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-23 | 2023-07-03 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-09 | 2023-05-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-09 | 2023-05-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-09 | 2023-05-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-10 | 2023-04-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-10 | 2023-04-19 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-01-06 | 2023-01-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-06 | 2023-01-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-06 | 2023-01-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-22 | 2022-10-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-07 | 2022-08-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-07 | 2022-08-03 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-07-07 | 2022-08-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-07 | 2022-08-03 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-05-15 | 2022-06-07 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-05-15 | 2022-06-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-15 | 2022-06-07 | N |
| Post nurse staffing information every day. | Health | 2022-05-15 | 2022-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-15 | 2022-06-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-15 | 2022-06-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-15 | 2022-06-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-15 | 2022-06-07 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-11 | 2022-06-07 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-05-11 | 2022-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-11 | 2022-06-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-11 | 2022-06-07 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-05-11 | 2022-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-04-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-16 | 2022-04-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-16 | 2022-04-25 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-10-25 | 2021-11-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-09 | 2019-06-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-09 | 2019-06-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-05-09 | 2019-06-21 | 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 | 2019-05-09 | 2019-06-21 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-05-09 | 2019-06-21 | 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 | 2019-05-09 | 2019-06-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-05 | 2018-05-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-04-05 | 2018-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-05 | 2018-05-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-05 | 2018-05-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-04-05 | 2018-05-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-04-03 | 2018-05-15 | N |
