Deficiency Records for Hanover Hall For Nursing and Rehabilitation
Updated as of June 01, 2020
This is not the most recent data for Hanover Hall For Nursing and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Hanover Hall For Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-07-11 | 2019-08-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-11 | 2019-08-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-11 | 2019-08-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-11 | 2019-08-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-11 | 2019-08-31 | 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 | 2019-07-11 | 2019-08-31 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-07-11 | 2019-08-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-11 | 2019-08-31 | N |
| Post nurse staffing information every day. | Health | 2019-07-11 | 2019-08-31 | 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 ne | Health | 2019-07-11 | 2019-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-16 | 2018-10-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-16 | 2018-09-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-07-16 | 2018-09-14 | 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 | 2018-07-16 | 2018-09-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-16 | 2018-09-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-07-16 | 2018-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-16 | 2018-09-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-16 | 2018-09-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-16 | 2018-09-14 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-07-16 | 2018-09-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-16 | 2018-09-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-07-12 | 2018-08-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-12 | 2018-08-20 | N |
| Use approved construction type or materials. | Fire Safety | 2017-08-29 | 2017-10-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-29 | 2017-10-20 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2017-08-29 | 2017-10-20 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-08-29 | 2017-10-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-08-29 | 2017-10-20 | N |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2017-08-29 | 2017-10-20 | 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 | 2017-08-29 | 2017-10-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-29 | 2017-10-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-08-29 | 2017-10-20 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-08-29 | 2017-10-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-29 | 2017-10-20 | N |
| Upon the death of a resident, convey the resident?s personal funds and an accounting of those funds to the appropriate party. | Health | 2017-08-17 | 2017-09-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-17 | 2017-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-17 | 2017-09-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-17 | 2017-09-22 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-08-17 | 2017-09-22 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-08-17 | 2017-09-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-17 | 2017-09-22 | N |
