Deficiency Records for Hanover Hall For Nursing and Rehabilitation
Updated as of July 01, 2021
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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2021-04-22 | 2021-06-18 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2021-04-22 | 2021-06-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-04-22 | 2021-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-22 | 2021-06-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-04-22 | 2021-06-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-22 | 2021-06-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-22 | 2021-06-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-22 | 2021-06-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-08 | 2021-05-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-08 | 2021-05-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-08 | 2021-05-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-08 | 2021-05-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-08 | 2021-05-08 | 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 | 2021-04-08 | 2021-05-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-08 | 2021-05-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-08 | 2021-05-08 | 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 | 2021-04-08 | 2021-05-08 | N |
| 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 necessary and PRN use is limited. | 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 |
