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Deficiency Records for Hanover Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Hanover Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hanover Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2026-03-06 | 2026-03-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-06 | 2026-03-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-06 | 2026-03-30 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2026-03-06 | 2025-12-23 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-06-30 | 2023-07-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-30 | 2023-07-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-28 | 2022-06-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-28 | 2022-06-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-28 | 2022-06-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-28 | 2022-06-07 | 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 | 2022-04-28 | 2022-06-07 | 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 | 2022-04-28 | 2022-06-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-28 | 2022-06-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-28 | 2022-06-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-28 | 2022-06-07 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-04-28 | 2022-06-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-28 | 2022-06-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-28 | 2022-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-07 | 2019-11-19 | 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 | 2019-08-07 | 2019-11-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-08-07 | 2019-11-19 | N |
| Meet other general requirements. | Fire Safety | 2019-08-07 | 2019-11-19 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-07 | 2019-11-19 | 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 | 2019-08-07 | 2019-10-24 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-07 | 2019-09-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-07 | 2019-09-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-07 | 2019-09-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-08-07 | 2019-09-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-07 | 2019-09-21 | 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 | 2019-08-07 | 2019-09-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-07 | 2019-09-21 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-07 | 2019-09-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-07 | 2019-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-07 | 2019-09-21 | 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 | 2019-08-07 | 2019-09-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-07 | 2019-09-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-08-07 | 2019-09-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-08-07 | 2019-09-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-07 | 2019-09-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-07 | 2019-09-21 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2019-08-07 | 2019-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-07 | 2019-09-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-07 | 2019-09-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-07 | 2019-09-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-07 | 2019-09-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-07 | 2019-09-21 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-08-07 | 2019-09-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-08-07 | 2019-09-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-08-07 | 2019-09-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-08-07 | 2019-09-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-08-07 | 2019-09-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-07 | 2019-09-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-07 | 2019-09-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-07 | 2019-09-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-07 | 2019-09-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-07 | 2019-09-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-07 | 2019-09-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-07 | 2019-09-11 | 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 | 2019-08-07 | 2019-09-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-07 | 2019-09-11 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-10-09 | Not Fixed | Y |