Advanced Health Care Of Hanover

In the surveyor’s words

From the most serious findings on record at Advanced Health Care Of Hanover, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 3, 2024

  Based on facility policy review, observation, and staff interview, it was determined that the facility failed to store food under sanitary conditions in the kitchen. Findings include: A review of a facility policy entitled, Food Storage, last reviewed April 23, 2024, revealed that a thermometer would be present in the dry storage room and the temperature would be monitored on a regular basis. Scoops were not to be stored in food containers. Observation of the kitchen on July 2, 2024, at 9:15 a.m., revealed the following: There was a container of baking chocolate powder that had been removed from the original package; it was not dated. In the walk-in refrigerator, there was a bin of raw chicken stored over a bin of raw shrimp. […]

• No harm, potential for more than minimal, patternF940May 8, 2026

  Based on a review of employee personnel and education records and staff interview, it was determined that the facility failed to implement and maintain an effective training program so that each staff member received 12 hours of in-service training annually for five of seven staff members reviewed. (Employees 6, 8, 9, 11, and 12)Findings include:Review of the facility's Facility assessment dated [DATE], reveals that all staff were to be in-serviced and receive mandatory training annually on topics that included resident abuse, neglect and exploitation, trauma informed care, and dementia management. In an interview on May 7, 2026, at 10:40 a.m., the Administrator confirmed that staff are required to complete 12 hours of in-service training a year. […]

• No harm, potential for more than minimal, patternF656Jun 18, 2025

  Based on clinical record review and staff interview, it was determined that the facility failed to develop a comprehensive care plan to meet each resident's needs as identified in the comprehensive assessment for three of 14 sampled residents. (Residents 12, 20, 44) Findings include: Clinical record review revealed that Resident 12 was admitted to the facility on [DATE], and had diagnoses that included diabetes, lower limb cellulitis, and gastro-esophageal reflux disease. The Minimum Data Set (MDS) Care Area Assessment (CAA) summary dated May 25, 2025, noted that the resident's vision, activities of daily living, dental care, and nutrition were to be addressed in the care plan. […]

• No harm, potential for more than minimal, patternF684Jun 18, 2025

  Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to implement physicians' orders for four of 14 sampled residents. (Residents 12, 20, 23, 208) Findings include: Review of the policy entitled, Medication Administration, last reviewed January 8, 2025, revealed that staff were to administer medications in accordance with the written orders of the physician and ensure vital signs were performed with appropriate medications. In an interview on June 18, 2025, at 2:30 p.m., with the Director of Nursing stated that any vital signs obtained for parameters per the physicians' orders were to be entered into the Medication Administration Record (MAR) as indicated. […]

• No harm, potential for more than minimal, isolatedF684May 8, 2026

  Based on staff interview and clinical record review, it was determined that the facility failed to ensure physicians' orders were implemented for two of 12 sampled residents. (Residents 8 and 71)Findings include: In an interview on May 6, 2026, at 12:45 p.m., the Director of Nursing stated if vital signs were ordered by the physician with a medication, that staff were to obtain vital signs prior to medication administration and document it in the vital sign section of the clinical record. Clinical record review revealed that Resident 8 had diagnoses that included hypertension (high blood pressure). On April 17, 2026, the physician ordered staff to administer two blood pressure medicines. One was (amlodipine) once a day and the other was (carvedilol) twice a day. […]