Hanover Hall for Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Hanover Hall for Nursing and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF684Feb 19, 2026

  Based on clinical record review, hospital records, staff interviews, and review of the facility incident report, it was determined that the facility displayed past non-compliance in it's failure to ensure that care and services were provided timely and consistent with professional standards of practice following a fall with fracture which resulted in harm as evidenced by fracture-related pain and delayed corrective treatment for one of three residents reviewed (Resident 1).Findings Include: Review of the facility policy, titled Falls Management System, last reviewed July 25, 2025, stated the following: Any fall that involves an actual head injury and all un-witnessed falls will include follow-up neurological checks. Neurological checks will be documented. […]

• Actual harm, isolatedF692Jan 14, 2026

  Based on review of facility policy, clinical record review and staff interview, it was determined that the facility failed to monitor a resident's weight status in accordance with facility policy and clinical standards of practice for three of five residents reviewed (Residents 5, 8, and 85). And failed to consistently monitor a resident's weight status and implement timely interventions to maintain adequate weight resulting in actual harm as evidenced by continued weight loss for one of five residents reviewed (Resident 8).Findings include:Review of facility policy, titled Weight Assessment and Intervention, revised March 2019, read, in part, the nursing staff will measure residents' weight on admission, and then weekly for four weeks. […]

• Actual harm, isolatedF760Jul 22, 2025

  Based on facility policy, clinical record review, facility document review, hospital record review, and resident and staff interviews, it was determined the facility displayed past non-compliance by failing to ensure that residents were free from any significant medication errors, which resulted in actual harm, as evidenced by low blood pressure, low heart rate, sweating, lightheadedness, and hospital transfer, for one of two residents (Resident 1). Findings Include:Review of facility policy, titled Administering Medications, last revised April 2019, indicated medications are administered by licensed nurses or other staff who are legally authorized to do so in this state.The policy states:Medications are administered in accordance with prescriber orders, including any required time… […]

• Actual harm, isolatedF684May 9, 2023

  Based on observations, clinical record review, facility policy review, and resident and staff interviews, it was determined the facility failed to comprehensively assess and provide treatment to a wound resulting in harm, as evidenced by deterioration of the wound, pain, and a positive wound culture which required antibiotic administration for 10 days for one of five residents reviewed (Resident 1); failed to date a wound dressing for one of five residents reviewed (Resident 2); and failed to off-load heels per treatment order for one of five residents reviewed (Resident 3). […]

• Actual harm, isolatedF686Apr 8, 2021

  Based on observation, facility policy review, clinical record review and staff interview, it was determined that the facility failed to timely identify and address declines in skin integrity under a palm protector to the left hand which resulted in harm with the development of a pressure ulcer (injury to skin and underlying tissue resulting from prolonged pressure or friction on the skin) to the left hand for one of three residents reviewed for pressure ulcers (Resident 96); and failed to ensure that residents receive necessary treatment and services, consistent with professional standards of practice, to promote healing and prevent infection of a pressure ulcer for two of two dressing change observations (Residents 96 and 102). […]