Hanover Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Hanover Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF726Oct 9, 2025

  Based on observation, interview, clinical record review, and facility documentation review, the facility staff failed to ensure that staff have the appropriate competencies and skill sets to provide adequate nursing care for one (1) Resident #1 in a survey sample of 5 residents, resulting in immediate jeopardy and harm to Resident #1.The findings include:For Resident #1, the facility failed to ensure all nurses were competent in the care and use of LVAD (Left Ventricular Assistive Device, an implanted cardiac pump) which resulted in Immediate Jeopardy past non-compliance with harm for Resident #1. […]

• Actual harm, isolatedF689Oct 12, 2022

  Based on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to ensure an environment free from accident hazards for one Resident (Resident #2) in a survey sample of 5 Residents. This resulted in harm, past non-compliance. The findings included: For Resident #2 the facility staff failed to safely transfer a resident who had a known fall risk and had recently suffered bilateral leg fractures, causing a deep tissue leg laceration requiring sutures. […]

• Actual harm, isolatedF578Apr 22, 2021

  Based on staff interview, facility documentation review and clinical record review the facility staff failed to honor one Resident's desires on an Advance directive for one Resident (Resident 4) in a survey sample of 7 Residents. The findings include: For Resident # 4, the facility staff failed to verify and honor the signed Advance Directive and Do not Resuscitate paperwork documented in the clinical record. Because the nurse did not see proper documentation of a DNR, the order was changed to a Full Code. Resident # 4 was admitted to the facility on [DATE], and expired on [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #4's most recent MDS (minimum data set) (an assessment tool) with an ARD (assessment reference date) of [DATE], was coded as an Admission assessment. […]

• No harm, potential for more than minimal, widespreadF726Mar 6, 2026

  Based on staff interviews, record reviews and the Virginia Board of Nursing guidance, the facility failed to ensure competent nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of all 110 residents. This failure had the potential to affect the completion of nursing duties, including incident management, assessments, and fall monitoring and prevention, infection prevention and control, and medication administration.Findings include:Review of a personnel file provided by the facility revealed Registered Nurse Applicant (RNA) 1 was hired as a Graduated Nurse on 09/24/25 Further review of the file revealed RNA1 took her… […]

• No harm, potential for more than minimal, widespreadF812Mar 6, 2026

  Based on observations, policy review, and interviews, the facility failed to discard six two-pound cartons of liquid eggs located in the walk-in cooler that were beyond the manufacturer's use by date of 02/09/26.Findings include: During the initial tour of the kitchen with the Dietary Manager (DM) on 02/23/26 at 10:30 AM revealed six two-pound cartons of liquid eggs that displayed manufacturer's use by date of 02/09/26 located in the walk-in cooler. The DM confirmed that all six cartons were beyond the use by date displayed and should have been discarded.Review of the facility's policy titled, Cold Food Storage with an effective date of 02/19/25 revealed that it is the center policy to ensure all Time/Temperature Control for Safety (TCS), frozen and refrigerated food items, will be… […]