Hanover Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF880Dec 12, 2023

  Based on observations, interviews, facility census review, record review, facility policy review, and the Centers for Disease Control (CDC) guidance review, the facility failed to implement a comprehensive and effective infection control program to prevent the spread of COVID-19. This resulted in Immediate Jeopardy and the potential for actual harm, serious life-threatening complications, death beginning on [DATE] when the facility failed to implement effective and recommended infection control practices, including implementation of appropriate isolation and quarantine procedures to prevent the spread of COVID-19 within the facility when five residents (#81, #89, #98, #101 and #103), who did not have COVID-19, remained in rooms with residents (#80, #90, #97, #100 and #102), who had tested… […]

• Immediate jeopardy, isolatedF600Sep 23, 2024

  Based on observation, medical record reviews review of employee time clock punch reports, review of employee personnel files, review of facility Self-Reported Incidents (SRI), review of the facility assessment, facility policy review and interview, the facility failed to ensure all residents were free from staff to resident physical and/or emotional abuse. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm/injuries and psychosocial harm beginning on 09/05/24 at approximately 3:15 P.M. […]

• Immediate jeopardy, isolatedF609Sep 23, 2024

  Based on observation, medical record reviews, review of facility Self-Reported Incidents (SRI), facility policy review and interview, the facility failed to ensure all allegations of physical and/or emotional abuse were reported immediately to the Administrator and State Survey Agency as required. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm/injuries and psychosocial harm beginning on 09/05/24 at approximately 3:15 P.M. when Activity Director (AD) #400 witnessed State tested Nursing Assistant (STNA) #300 grab and force Resident #78 to sit in her specialty tilt-in-space wheelchair (a specialty wheelchair that offers both a tilting function and a reclining function and should not be considered an independent mobility device due to their size and… […]

• Immediate jeopardy, isolatedF610Sep 23, 2024

  Based on observation, medical record reviews, review of facility Self-Reported Incidents (SRI), facility policy review and interview, the facility failed to implement the facility abuse policy related to allegations of physical and emotional abuse by allowing alleged perpetrators continued access to the specified victims and/or other vulnerable residents and failed to timely initiate an investigation regarding the allegations of abuse. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm/injuries and psychosocial harm beginning on 09/05/24 at approximately 3:15 P.M. […]

• No harm, potential for more than minimal, widespreadF921Aug 12, 2026

  Based on observation, staff interview and resident interview, the facility failed to ensure its laundry machines and dryers were maintained in a working condition causing laundry and linens not to be returned in a timely manner. This had the potential to affect all residents in the facility. The facility census was 116. Review of the medical record for Resident #12, revealed he was admitted to the facility on [DATE] with diagnoses that included but were not limited to: paraplegia, cellulitis of the left lower limb, non pressure chronic ulcer of the right foot and left foot, type two diabetes mellitus with diabetic neuropathy, depression, anxiety disorder unspecified, adjustment disorder, nicotine dependence, cannabis use, and generalized muscle weakness. […]