Hanover Hill Health Care Center

In the surveyor’s words

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

• Actual harm, isolatedF760Dec 12, 2024

  Based on interview and record review, it was determined that the facility failed to ensure residents remained free from significant medication errors, which resulted in a resident needing interventions for hypotension, including hospitalization for multiple nights for one of three residents reviewed for hospitalization s (Resident Identifier #39). Findings include: Review on 12/9/24 of Resident #39's medical record revealed a nursing note, dated 11/8/24, that stated Resident #39 had received Metoprolol (antihypertensive) 150 milligrams (mg) and that Resident #39 was sent to the emergency room due to experiencing dizziness and low blood pressure. […]

• No harm, potential for more than minimal, widespreadF880Aug 30, 2023

  Based on interviews and record review, it was determined that the facility failed to follow the Center for Disease Control (CDC) return to work guidelines for healthcare personnel who were positive for COVID-19 for 3 of 3 healthcare personnel reviewed for COVID-19 infection. Findings Include: Review on 8/30/23 of the CDC Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2, updated September 23, 2022, revealed, . Return to Work Criteria for HCP [Health Care Personnel] with SARS-CoV-2 Infection. […]

• No harm, potential for more than minimal, patternF812Dec 12, 2024

  Based on observation, interview, and policy review, it was determined that the facility failed to ensure that dishes were handled and sanitized according to professional standard for food services safety in 1 of 1 main kitchen observed. Findings include: Interview on [DATE] at approximately 8:30 a.m. with Staff F (Food Service Supervisor) revealed that the facility utilized a low temperature dishwasher (chemical sanitization). Observation on [DATE] at approximately 8:30 a.m. in the kitchen with Staff F revealed a chlorine test strip for chemical sanitizer solution testing with an expiration date of ,d+[DATE]. Interview on [DATE] at approximately 8:31 a.m. […]

• No harm, potential for more than minimal, patternF880Dec 12, 2024

  Based on interview and record review, it was determined that the facility failed to maintain a system of surveillance to identify and manage infections to prevent the potential spread in the facility for 22 residents with gastrointestinal (GI)infections in a facility census of 116 residents (Resident identifiers are #2, #3, #6, #11, #18, #21, #23, #24, #30, #33, #36, #41, #42, #44, #58, #61, #68, #70, #93, #97, #263, and #267). Findings include: Review on [DATE] of the facility's acute gastroenteritis line list with no date revealed 5 residents (Resident #6, #33, #61, #68, and #93) on the second floor with GI symptoms (i.e. nausea, vomiting, and/or diarrhea) with an onset date of [DATE]. […]

• No harm, potential for more than minimal, isolatedF658Mar 10, 2026

  Based on observation, interview and record review, the facility failed to follow physician's order for 1 of 5 residents reviewed for skin conditions in a final sample of 23 residents. (Resident identifier is #105.)Findings include:Standard:[NAME], P.A, [NAME], A.G., Stockhart, P.A., & Hall, A. (2021). Fundamentals of Nursing. Elsevier. Page 1262. Changing Dressings A Health care provider's order for wound care indicates the dressing type, the frequency of changing, and any solutions or ointments to be applied to the wound.Review on 3/9/2026 of Resident #105's March 2026 Treatment Administration Record revealed a physician order dated 2/12/26 for, Skin tear dressing order-left forearm-Cleanse wound, pat dry, approximate wound with cotton tip applicator, secure with steristrips, cover with… […]