Starfile

Starfile / Pennsylvania

HANOVER HALL FOR NURSING AND REHABILITATION

267 FREDERICK STREET, HANOVER, PA 17331 · CCN 395016

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★☆☆☆ 2
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
151
Avg residents/day
115.5
Phone
7176378937

Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityPennsylvania avgNational avgvs state
12025-02-271810.19.5+7.9 worse
22024-03-141710.99.8+6.1 worse
32023-03-302510.59.3+14.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care8
Resident assessment and care planning3
Nursing and physician services2
Pharmacy service3
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.3057.7%
RN staffing (reported)0.5061.1%
Total nurse staffing (adjusted)3.39

Fines & penalties

Total fines
$8,190
Number of fines
1
Number of penalties
1
Payment denials
0

Inspection citations (60)2 actual harm

  1. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-19 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  2. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-11-19 · Health · corrected 2025-12-31

    Potential for more than minimal harm

  3. GF0760Ensure that residents are free from significant medication errors.2025-07-22 · Health · corrected 2025-07-07

    Actual harm

  4. DF0641Ensure each resident receives an accurate assessment.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  5. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  6. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  7. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  8. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  9. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  10. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  12. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  13. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  14. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  15. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  16. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  17. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  18. EF0880Provide and implement an infection prevention and control program.2025-02-27 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  19. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-02-03 · Health · corrected 2025-03-03

    Potential for more than minimal harm

  20. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2025-02-03 · Health · corrected 2025-03-03

    Potential for more than minimal harm

  21. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-08-01 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  22. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-08-01 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  23. EF0641Ensure each resident receives an accurate assessment.2024-03-14 · Health · corrected 2024-04-24

    Potential for more than minimal harm

  24. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-14 · Health · corrected 2024-04-24

    Potential for more than minimal harm

  25. EF0685Assist a resident in gaining access to vision and hearing services.2024-03-14 · Health · corrected 2024-04-24

    Potential for more than minimal harm

  26. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-14 · Health · corrected 2024-04-24

    Potential for more than minimal harm

  27. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-03-14 · Health · corrected 2024-04-24

    Potential for more than minimal harm

  28. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-03-14 · Health · corrected 2024-04-24

    Potential for more than minimal harm

  29. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-03-14 · Health · corrected 2024-04-24

    Potential for more than minimal harm

  30. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-03-14 · Health · corrected 2024-04-24

    Potential for more than minimal harm

  31. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-14 · Health · corrected 2024-04-24

    Potential for more than minimal harm

  32. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-03-14 · Health · corrected 2024-04-24

    Potential for more than minimal harm

  33. DF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-03-14 · Health · corrected 2024-04-24

    Potential for more than minimal harm

  34. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-03-14 · Health · corrected 2024-04-24

    Potential for more than minimal harm

  35. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-03-04 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  36. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-11-30 · Health · corrected 2024-01-02

    Potential for more than minimal harm

  37. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-09-28 · Health · corrected 2023-11-06

    Potential for more than minimal harm

  38. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-05-09 · Health · corrected 2023-05-24

    Potential for more than minimal harm

  39. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-09 · Health · corrected 2023-05-24

    Actual harm

  40. EF0558Reasonably accommodate the needs and preferences of each resident.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  41. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  42. EF0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  43. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  44. EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  45. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  46. EF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  47. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  48. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  49. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  50. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  51. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  52. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  53. EF0730Observe each nurse aide's job performance and give regular training.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  54. DF0791Provide or obtain dental services for each resident.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  55. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  56. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  57. EF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  58. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  59. DF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

  60. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-03-30 · Health · corrected 2023-05-16

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
SPACEBAR OPCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-11-01
AI ELEMENTS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST33%2021-11-01
STRAWBERRY HILL HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST33%2022-02-25
TILDE PROPCO HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST33%2023-01-01
CLINICAL CONSULTING SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-11-01
PRIORITY CARE GROUP LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-11-01
SUMMATION FINANCIAL SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-11-01
HAWKINS, STACEYIndividualOPERATIONAL/MANAGERIAL CONTROL2022-06-16
PEARLSTEIN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2023-02-01

Other facilities in HANOVER

NameOverallBeds
HOMEWOOD LIVING PLUM CREEK, INC★★★★★120
SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE★★★★★40

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.