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.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-27 | 18 | 10.1 | 9.5 | +7.9 worse |
| 2 | 2024-03-14 | 17 | 10.9 | 9.8 | +6.1 worse |
| 3 | 2023-03-30 | 25 | 10.5 | 9.3 | +14.5 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 8 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 2 |
| Pharmacy service | 3 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.30 | 57.7% |
| RN staffing (reported) | 0.50 | 61.1% |
| 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
- 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
- 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
- GF0760Ensure that residents are free from significant medication errors.2025-07-22 · Health · corrected 2025-07-07
Actual harm
- DF0641Ensure each resident receives an accurate assessment.2025-02-27 · Health · corrected 2025-04-07
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-02-27 · Health · corrected 2025-04-07
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0641Ensure each resident receives an accurate assessment.2024-03-14 · Health · corrected 2024-04-24
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-09 · Health · corrected 2023-05-24
Actual harm
- EF0558Reasonably accommodate the needs and preferences of each resident.2023-03-30 · Health · corrected 2023-05-16
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0791Provide or obtain dental services for each resident.2023-03-30 · Health · corrected 2023-05-16
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SPACEBAR OPCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-11-01 |
| AI ELEMENTS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2021-11-01 |
| STRAWBERRY HILL HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2022-02-25 |
| TILDE PROPCO HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2023-01-01 |
| CLINICAL CONSULTING SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-11-01 |
| PRIORITY CARE GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-11-01 |
| SUMMATION FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-11-01 |
| HAWKINS, STACEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-16 |
| PEARLSTEIN, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 |
Other facilities in HANOVER
| Name | Overall | Beds |
|---|---|---|
| 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.