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Deficiency Records for Hanover Healthcare Center
A list of the most recent deficiencies for Hanover Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Hanover Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-23 | 2024-09-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-23 | 2024-09-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-23 | 2024-09-25 | Y |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-08-15 | 2024-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-15 | 2024-09-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-15 | 2024-09-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-15 | 2024-09-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-15 | 2024-09-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-08-15 | 2024-09-21 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-19 | 2024-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-19 | 2024-08-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-08-19 | 2024-08-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-19 | 2024-08-30 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-08-19 | 2024-08-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-19 | 2024-08-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-19 | 2024-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-29 | 2024-07-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-06 | 2024-06-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-06-06 | 2024-06-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-06 | 2024-06-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-18 | 2024-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-08 | 2024-02-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-12 | 2023-12-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-12 | 2023-12-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-12 | 2023-12-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-12 | 2023-12-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-14 | 2023-08-24 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-08-14 | 2023-08-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-23 | 2023-07-03 | Y |
| Honor 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. | Health | 2023-06-23 | 2023-07-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-23 | 2023-07-03 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-09 | 2023-05-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-09 | 2023-05-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-09 | 2023-05-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-10 | 2023-04-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-10 | 2023-04-19 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-01-06 | 2023-01-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-06 | 2023-01-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-06 | 2023-01-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-22 | 2022-10-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-07 | 2022-08-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-07 | 2022-08-03 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-07-07 | 2022-08-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-07 | 2022-08-03 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-05-15 | 2022-06-07 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-05-15 | 2022-06-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-15 | 2022-06-07 | N |
| Post nurse staffing information every day. | Health | 2022-05-15 | 2022-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-15 | 2022-06-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-15 | 2022-06-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-15 | 2022-06-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-15 | 2022-06-07 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-11 | 2022-06-07 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-05-11 | 2022-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-11 | 2022-06-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-05-11 | 2022-06-07 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-05-11 | 2022-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-07 | 2022-04-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-16 | 2022-04-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-16 | 2022-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-09 | 2019-06-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-09 | 2019-06-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-05-09 | 2019-06-21 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-09 | 2019-06-21 | N |
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