HANOVER HEALTH AND REHABILITATION CENTER Inspection Report, Violations & Safety Grade (MECHANICSVILLE, Virginia)

8139 LEE DAVIS ROAD, MECHANICSVILLE, Virginia 23111

Phone: 8045595030

CMS Overall:2/5

Overview & Bed Count

Certified Beds

120

Avg Residents/Day

115.1

Ownership

For profit - Individual

Provider Type

Medicare and Medicaid

County

Hanover

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall2/5

Health3/5

Staffing1/5

Quality4/5

Nurse Staffing Check

Metric	This Facility	Virginia Avg	Difference
RN Hours per Resident per Day	0.31	0.71	-0.39
Total Nurse Hours per Resident per Day	3.41	3.88	-0.47
CMS Staffing Rating	1/5	2.5/5	-
Nursing Staff Turnover	65.0%	47.5%	-

Health Citation History

39 health citations on record

Date	Category	Description	Severity
2026-03-06	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	F – Moderate Harm Potential
2026-03-06	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2026-03-06	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D – Moderate Harm Potential
2026-03-06	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2025-10-09	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	J – Immediate Jeopardy
2022-04-28	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	E – Moderate Harm Potential
2022-04-28	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	E – Moderate Harm Potential
2022-04-28	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E – Moderate Harm Potential
2022-04-28	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E – Moderate Harm Potential
2022-04-28	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2022-04-28	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2022-04-28	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D – Moderate Harm Potential
2022-04-28	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D – Moderate Harm Potential
2022-04-28	Pharmacy Service Deficiencies	Ensure 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.	D – Moderate Harm Potential
2022-04-28	Quality of Life and Care Deficiencies	Provide routine and 24-hour emergency dental care for each resident.	D – Moderate Harm Potential
2022-04-28	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential
2019-08-07	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J – Immediate Jeopardy
2019-08-07	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	J – Immediate Jeopardy
2019-08-07	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	J – Immediate Jeopardy
2019-08-07	Nursing and Physician Services Deficiencies	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	J – Immediate Jeopardy
2019-08-07	Nursing and Physician Services Deficiencies	Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.	J – Immediate Jeopardy
2019-08-07	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2019-08-07	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E – Moderate Harm Potential
2019-08-07	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	E – Moderate Harm Potential
2019-08-07	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	E – Moderate Harm Potential
2019-08-07	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	E – Moderate Harm Potential
2019-08-07	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2019-08-07	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D – Moderate Harm Potential
2019-08-07	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D – Moderate Harm Potential
2019-08-07	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2019-08-07	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2019-08-07	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D – Moderate Harm Potential
2019-08-07	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2019-08-07	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2019-08-07	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D – Moderate Harm Potential
2019-08-07	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2019-08-07	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2019-08-07	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D – Moderate Harm Potential
2019-08-07	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D – Moderate Harm Potential

Fire Safety Citation History

22 fire safety citations on record

Date	Category	Description	Severity
2022-04-28	Smoke Deficiencies	Provide properly protected cooking facilities.	D – Moderate Harm Potential
2022-04-28	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	D – Moderate Harm Potential
2022-04-28	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	D – Moderate Harm Potential
2019-08-07	Construction Deficiencies	Use approved construction type or materials.	E – Moderate Harm Potential
2019-08-07	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2019-08-07	Smoke Deficiencies	Install smoke barrier doors that can resist smoke for at least 20 minutes.	E – Moderate Harm Potential
2019-08-07	Construction Deficiencies	Meet other general requirements.	D – Moderate Harm Potential
2019-08-07	Egress Deficiencies	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.	D – Moderate Harm Potential
2019-08-07	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	D – Moderate Harm Potential
2019-08-07	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	D – Moderate Harm Potential
2019-08-07	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	D – Moderate Harm Potential
2019-08-07	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	D – Moderate Harm Potential
2019-08-07	Gas, Vacuum, and Electrical Systems Deficiencies	Meet requirements for the use of electrical equipment.	D – Moderate Harm Potential
2019-08-07	Emergency Preparedness Deficiencies	Establish policies and procedures for sheltering.	C – Minimal Harm Potential
2019-08-07	Emergency Preparedness Deficiencies	Establish policies and procedures for volunteers.	C – Minimal Harm Potential
2019-08-07	Emergency Preparedness Deficiencies	Establish roles under a Waiver declared by secretary.	C – Minimal Harm Potential
2019-08-07	Emergency Preparedness Deficiencies	Provide primary/alternate means for communication.	C – Minimal Harm Potential
2019-08-07	Egress Deficiencies	Meet other general requirements that are deficient.	C – Minimal Harm Potential
2019-08-07	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	C – Minimal Harm Potential
2019-08-07	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	C – Minimal Harm Potential
2019-08-07	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	C – Minimal Harm Potential
2019-08-07	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	C – Minimal Harm Potential

Total Penalties & Fines

$14,901

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2025-10-09	Fine	$14,901	-

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Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the MECHANICSVILLE area at no cost.

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3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.