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Home / Pennsylvania / Hanover

Hanover Hall for Nursing and Rehabilitation

267 Frederick Street, Hanover, PA 17331 · York County · (717) 637-8937

151 certified beds, about 114 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1968

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395016 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 14, 2026, inspectors cited 11 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 49 health citations since September 2023, 3 were rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.39 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.

56.9% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 49 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
26D
19E
0F
Potential for minimal harm
0A
0B
1C
February 19, 2026Complaint inspection · 1 citation
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on clinical record review, hospital records, staff interviews, and review of the facility incident report, it was determined that the facility displayed past non-compliance in it's failure to ensure that care and services were provided timely and consistent with professional standards of practice following a fall with fracture which resulted in harm as evidenced by fracture-related pain and delayed corrective treatment for one of three residents reviewed (Resident 1). Findings Include: Review of the facility policy, titled Falls Management System, last reviewed July 25, 2025, stated the following: Any fall that involves an actual head injury and all un-witnessed falls will include follow-up neurological checks. Neurological checks will be documented. [...]
January 14, 2026Standard inspection · 11 citations
  1. G
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on review of facility policy, clinical record review and staff interview, it was determined that the facility failed to monitor a resident's weight status in accordance with facility policy and clinical standards of practice for three of five residents reviewed (Residents 5, 8, and 85). And failed to consistently monitor a resident's weight status and implement timely interventions to maintain adequate weight resulting in actual harm as evidenced by continued weight loss for one of five residents reviewed (Resident 8).
  2. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on review of select facility documentation and staff interview, it was determined that the facility failed to ensure that nurse aide performance evaluations were completed at least once every 12 months for three of five nurse aides reviewed (Employee 7, 8, and 9).
  3. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to ensure the drug regimen of each resident was reviewed at least once a month by a licensed pharmacist, and failed to ensure any irregularities were responded to in a timely manner by the attending physician or prescriber for three of five residents reviewed for unnecessary medications (Residents 2, 11, and 56).
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on observations, review of facility policy, and staff interview, it was determined that the facility failed to store and serve food/beverages in accordance with professional standards for food safety in the kitchen and in four of four nourishment pantries.
  5. D
    Honor 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure each resident the right to formulate an advance directive for one of three residents reviewed (Resident 39). Findings Include: An Advance Directive is defined as a written instruction, such as a living will or durable power of attorney for health care, recognized under State law, relating to the provision of health care when the individual is incapacitated. Review of the facility's policy, titled Advance Directives, revised September 2022, reads, in part, 1. Prior to or upon admission of a resident, the social services director or designee inquires of the resident, his/her family members, and/or his or her legal representative, about the existence of any written advance directives. 2. [...]
  6. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on review of facility policy, record review, and staff interview, it was determined that the facility failed to provide side effect monitoring for one of five residents reviewed (Residents 56).
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on facility policy review, observations, clinical record review, and resident and staff interviews, it was determined that the facility failed to develop and implement a person-centered care plan for two of 23 residents reviewed (Residents 39 and 75). Findings Include:Review of the facility's policy, titled Care Plans, Comprehensive Person-Centered, revised March 2022, read, in part, A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physician, psychosocial, and functional needs is developed and implemented for each resident. [...]
  8. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on facility policy review, observation, and staff interviews, it was determined that the facility failed to ensure care and services were provided in accordance with professional standards for one resident reviewed (Resident 94).
  9. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on review of select Resident Council meeting minutes, resident and staff interviews, observations, and completion of one meal test tray, it was determined that the facility failed to provide foods that are palatable, attractive, and at appetizing temperatures.
  10. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on staff interview, clinical record review, and facility policy review, it was determined the facility failed to develop a timely hospice baseline care plan, document a hospice physician order, or have an authorized hospice agreement for one of three residents reviewed for hospice services (Resident 13).
  11. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to post the nurse staffing data on a daily basis at the beginning of each shift, including an accurate resident census, on January 11 and 12, 2026.
November 19, 2025Complaint inspection · 2 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to maintain adequate personal hygiene and grooming of residents who are dependent on staff for assistance with these activities of daily living for two of four residents reviewed (Residents 2 and 3).
  2. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure a urinalysis and urine culture and sensitivity were completed timely for one of two resident records reviewed (Resident 4).
July 22, 2025Complaint inspection · 1 citation
  1. G
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on facility policy, clinical record review, facility document review, hospital record review, and resident and staff interviews, it was determined the facility displayed past non-compliance by failing to ensure that residents were free from any significant medication errors, which resulted in actual harm, as evidenced by low blood pressure, low heart rate, sweating, lightheadedness, and hospital transfer, for one of two residents (Resident 1). Findings Include:Review of facility policy, titled Administering Medications, last revised April 2019, indicated medications are administered by licensed nurses or other staff who are legally authorized to do so in this state. The policy states:Medications are administered in accordance with prescriber orders, including any required time frame. [...]
February 27, 2025Standard inspection, Complaint inspection · 15 citations
  1. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on observations, clinical record review, as well as resident and staff interviews, it was determined that the facility failed to ensure that a comprehensive, person-centered care plan was developed for each resident for two of 28 residents reviewed (Residents 63 and 99).
  2. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on observations, policy review, and staff and resident interviews, it was determined that the facility failed to ensure residents unable to carry out activities of daily living receive the necessary services to maintain good grooming and personal hygiene for four of 28 residents reviewed (Residents 3, 15, 17, and 93). Findings Include: Activities of Daily Living (ADLs) refer to basic self-care tasks that people typically perform daily. A review of the facility's policy, titled Activities of Daily Living (ADL's), revised March 2018, read, in part, Appropriate care and services will be provided for residents who are unable to carry out ADLs, including appropriate support and assistance with hygiene [bathing, dressing, grooming and oral care]. [...]
  3. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on clinical record review, and interviews with staff and residents, it was determined that the facility failed to provide care and services as ordered by the physician for two of 28 residents reviewed (Residents 6 and 99). Findings Include: Review of the clinical record for Resident 6 revealed diagnoses that included lymphedema (swelling in the legs caused by lymphatic system blockage) and peripheral vascular disease (circulatory condition which narrowed blood vessels reduce blood flow to the limbs). During an interview with Resident 6 on February 24, 2024, at 11:14 AM, the Resident was asked about his lymphedema pumps (pumps that use compressed air to apply pressure to the affected limb to force excess fluid out of the limb) that were lying in his room. [...]
  4. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to ensure that residents who required dialysis services received such services consistent with professional standards of practice for two of two residents reviewed for dialysis (Residents 80 and 99).
  5. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on resident and staff interviews, clinical record review, and policy review, it was determined that the facility failed to provide sufficient nursing staff to provide nursing and related services for two of 26 residents reviewed (Residents 15 and 93). Review of the facility assessment and documentation determined that the facility failed to meet the staffing needs of their residents. Findings Include: Review of the facility's document, titled Facility Assessment, approved August 9, 2024, revealed its purpose is to determine what resources are necessary to care for our residents competently during both day-to-day operations (including nights and weekends) and emergencies. The document continued, This assessment addresses . [...]
  6. E
    Have 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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on observation, staff interviews, and Infection Control Preventionist (ICP) credential review, it was determined that in addition to the role of the Director of Nursing (DON), the DON was also the ICP and worked on the unit caring for residents as the nursing supervisor.
  7. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on observations, facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to ensure staff implemented infection control policies and practices to prevent the spread of infection by using PPE (personal protective equipment) for four of 26 residents reviewed (Residents 32, 63, 96, and 99). Findings Include: Review of facility policy, titled Isolation- Multi Route Transmission-Based Precautions, last revised October 2018, revealed that staff and visitors will wear clean, disposable gloves and a disposable gown when entering the room of a resident on contact precautions. Review of Resident 96's clinical record revealed diagnoses that included clostridium difficile (bacterium that causes an infection of the colon) and chronic kidney disease (condition where the kidneys stop filtering waste from the blood). [...]
  8. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure that the resident assessment accurately reflected the resident's status for three of 28 residents reviewed (Residents 6, 41, and 99).
  9. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to develop and implement a baseline care plan for each resident within 48 hours of the resident's admission for one of 28 residents reviewed (Resident 99).
  10. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on observation, policy review, staff interviews, and record review, it was determined that the facility failed to ensure that a resident with a pressure ulcer received care consistent with professional standards of practice for one of three Residents reviewed for pressure ulcers (Resident 8).
  11. D
    Provide 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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on observation, clinical record review, and resident and staff interviews, it was determined that the facility failed to ensure that residents with limited mobility received appropriate services, equipment, and assistance to maintain or improve mobility for one of three residents reviewed for mobility (Resident 63). Findings Include: Review of Resident 63's clinical record revealed diagnoses that included quadriplegia (partial or total loss of use of all four limbs) and muscle weakness. Review of Resident 63's physician orders revealed an order to cleanse both hands and check placement of cushion pad/brace that is worn at all times for contractures each shift, effective June 1, 2023. [...]
  12. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on clinical record review, policy review, and staff interview, it was determined that the facility failed to ensure the resident environment remains free of accident hazards and that each resident receives adequate supervision and assessment for two of three residents reviewed for use of enabler bars (Residents 3 and 39). Findings Include: A review of the facility's policy, titled Use of Bed Rails, revised September 2022, read, in part, Facility staff, in conjunction with the Attending Physician, will assess and document the resident's risk for injury due to neurological disorders or other medical conditions. Also, The resident will be checked periodically for safety relative to bed rail use. According to the policy, examples of bed rails included, Grab bars and assist bars. [...]
  13. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on review observations, policy review, and resident and staff interviews, it was determined that the facility failed to provide respiratory services for one of 28 residents reviewed (Resident 90).
  14. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on facility policy review, clinical record reviews, and staff interview, it was determined that the facility failed to act upon the licensed pharmacist's report of a medication irregularity for two of five residents reviewed for unnecessary medications (Residents 8 and 41). Findings Include: Review of facility policy, titled Antipsychotic Medication Use, last reviewed July 2024, read, in part, Antipsychotic medication will be prescribed at the lowest possible dosage for the shortest period of time and are subject to gradual dose reduction and re-review .18. The physician shall respond appropriately by changing or stopping problematic doses or medications, or clearly documenting (based on assessing the situation) why the benefits of the medication outweigh the risks or suspected or confirmed adverse consequences. [...]
  15. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 7, 2025
    Inspectors wroteBased on observation, facility policy review, product packaging review, and staff interview, it was determined that the facility failed to store medication in accordance with manufacture guidelines for one of three medication carts reviewed (D-2 medication cart). Findings Include: Review of facility provided policy, titled Medication Storage in the Facility, most recently reviewed July 2024, revealed, Medications requiring 'refrigeration' or 'temperatures between 2ºC (36ºF) and 8ºC (46ºF)' are kept in a refrigerator with a thermometer to allow temperature monitoring. Medications requiring storage 'in a cool place' are refrigerated unless otherwise directed on the label. [...]
February 3, 2025Complaint inspection · 2 citations
  1. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2025
    Inspectors wroteBased on document review, policy review, and resident and staff interviews, it was determined that the facility failed to ensure sufficient nursing staff to provided nursing and related services to assure resident safety and maintain the highest practicable physical, mental, and psychosocial well-being of each resident as determined by individual plans of care for one of four residents reviewed (Resident 4). Findings Include: A review of the facility's policy, titled Care Plans-Comprehensive Person-Centered, revised September 2022, read, in part, A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. [...]
  2. D
    Educate 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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 3, 2025
    Inspectors wroteBased on clinical record review, policy and document review, and staff interview, it was determined that the facility failed to implement policies and procedures to ensure that each resident is offered the COVID-19 vaccine, when available, and if the vaccination requires multiple doses, the resident and/or representative has the opportunity to accept or refuse the COVID-19 vaccine for one of four residents reviewed (Resident 2). Findings Include: A review of the facility's policy, titled Coronavirus (COVID-19) and COVID-19 Vaccine Policy, revised on February 18, 2022, read, in part, The vaccine will be offered and administered to residents per the most current Manufacturers', CDC [Centers for Disease Control], Federal, State, and/or local guidance. [...]
August 1, 2024Complaint inspection · 2 citations
  1. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on record review and staff interviews, the facility failed to get a resident out of bed when requested for one of four residents reviewed (Resident 2).
  2. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on review of staffing schedules, facility documentation, and staff interview, it was determined that the facility failed to ensure sufficient nursing staff to assure residents attain or maintain the highest practicable physical, mental, and psychosocial well-being for one of four residents reviewed (Residents 2).
March 14, 2024Standard inspection · 12 citations
  1. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on clinical record review and staff interviews, it was determined that the facility failed to ensure that resident assessments accurately reflected the resident's status for three of 25 residents reviewed (Residents 53, 107, and 358).
  2. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on facility policy review, clinical record review, and staff interviews, it was determined the facility failed to develop and implement a comprehensive person-centered care plan to attain or maintain the highest practicable level of physical and mental well-being for one of 25 residents reviewed (Resident 49).
  3. E
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on clinical record review and resident and staff interviews, it was determined that the facility failed to ensure each resident received proper treatment to maintain vision for one of 25 residents reviewed (Resident 90).
  4. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on facility policy review, clinical record review, and staff interviews, it was determined the facility failed to ensure the monthly pharmacy medication regimen review recommendations were acted upon in a timely manner for two of 25 residents reviewed (Residents 37 and 49).
  5. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on observations, facility policy review, and staff interview, it was determined that the facility failed to ensure controlled substances were contained in a permanently affixed locked compartment for two of two medication rooms observed (A1/B1 hall and C2/D2 hall); failed to ensure adherence to medication expiration dates for one of two medication storage rooms observed (A1/B1 hall); and failed to ensure appropriate labeling of medication when opened for one of two medication storage rooms observed (A1/B1 hall).
  6. E
    Ensure 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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on review of select facility documentation, observations, and staff interview, it was determined that the facility failed to follow appropriate portion sizes for residents prescribed double portions for three of five residents observed (Residents 5, 7, and 32); and failed to provide therapeutic diet restrictions (a meal plan that controls the intake of certain foods or nutrients) for five of five residents observed on the carbohydrate controlled diet restriction (Residents 28, 58, 70, 83, and 409) during one of one tray line meal service observed.
  7. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on facility policy review, observations, and staff interviews, it was determined that the facility failed to store food and beverages in accordance with professional standards for food service safety in the main kitchen and four of four nourishment areas.
  8. E
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on review of nurse aide in-service records and staff interview, it was determined that the facility failed to ensure that all nurse aide staff received a minimum of 12 hours of in-service education training each year for five of five direct care staff members reviewed (Employees 8, 9, 10, 11, and 12).
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on facility policy review, observations, record review, and staff interviews, it was determined that the facility failed to provide respiratory care consistent with professional standards of practice for one of 25 residents reviewed (Resident 49).
  10. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on completion of a test tray and resident and staff interviews, it was determined that the facility failed to provide foods that were at an appetizing temperature for one of one meals tested.
  11. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on facility record review, facility policy review, and staff interviews, it was determined that the facility failed to provide education regarding the benefits and risks of the influenza and pneumococcal vaccines for three of five residents reviewed for vaccination status (Residents 61, 90, and 92).
  12. D
    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
    F942 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2024
    Inspectors wroteBased on review of facility documentation, and interviews it was determined that the facility failed to ensure that direct care nursing staff completed training/demonstrated competency upon hire and annually thereafter related to resident rights for two of five direct care staff members reviewed (Employees 8 and 9).
March 4, 2024Complaint inspection · 1 citation
  1. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 9, 2024
    Inspectors wroteBased on observation as well as resident and staff interview it was determined that the facility failed to ensure each resident the right to a clean and comfortable homelike environment for two of three residents reviewed (Residents 3 and 4). Findings Include: An observation of Resident 3, on March 4, 2024, at 10:15 AM revealed him to be sitting in his wheelchair resting. A closer observation of Resident 3's wheelchair revealed multiple areas of dried liquid on the seat, as well as debris resembling crumbs and other materials located on the seat, arm rests and back of the wheelchair. An immediate interview with Resident 3 revealed he did not know how the stains or debris were deposited on his wheelchair but assumed them to be remnants of his meals. [...]
November 30, 2023Complaint inspection · 1 citation
  1. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2024
    Inspectors wroteBased on clinical record review, facility policy review, and staff interviews, it was determined that the facility failed to ensure residents received appropriate treatment and services to prevent urinary tract infections and complications related to the use of a catheter (thin tube that can be inserted through the urethra and into the bladder, allowing urine to drain) by catheterizing more times than required and improper placement of a foley catheter, for one of three residents reviewed for use of a catheter (Resident 1). Findings Include: Review of facility policy, titled Catheterization, Intermittent, Female Resident, revised October 2010, revealed, Verify that there is a physician's order for this procedure. [...]
September 28, 2023Complaint inspection · 1 citation
  1. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 6, 2023
    Inspectors wroteBased on observation, clinical record review, and resident and staff interviews, it was determined that the facility failed to ensure sufficient staff to meet resident needs on two of four nursing units (A1 and C2/D2).

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)3.393.893.86
Registered nurses0.730.790.69
All nursing staff on weekends3.053.533.42
Nurse aides1.90
Licensed practical nurses0.76
Nursing staff turnover (share who left in a year)56.9%44.5%45.8%
Registered nurse turnover60.0%39.9%42.9%
Administrators who left0

CMS expects 3.83 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.52 on weekdays and 3.05 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 3.39 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.390.733.523.05 10.6%0 of 90114
Oct to Dec 20253.350.603.463.09 9.9%0 of 92114
Jul to Sep 20253.300.503.442.96 8.3%0 of 92116
Apr to Jun 20253.260.503.382.97 11.3%0 of 91114
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Pennsylvania

JobMedianMiddle halfEmployed
Pennsylvania, all employers
CNAs (nursing assistants)$21.44$18.88 to $22.5267,740
LPNs and LVNs$30.74$29.02 to $35.0138,260
Registered nurses$46.36$38.75 to $50.35146,520
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

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For Hanover Hall for Nursing and Rehabilitation. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
20.316.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.90.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.31.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.53.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.91.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
20.417.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.74.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.517.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
31.622.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.29.512.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Hanover Hall for Nursing and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (38.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

38.0% this home

Worse than the national rate

US median of homes 51.5% · Pennsylvania: 100 better, 108 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 76 eligible stays.

Potentially preventable readmissions

12.5% this home

No different from the national rate

US median of homes 10.7% · Pennsylvania: 3 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 93 eligible stays.

Infections that led to a hospital stay

6.8% this home

No different from the national rate

US median of homes 7.1% · Pennsylvania: 7 better, 5 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 82 eligible stays.

Self-care and mobility at discharge

53.7% this home

Median of homes: Pennsylvania54.4% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 54 residents counted.

Falls with major injury

0.0% this home

Median of homes: Pennsylvania0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 76 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Pennsylvania2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 76 residents counted.

Medication list given at discharge

95.2% this home

Median of homes: Pennsylvania100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 21 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: HANOVER OPCO LLC.

NameRoleTypeShareSince
Spacebar Opco LLC5% or greater direct ownership interestOrganization100%11/01/2021
Ai Elements LLC5% or greater indirect ownership interestOrganization33%11/01/2021
Strawberry Hill Holdings LLC5% or greater indirect ownership interestOrganization33%02/25/2022
Tilde Propco Holdings LLC5% or greater indirect ownership interestOrganization33%01/01/2023
Clinical Consulting Services LLCOperational/managerial controlOrganization11/01/2021
Priority Care Group LLCOperational/managerial controlOrganization11/01/2021
Summation Financial Services LLCOperational/managerial controlOrganization11/01/2021
Hawkins, StaceyOperational/managerial controlIndividual06/16/2022
Pearlstein, RobertOperational/managerial controlIndividual02/01/2023
267 Fredericks Propco LLCAdp of the SNFOrganization11/01/2021
Clinical Consulting Services LLCAdp of the SNFOrganization06/05/2025
Summation Financial Services LLCAdp of the SNFOrganization06/11/2025
Hawkins, StaceyAdp of the SNFIndividual06/20/2025
Pearlstein, RobertAdp of the SNFIndividual06/11/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on February 19, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 8 problems in this area, most recently on January 14, 2026: "Observe each nurse aide's job performance and give regular training."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on January 14, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on January 14, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.05 hours per resident per day, below the Pennsylvania average of 3.53.

Other nursing homes nearby

Assisted living and personal care homes in Hanover

Licensed assisted living residences and personal care homes in the same town or within 5 miles, each with its Pennsylvania licence record.

Assisted living and personal care homes in Pennsylvania

Pennsylvania contacts for a concern about a nursing home

These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.

Common questions

What is Hanover Hall for Nursing and Rehabilitation's Medicare star rating?
CMS rates Hanover Hall for Nursing and Rehabilitation 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hanover Hall for Nursing and Rehabilitation get at its last inspection?
11 health deficiencies at the standard inspection on January 14, 2026. The Pennsylvania average is 10.
Has Hanover Hall for Nursing and Rehabilitation been fined?
CMS lists no fines in the last three years.
Does Hanover Hall for Nursing and Rehabilitation accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Hanover Hall for Nursing and Rehabilitation?
CMS lists 14 owners and managers. Legal business name: HANOVER OPCO LLC.

Sources

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