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Hanover Terrace Health and Rehabilitation

49 Lyme Road, Hanover, NH 03755 · Grafton County · (603) 643-2854

100 certified beds, about 49 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1970

Ownership changed in the last 12 months Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 305020 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 4, 2025, inspectors cited 3 health deficiencies (the New Hampshire average is 4, the national average 9.2).

None of its 3 health citations since December 2023 was rated as actual harm or immediate jeopardy.

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

Nurses and nurse aides worked 3.36 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.

50.0% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).

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 3 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
1D
2E
0F
Potential for minimal harm
0A
0B
0C
December 4, 2025Standard inspection · 3 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 15, 2026
    Inspectors wroteBased on interview and record review, it was determined that the facility failed to develop a water management program that identified where in the facility that Legionella, or other opportunistic waterborne pathogens, could grow and spread and did not include established ways to intervene when control limits were not met. This failure had the potential to affect the facility census of 52 residents.
  2. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 15, 2026
    Inspectors wroteBased on interview and record review, it was determined that the facility failed to implement the facility's antibiotic stewardship program and antibiotic use protocols for 6 of 6 months of antibiotic use reviewed.
  3. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2026
    Inspectors wroteBased on interview and record review, it was determined that the facility failed to complete a Preadmission Screening and Resident Review (PASARR) for an individual who required greater than 30 days of nursing services (Resident identifier is #6).
October 30, 2024Standard inspection · 0 citations
December 7, 2023Standard inspection · 0 citations

Fire safety inspections

2 fire safety citations on file: 1 on December 4, 2025, 1 on December 7, 2023.

Every fire safety citation2 citations
  1. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 4, 2025 · Corrected (the home has a date of correction)
  2. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 7, 2023 · Corrected (the home has a date of correction)

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 homeNew HampshireUnited States
All nursing staff (RN, LPN and aides)3.363.903.86
Registered nurses0.690.780.69
All nursing staff on weekends2.983.473.42
Nurse aides1.89
Licensed practical nurses0.79
Nursing staff turnover (share who left in a year)50.0%44.1%45.8%
Registered nurse turnover66.7%40.9%42.9%
Administrators who left1

CMS expects 3.86 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 2.98 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 23.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.39 in April to June 2025 to 3.36 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.360.693.522.98 23.3%0 of 9049
Oct to Dec 20253.440.703.533.21 20.0%0 of 9252
Jul to Sep 20253.140.643.193.01 24.1%1 of 9251
Apr to Jun 20253.390.813.473.19 8.1%0 of 9148
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New Hampshire, Jan to Mar 20263.850.744.013.4513.1%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 New Hampshire

JobMedianMiddle halfEmployed
New Hampshire, all employers
CNAs (nursing assistants)$23.02$21.58 to $26.167,810
LPNs and LVNs$37.07$32.53 to $39.792,220
Registered nurses$47.93$39.85 to $52.1215,390
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.

Work here? Share your pay anonymously

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

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

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 homeNew HampshireUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.922.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.01.10.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.12.11.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.74.43.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
13.317.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.64.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.417.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
13.722.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.313.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.91.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Hanover Terrace Health and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.5% 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

52.5% this home

No different from the national rate

US median of homes 51.5% · New Hampshire: 19 better, 5 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. 109 eligible stays.

Potentially preventable readmissions

8.1% this home

No different from the national rate

US median of homes 10.7% · New Hampshire: 0 better, 0 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. 128 eligible stays.

Infections that led to a hospital stay

8.9% this home

No different from the national rate

US median of homes 7.1% · New Hampshire: 0 better, 0 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. 74 eligible stays.

Self-care and mobility at discharge

73.5% this home

Median of homes: New Hampshire54.3% · 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. 49 residents counted.

Falls with major injury

3.2% this home

Median of homes: New Hampshire0.8% · 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. 62 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: New Hampshire2.4% · 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. 62 residents counted.

Medication list given at discharge

Not reported

CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.

Median of homes: New Hampshire99.6% · 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.

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 TERRACE LLC.

NameRoleTypeShareSince
Mamary, JonathanDirect ownership interestIndividual11/01/2025
Mamary, JoshuaDirect ownership interestIndividual11/01/2025
Lyons, PatrickOperational/managerial controlIndividual11/01/2025
Sennour, YoucefOperational/managerial controlIndividual11/01/2025
Lyons, PatrickAdp of the SNFIndividual11/01/2025
Sennour, YoucefAdp of the SNFIndividual11/01/2025

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. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on December 4, 2025: "Provide and implement an infection prevention and control program."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on December 4, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
  3. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.98 hours per resident per day, below the New Hampshire average of 3.47.
  4. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Common questions

What is Hanover Terrace Health and Rehabilitation's Medicare star rating?
CMS rates Hanover Terrace Health and Rehabilitation 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Hanover Terrace Health and Rehabilitation get at its last inspection?
3 health deficiencies at the standard inspection on December 4, 2025. The New Hampshire average is 4.
Has Hanover Terrace Health and Rehabilitation been fined?
CMS lists no fines in the last three years.
Does Hanover Terrace Health 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 Terrace Health and Rehabilitation?
CMS lists 6 owners and managers. Legal business name: HANOVER TERRACE LLC.

Sources

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