Hanover Health and Rehabilitation Center

CMS star ratings

Overall★★★★★ 2/5

State avg 3.0

Health inspections★★★★★ 3/5

State avg 2.7

Staffing★★★★★ 1/5

State avg 2.4

Quality measures★★★★★ 4/5

State avg 3.9

Long-stay quality★★★★★ 3/5

Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.36 (state 3.76 · U.S. 3.86)
Registered nurses (RN): 0.34 (state 0.69 · U.S. 0.69)
Licensed practical nurses: 1.16 (state 1.00 · U.S. 0.86)
Nurse aides: 1.86 (state 2.07 · U.S. 2.32)
Weekend total: 2.87 (state 3.29 · U.S. 3.42)
Nursing staff turnover: 62.3 (state 48.1 · U.S. 45.8)%
RN turnover: 88.2 (state 48.2 · U.S. 42.9)%
Administrators who left: 1 in the last year

Inspections

Last standard inspection: March 6, 2026
Health deficiencies (last cycle): 5.0 (state 14.5 · U.S. 9.3)
From complaints: 2
Citations on record (3 years): 39 health · 22 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2026-03-06	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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-12-23
2026-03-06	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2026-03-30
2026-03-06	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-30
2026-03-06	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-03-30
2025-10-09	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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection	J Immediate jeopardy to resident health or safety	Past Non-Compliance
2022-04-28	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-06-07
2022-04-28	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-06-07
2022-04-28	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-06-07
2022-04-28	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-06-07
2022-04-28	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-07
2022-04-28	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-07
2022-04-28	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-07
2022-04-28	Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-07
2022-04-28	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-07
2022-04-28	Provide routine and 24-hour emergency dental care for each resident. F0790 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-07
2022-04-28	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-06-07
2019-08-07	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	J Immediate jeopardy to resident health or safety	Corrected 2019-09-21
2019-08-07	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	J Immediate jeopardy to resident health or safety	Corrected 2019-09-21
2019-08-07	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	J Immediate jeopardy to resident health or safety	Corrected 2019-09-21
2019-08-07	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. F0726 · Nursing and Physician Services Deficiencies	J Immediate jeopardy to resident health or safety	Corrected 2019-09-21
2019-08-07	Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. F0841 · Nursing and Physician Services Deficiencies	J Immediate jeopardy to resident health or safety	Corrected 2019-09-21
2019-08-07	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-09-21
2019-08-07	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. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-10-24

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $14,901 in fines.

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

Ownership & management

Name	Role	Since
Hanover Holdings I LLC (organization)	5%+ Direct Ownership Interest · 100%
Ak 2003 Family Trust (organization)	5%+ Indirect Ownership Interest
Al 2003 Family Trust (organization)	5%+ Indirect Ownership Interest
Central Bay LLC (organization)	5%+ Indirect Ownership Interest
Charles 1994 Family Grantor Trust (organization)	5%+ Indirect Ownership Interest
Edward 1998 Family Grantor Trust (organization)	5%+ Indirect Ownership Interest
Golden 2017 Family Grantor Trust (organization)	5%+ Indirect Ownership Interest
Golden 2017 LLC (organization)	5%+ Indirect Ownership Interest
Matt 2002 Family Grantor Trust (organization)	5%+ Indirect Ownership Interest
Matt 2002 LLC (organization)	5%+ Indirect Ownership Interest
Mrcz Central LLC (organization)	5%+ Indirect Ownership Interest
Nathan 5604 & Family LLC (organization)	5%+ Indirect Ownership Interest
Nathan 5604 Family Grantor Trust (organization)	5%+ Indirect Ownership Interest
Nathan 5604 LLC (organization)	5%+ Indirect Ownership Interest
Pivotal Central LLC (organization)	5%+ Indirect Ownership Interest
Sas 1998 Family Trust (organization)	5%+ Indirect Ownership Interest
Saul 2012 Family Grantor Trust (organization)	5%+ Indirect Ownership Interest
Holmes, Andrea (individual)	Corporate Director · NOT APPLICABLE
Rybst Central Manager LLC (organization)	Operational/managerial Control · NOT APPLICABLE
Holmes, Andrea (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Hanover Health and Rehabilitation Center?

Hanover Health and Rehabilitation Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Virginia.

How many beds does Hanover Health and Rehabilitation Center have?

It has 120 certified beds and cares for about 116 residents per day.

Has Hanover Health and Rehabilitation Center been fined?

Yes. CMS lists 1 penalty totaling $14,901 in the last three years.

Who owns Hanover Health and Rehabilitation Center?

It is part of Lifeworks Rehab and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Hanover Health and Rehabilitation Center?

(804) 559-5030. The facility is located at 8139 Lee Davis Road, Mechanicsville, VA 23111.

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Contact & location

Facility details