Hanover Hall - Hanover Nursing Home
General Information
UPDATEFederal Provider Number
395016
Provider Name
HANOVER HALL
Provider Address
267 FREDERICK STREET
HANOVER, PA 17331
HANOVER, PA 17331
Provider Phone Number
7176378937
Provider SSA County
800
Provider County Name
York
Ownership Type
For profit - Corporation
Number of Certified Beds
152
Number of Residents in Certified Beds
140
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HANOVER HEALTHCARE, INC
Date First Approved to Provide Medicare and Medicaid services
1968-06-28
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.21286
Reported LPN Staffing Hours per Resident per Day
1.21429
Reported RN Staffing Hours per Resident per Day
0.75464
Reported Licensed Staffing Hours per Resident per Day
1.96893
Reported Total Nurse Staffing Hours per Resident per Day
4.18179
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04893
Expected CNA Staffing Hours per Resident per Day
2.61168
Expected LPN Staffing Hours per Resident per Day
0.73569
Expected RN Staffing Hours per Resident per Day
1.13793
Expected Total Nurse Staffing Hours per Resident per Day
4.48530
Adjusted CNA Staffing Hours per Resident per Day
2.07901
Adjusted LPN Staffing Hours per Resident per Day
1.36995
Adjusted RN Staffing Hours per Resident per Day
0.49552
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75814
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
169
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
169
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
101.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
5428
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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