Hanover Terrace Health & Rehabilitation Center - Hanover Nursing Home
General Information
UPDATEFederal Provider Number
305020
Provider Name
HANOVER TERRACE HEALTH & REHABILITATION CENTER
Provider Address
49 LYME ROAD
HANOVER, NH 3755
HANOVER, NH 3755
Provider Phone Number
6036432854
Provider SSA County
40
Provider County Name
Grafton
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CH-HANOVER LLC
Date First Approved to Provide Medicare and Medicaid services
1970-10-16
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.46176
Reported LPN Staffing Hours per Resident per Day
0.44529
Reported RN Staffing Hours per Resident per Day
0.90059
Reported Licensed Staffing Hours per Resident per Day
1.34588
Reported Total Nurse Staffing Hours per Resident per Day
3.80764
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07882
Expected CNA Staffing Hours per Resident per Day
2.26027
Expected LPN Staffing Hours per Resident per Day
0.56270
Expected RN Staffing Hours per Resident per Day
0.89761
Expected Total Nurse Staffing Hours per Resident per Day
3.72057
Adjusted CNA Staffing Hours per Resident per Day
2.67243
Adjusted LPN Staffing Hours per Resident per Day
0.65682
Adjusted RN Staffing Hours per Resident per Day
0.74968
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12523
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
100
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
100
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
2014-06-11
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2013-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
68.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Kendal At Hanover
80 Lyme Road |
HANOVER NH 3755 | 0.8 mile away
Lebanon Center, Genesis Healthcare
Rr #1 Box 13k, 24 Old Etna Road |
LEBANON NH 3766 | 4.6 miles away
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