Hanover Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 8139 Lee Davis Road, Mechanicsville, VA 23111
- CCN
- 495266
- Ownership type
- For-profit, individual
- Certified beds
- 120
- Chain
- Lifeworks Rehab
- Residents per day
- 116
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Hanover Health and Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 6 Mar 2026. The latest survey cycle has 5 health citations. The median for nursing homes in Virginia is 11. CMS lists 1 fine of $14,901 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Hanover County median | Virginia median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 289 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Virginia median |
|---|---|---|---|
| Cycle 1 (latest) | 6 Mar 2026 | 5 | 11 |
| Cycle 2 | 28 Apr 2022 | 11 | 10 |
| Cycle 3 | No date | 23 | 10 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 Mar 2026 | F0726 | 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. | F | Complaint investigation | 23 Dec 2025 |
| 6 Mar 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 30 Mar 2026 |
| 6 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Mar 2026 |
| 6 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Mar 2026 |
| 9 Oct 2025 | F0726 | 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. | J | Complaint investigation | Past Non-Compliance |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 28 Apr 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 7 Jun 2022 |
| 28 Apr 2022 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 7 Jun 2022 |
| 28 Apr 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 7 Jun 2022 |
| 28 Apr 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 7 Jun 2022 |
| 28 Apr 2022 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 7 Jun 2022 |
| 28 Apr 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 7 Jun 2022 |
| 28 Apr 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 7 Jun 2022 |
| 28 Apr 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 7 Jun 2022 |
| 28 Apr 2022 | F0761 | 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. | D | Standard survey | 7 Jun 2022 |
| 28 Apr 2022 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 7 Jun 2022 |
| 28 Apr 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 7 Jun 2022 |
Survey cycle 3: 23 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Aug 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | J | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0726 | 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. | J | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0758 | 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. | D | Standard survey | 24 Oct 2019 |
| 7 Aug 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | J | Standard survey | 21 Sep 2019 |
| 7 Aug 2019 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Sep 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 9 Oct 2025 | Fine | $14,901 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Virginia median | Virginia average (CMS) |
|---|---|---|---|
| All nurse staff | 3.36 | 3.40 | 3.76 |
| Registered nurses (RN) | 0.34 | 0.50 | 0.69 |
| Licensed practical nurses (LPN) | 1.16 | 1.00 | |
| Nurse aides | 1.86 | 2.07 | |
| All nurse staff, weekends | 2.87 | 3.00 | 3.29 |
- Nurse staff turnover in a year
- 62.3%
- Nurse staff turnover, Virginia median
- 48.3%
- RN turnover in a year
- 88.2%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.7% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.9% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.2% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.4% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.7% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.4% | 13.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, individual
- Chain
- Lifeworks Rehab (64 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hanover Holdings I LLC | 5% or greater direct ownership interest | 100% | 28 May 2021 |
| Central Bay LLC | 5% or greater indirect ownership interest | 28 May 2021 | |
| Golden 2017 LLC | 5% or greater indirect ownership interest | 28 May 2021 | |
| Matt 2002 LLC | 5% or greater indirect ownership interest | 28 May 2021 | |
| MRCZ Central LLC | 5% or greater indirect ownership interest | 28 May 2021 | |
| Nathan 5604 LLC | 5% or greater indirect ownership interest | 28 May 2021 | |
| Pivotal Central LLC | 5% or greater indirect ownership interest | 28 May 2021 | |
| Rybst Central Manager LLC | Operational/managerial control | 28 May 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Hanover County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Covenant Woods Nursing Home | Mechanicsville | 4 of 5 | 5 | $0 | 13 Mar 2024 | |
| Autumn Care of Mechanicsville | Mechanicsville | 2 of 5 | 16 | $10,358 | 26 Feb 2025 | |
| Ashland Nursing and RehabilitationSpecial Focus candidate | Ashland | 1 of 5 | 118 | $36,491 | 9 Feb 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Virginia Department of Health: file a complaintThe complaint page of the State Survey Agency for Virginia, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Hanover Health and Rehabilitation Center (CCN 495266). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/hanover-health-and-rehabilitation-center-mechanicsville-va-495266/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Hanover Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 6 Mar 2026. It was a standard survey and a complaint investigation. It gave 4 citations. The standard survey before the last one was on 28 Apr 2022.
- Who operates Hanover Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, individual. CMS lists the home in the chain Lifeworks Rehab. The CMS ownership file names Rybst Central Manager LLC for operational or managerial control. This site does not show the names of persons.
- Is Hanover Health and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Virginia as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.