Nursing homeActive

Hanover Hall For Nursing And Rehabilitation

267 Frederick Street, Hanover, PA 173317176378937151 certified beds · 114 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
11
since 2023
Deficiencies
49
1453
Penalties · 3 yrs
none on file
Last survey
2026-02-19
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Pennsylvania Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-19Complaint001CMS-2567 (Care Compare)
2026-01-14Standard191CMS-2567 (Care Compare)
2025-11-19Complaint020CMS-2567 (Care Compare)
2025-07-22Complaint001CMS-2567 (Care Compare)
2025-02-27Standard0150CMS-2567 (Care Compare)
2025-02-03Complaint020CMS-2567 (Care Compare)
2024-08-01Complaint020CMS-2567 (Care Compare)
2024-03-14Standard0120CMS-2567 (Care Compare)
2024-03-04Complaint010CMS-2567 (Care Compare)
2023-11-30Complaint010CMS-2567 (Care Compare)
2023-09-28Complaint010CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Pennsylvania Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-02-19Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-02-13Record 395016-20260219-F684
2026-01-14Standard survey · 11 deficienciesOfficial report
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-03-10Record 395016-20260114-F692
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 395016-20260114-F578
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 395016-20260114-F605
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 395016-20260114-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 395016-20260114-F658
F730Observe each nurse aide's job performance and give regular training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 395016-20260114-F730
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 395016-20260114-F756
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 395016-20260114-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 395016-20260114-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 395016-20260114-F849
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2026-03-10Record 395016-20260114-F732
2025-11-19Complaint survey · 2 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-31Record 395016-20251119-F677
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-31Record 395016-20251119-F770
2025-07-22Complaint survey · 1 deficiencyOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity GHarm
Medication
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-07-07Record 395016-20250722-F760
2025-02-27Standard survey · 15 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F686
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F698
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F725
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F727
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F756
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-07Record 395016-20250227-F880
2025-02-03Complaint survey · 2 deficienciesOfficial report
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-03Record 395016-20250203-F725
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-03Record 395016-20250203-F887
2024-08-01Complaint survey · 2 deficienciesOfficial report
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-05Record 395016-20240801-F561
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-05Record 395016-20240801-F725
2024-03-14Standard survey · 12 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 395016-20240314-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 395016-20240314-F656
F685Assist a resident in gaining access to vision and hearing services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 395016-20240314-F685
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 395016-20240314-F695
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 395016-20240314-F756
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 395016-20240314-F761
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 395016-20240314-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 395016-20240314-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 395016-20240314-F812
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 395016-20240314-F883
F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 395016-20240314-F942
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 395016-20240314-F947
2024-03-04Complaint survey · 1 deficiencyOfficial report
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-09Record 395016-20240304-F584
2023-11-30Complaint survey · 1 deficiencyOfficial report
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-02Record 395016-20231130-F690
2023-09-28Complaint survey · 1 deficiencyOfficial report
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-06Record 395016-20230928-F725

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.73
Facility
Pennsylvania
National
Pennsylvania 0.79 · National 0.69
Total nurse hours per resident day3.39
Facility
Pennsylvania
National
Pennsylvania 3.89 · National 3.86
Weekend total nurse hours3.05
Facility
Pennsylvania
National
Pennsylvania 3.53 · National 3.42
Total nursing staff turnover57%
Facility
Pennsylvania
National
Pennsylvania 45% · National 46%
Registered nurse turnover60%
Facility
Pennsylvania
National
Pennsylvania 40% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityPennsylvaniaNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.7%4.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
7.5%3.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
17.5%17.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.3%1.5%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
20.3%16.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.6%6.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
17.5%20.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Spacebar Opco LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Ai Elements LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST33%
Strawberry Hill Holdings LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST33%
Tilde Propco Holdings LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST33%
Clinical Consulting Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hawkins, Stacey
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Pearlstein, Robert
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Priority Care Group LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Summation Financial Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
267 Fredericks Propco LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Clinical Consulting Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Hawkins, Stacey
Individual
ADP OF THE SNFNOT APPLICABLE
Pearlstein, Robert
Individual
ADP OF THE SNFNOT APPLICABLE
Summation Financial Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Pennsylvania.

No county cost figures on file for York.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Homewood Living Plum Creek, Inc
Hanover
0.7 mi2025-12-18090
Concordia At Spiritrust Utz Terrace
Hanover
4.3 mi2026-05-280100
Cross Keys Village-Brethren Home Community, The
New Oxford
7.9 mi2026-06-15041
Autumn Lake Healthcare At Long View
Manchester
10.6 mi2025-12-010230
Gettysburg Center
Gettysburg
12.2 mi2026-06-111296
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01