Below average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hanover Health And Rehabilitation Center during CMS and state inspections, most recent first.
Expired liquid eggs were found in the walk-in cooler during a kitchen tour with the DM. Six two-pound cartons were observed past the manufacturer’s use-by date, and the DM confirmed they should have been discarded. Facility policy requires TCS, frozen, and refrigerated foods to be stored in accordance with FDA Food Code guidelines.
An RN applicant continued working in the facility after failing the NCLEX and did not notify the facility of the failed exam. Records showed she worked multiple shifts as an RN after failing the test, and the Administrator confirmed she remained on duty until an anonymous complaint brought the issue to light. Virginia Board of Nursing guidance states applicants who fail the exam are not authorized to practice nursing.
The facility failed to ensure monthly pharmacist MRRs and physician oversight of medication regimens for four residents. Residents with diagnoses including depression, anxiety, dementia with behavioral disturbance, altered mental status, stroke-related hemiparesis, and diabetes had multiple missing MRRs, and the facility could not provide documentation of physician response to GDRs or a rationale for not reducing one resident's psychotropic medication. The Administrator and Regional Nurse stated the prior DON had misplaced the binder containing the pharmacy reviews.
Housekeeping staff failed to use required PPE while cleaning a resident room under contact precautions and while moving between resident rooms. A resident with E. coli in the urine was on contact precautions, PPE was available outside the room, but HK entered and cleaned without donning PPE, then moved between rooms before being told by the HKS to put on a gown. The IP and Administrator stated staff were expected to use appropriate infection control practices and PPE when required.
A nurse without demonstrated competency in LVAD care accepted responsibility for a resident with an LVAD, failed to follow required protocols, and did not notify other competent staff. This led to the LVAD being disconnected, alarms being silenced, and a delayed response to a cardiac event, resulting in harm to the resident. Other staff interviewed were able to demonstrate or verbalize appropriate LVAD care, but the assigned nurse did not meet competency requirements.
Expired Liquid Eggs Found in Walk-In Cooler
Penalty
Summary
The facility failed to discard six two-pound cartons of liquid eggs that were stored in the walk-in cooler after the manufacturer's use-by date of 02/09/26. During the initial kitchen tour with the Dietary Manager on 02/23/26 at 10:30 AM, surveyors observed the six cartons in the walk-in cooler, and the Dietary Manager confirmed that all six cartons were beyond the displayed use-by date and should have been discarded. Review of the facility policy titled Cold Food Storage, effective 02/19/25, showed that the center's policy is to ensure all TCS, frozen, and refrigerated food items are appropriately stored following FDA Food Code guidelines.
Unlicensed RN Applicant Worked After Failing NCLEX
Penalty
Summary
The facility failed to ensure that nursing staff had the appropriate competencies and skills to provide nursing and related services for all 110 residents. Review of a personnel file showed that Registered Nurse Applicant 1 was hired as a Graduated Nurse on 09/24/25 and later took the NCLEX on 10/13/25, where she failed the exam. She did not notify the facility of the failed exam and continued working as an RN until the facility received an anonymous email indicating that she had not passed and was not an RN. Her personnel file showed she was terminated on 12/19/25 when the administrator learned she could not work as an RN under Virginia Board of Nursing guidance. Timesheets showed that RNA1 worked 50 shifts at the facility, including 42 shifts after she failed the NCLEX. During an interview on 02/26/26, the Administrator confirmed he received an anonymous complaint on 12/19/25 that RNA1 had failed her NCLEX and had not informed the facility, and he confirmed she worked as a nurse from 10/02/25 to 12/19/25 before termination. The report also noted that an undated facility document required LPN and RN applicants to report testing results immediately so HR could verify whether unsuccessful applicants were removed, and Virginia Board of Nursing guidance stated that applicants who fail the licensing examination shall not be licensed or authorized to practice nursing in Virginia.
Missing Monthly Pharmacist Review and GDR Oversight
Penalty
Summary
The facility failed to ensure that each resident's medication regimen was free from unnecessary medications through monthly pharmacist review, physician oversight, monitoring for adverse effects, and implementation of gradual dose reductions when appropriate for four residents reviewed in the sample. Resident R2 was admitted with diagnoses including anxiety disorder, depression, chronic kidney disease, unspecified dementia with behavioral disturbance, and psychotic disturbance, and was prescribed mirtazapine 15 mg at bedtime and fluoxetine 20 mg daily for depression. R4 was admitted with diagnoses including depression, stress disorder, and altered mental status, and was prescribed Buspar 5 mg twice daily. R68 was admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction, type 2 diabetes without complications, and muscle weakness, and was prescribed aripiprazole 10 mg daily. R128 was admitted with diagnoses including depressive disorder and anxiety disorder, and was prescribed sertraline 200 mg daily. Review of the medication regimen reviews showed missing pharmacy reviews for multiple months for each of the four residents, including no reviews for R2 in 04/25, 06/25, 09/25, and 10/25; for R4 in 04/25, 06/25, 07/25, and 11/25; for R68 in 11/25 and 01/26; and for R128 in 07/25, 08/25, 10/25, and 11/25. During interview, the Administrator and Regional Nurse stated the previous DON had misplaced the binder containing all pharmacy reviews for the past 12 months. The facility also could not provide documentation that the attending physician responded to GDRs or provided a rationale not to reduce R2's medication. The facility's policy stated that each patient's drug regimen would be reviewed at least once per month by a licensed pharmacist and that the consultant pharmacist would provide MMR reports to the provider and DON within 72 hours of completion.
Housekeeping Staff Failed to Use Required PPE During Contact Precautions
Penalty
Summary
The facility failed to use appropriate infection control practices by not ensuring housekeeping staff used the required PPE while cleaning resident rooms under contact precautions and while moving between rooms. R115 was admitted to the facility and later placed on contact precautions related to E. coli in the urine. On observation, a contact precautions sign was posted on the door and a cart with required PPE was available outside the room, but Housekeeping Staff 1 entered the room to mop and disinfect environmental surfaces without donning PPE before entry. Housekeeping Staff 1 was then observed exiting R115's room carrying two spray bottles, immediately entering another resident room, exiting that room, and re-entering R115's room. When the Housekeeping Supervisor saw the staff member at the doorway, she instructed the staff member to put on a gown and stated the gowns were in the cart. The staff member then donned a gown and resumed mopping, but did not wear any other PPE as required. During interviews, the Housekeeping Supervisor, Infection Preventionist, and Administrator each stated that staff were expected to use appropriate infection control practices and wear the required PPE when entering resident rooms.
Failure to Ensure Nurse Competency in LVAD Care Resulted in Harm
Penalty
Summary
Facility staff failed to ensure that all nurses had the appropriate competencies and skill sets to provide adequate nursing care for a resident with a Left Ventricular Assist Device (LVAD). The resident, who had multiple complex medical conditions including chronic systolic heart failure, hypertension, stage 3 chronic kidney disease, diabetes, a history of traumatic brain injury, and a history of subdural hematoma, was re-admitted to the facility with an LVAD in place. Despite the presence of this high-risk device, not all assigned nursing staff were competent in its care and use. On the night of the incident, a nurse accepted responsibility for the care of the resident despite lacking competency in LVAD management. This nurse did not inform other available, competent nursing staff to ensure the resident received proper care. As a result, the LVAD was found disconnected, and the device's alarm had been silenced multiple times. The resident experienced a cardiac event, with a Code Blue called in the morning, CPR initiated, and emergency services contacted. Hospital records indicated that the LVAD was turned off and no CPR was performed for ten minutes prior to EMS arrival, with the resident in asystole and no cardiac activity upon arrival at the emergency department. Interviews with other staff members revealed that some nurses and CNAs had received training and were able to demonstrate or verbalize appropriate LVAD care, but the nurse involved in the incident had not demonstrated competency. Facility documentation and care plans required regular monitoring and documentation of the LVAD, including battery checks and alarm monitoring, but these protocols were not followed by the nurse assigned to the resident, directly resulting in harm.
Removal Plan
- Recorded the incident.
- Obtained statements from involved parties.
- Identified other residents with an LVAD.
- Educated in-house staff on LVAD care.
- Had the LVAD TEAM from the local teaching hospital train staff.
- Initiated audits to ensure ongoing compliance.
- Required all nursing staff to complete LVAD patient care training (training content based on clinical role).
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mechanicsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Covenant Woods Nursing Home | 0.1 mi | ★★★★★ | 0 | 0 |
| Autumn Care Of Mechanicsville | 0.7 mi | ★★★★★ | 0 | 0 |
| Henrico Health & Rehabilitation Center | 5.8 mi | — | 15 | 0 |
| Westminster-canterbury Of Richmond | 6.7 mi | ★★★★★ | 0 | 0 |
| Vcu Health Children's Services At Brook Road | 6.9 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.