Hanover Health and Rehabilitation Center
8139 Lee Davis Road · Mechanicsville, VA · 23111 · 8045595030
120 certified beds For profit - Individual Chain: Lifeworks Rehab
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
60% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 1 · $22,925 |
Inspection citations (41 in the current record)
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Potential for harm · D March 6, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 30, 2026 · Pharmacy Service
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Potential for harm · F March 6, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 30, 2026 · Nutrition and Dietary
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Potential for harm · D March 6, 2026
Provide and implement an infection prevention and control program.
Corrected March 30, 2026 · Infection Control
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Potential for harm · F March 6, 2026 · found via complaint
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.
Corrected December 23, 2025 · Nursing and Physician Services
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Immediate jeopardy · J October 9, 2025 · found via complaint
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.
Past Non-Compliance · Nursing and Physician Services
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Potential for harm · D June 30, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 20, 2023 · Infection Control
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Potential for harm · D June 30, 2023
Educate 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.
Corrected July 20, 2023 · Infection Control
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Potential for harm · E April 28, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 7, 2022 · Resident Rights
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Potential for harm · E April 28, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 7, 2022 · Resident Assessment and Care Planning
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Potential for harm · D April 28, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 7, 2022 · Resident Assessment and Care Planning
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Potential for harm · D April 28, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 7, 2022 · Resident Assessment and Care Planning
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Potential for harm · E April 28, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 7, 2022 · Resident Assessment and Care Planning
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Potential for harm · E April 28, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 7, 2022 · Quality of Life and Care
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Potential for harm · D April 28, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 7, 2022 · Quality of Life and Care
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Potential for harm · D April 28, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected June 7, 2022 · Pharmacy Service
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Potential for harm · D April 28, 2022
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.
Corrected June 7, 2022 · Pharmacy Service
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Potential for harm · D April 28, 2022
Provide routine and 24-hour emergency dental care for each resident.
Corrected June 7, 2022 · Quality of Life and Care
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Potential for harm · D April 28, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 7, 2022 · Resident Assessment and Care Planning
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Immediate jeopardy · J August 7, 2019
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 21, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J August 7, 2019
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 21, 2019 · Resident Assessment and Care Planning
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Immediate jeopardy · J August 7, 2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 21, 2019 · Quality of Life and Care
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Immediate jeopardy · J August 7, 2019
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.
Corrected September 21, 2019 · Nursing and Physician Services
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Immediate jeopardy · J August 7, 2019
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected September 21, 2019 · Nursing and Physician Services
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Potential for harm · E August 7, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 21, 2019 · Resident Rights
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Potential for harm · D August 7, 2019
Reasonably accommodate the needs and preferences of each resident.
Corrected September 21, 2019 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 9, 2025 | Fine | $22,925 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495266 · certified since July 13, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.