Federal inspection record · CMS data as of October 1, 2026
Hanover Health And Rehabilitation Center
8139 Lee Davis Road, Mechanicsville, VA · (804) 559-5030
- Certified beds
- 120
- Residents per day
- 115
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 13, 1992
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Hanover Health And Rehabilitation Center carries 60 inspection points. That is fewer than 55% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
39 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
J
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
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure services provided by the nursing facility meet professional standards of quality.
-
J
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
J
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
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Everything else, by area of care
Resident Assessment and Care Planning8E
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care7E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide routine and 24-hour emergency dental care for each resident.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service5D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Resident Rights4E
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nursing and Physician Services2F
- F
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.
- E
Observe each nurse aide's job performance and give regular training.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-03-06
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2022-04-28
11 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2019-08-07
23 health deficiencies · 19 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 24 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 24 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 65% of nursing staff and 88% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$14,901 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-09 | Fine | $14,901 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 1.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.5 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.6 pts better | 91.8% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.5 pts worse | 83.8% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse | 5.4% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms64.4 pts worse | 84.9% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 3.6% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5 pts better | 15.7% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3 pts worse | 17.2% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.6 pts better | 10.6% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.1 pts better | 4.4% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.5% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 1.5% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.5 pts worse | 22.8% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts worse | 6.1% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.8 pts better | 82.0% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts better | 8.9% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.6% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts better | 80.2% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.5 pts worse | 25.5% | 22.0% | 23.4% |
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Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Hanover Holdings I LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Ak 2003 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Al 2003 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 40 facilities |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 38 facilities |
| Golden 2017 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Golden 2017 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Holmes, Andrea | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Holmes, Andrea | Corporate Director · Individual | 0% | 2 facilities |
| Matt 2002 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Matt 2002 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Mrcz Central LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Nathan 5604 & Family LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Nathan 5604 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Nathan 5604 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Pivotal Central LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Rybst Central Manager LLC | Operational/Managerial Control · Organization | 0% | 9 facilities |
| Sas 1998 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Silverstone East LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 18 facilities |
·
Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8E
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems4D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- C
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness4C
- C
Establish policies and procedures for sheltering.
- C
Establish policies and procedures for volunteers.
- C
Establish roles under a Waiver declared by secretary.
- C
Provide primary/alternate means for communication.
Construction2E
- E
Use approved construction type or materials.
- D
Meet other general requirements.
Egress2D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- C
Meet other general requirements that are deficient.
Services1C
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
·
Other homes nearby
-
Covenant Woods Nursing Home
Mechanicsville, VA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 47 min
- Fines
- $0
-
Autumn Care Of Mechanicsville
Mechanicsville, VA · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 41 min
- Fines
- $10,358
-
Henrico Health & Rehabilitation Center
Highland Springs, VA · Lifeworks Rehab · Special Focus
Not rated- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 46 min
- Fines
- $155,937