Fire Safety Inspection & Emergency Preparedness Summary
Hanover Health and Rehabilitation Center
8139 Lee Davis Road
Mechanicsville, VA 23111
(804) 559-5030
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| Deficiency Category | Inspection Date: 5/5/22 Complaint Reporting Period: 3/1/24 - 2/28/25 | Inspection Date: 7/26/19 Complaint Reporting Period: 3/1/23 - 2/29/24 | Inspection Date: 3/5/18 Complaint Reporting Period: 3/1/22 - 2/28/23 |
|---|---|---|---|
| Emergency Preparedness Deficiencies | |||
| Automatic Sprinkler Systems Deficiencies | |||
| Building Construction Deficiencies | |||
| Services Deficiencies | |||
| Corridor Walls and Doors Deficiencies | |||
| Egress Deficiencies | |||
| Electrical Deficiencies | |||
| Emergency Plans and Fire Drills Deficiencies | |||
| Fire Alarm Systems Deficiencies | |||
| Smoke Deficiencies | |||
| Interior Finish Deficiencies | |||
| Gas, Vacuum, and Electrical Systems Deficiencies | |||
| Hazardous Area Deficiencies | |||
| Illumination and Emergency Power Deficiencies | |||
| Laboratories Deficiencies | |||
| Medical Gases and Anesthetizing Areas Deficiencies | |||
| Smoking Regulations Deficiencies | |||
| Miscellaneous Deficiencies |
Detailed result for inspection on 5/5/22
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in Virginia: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| No Emergency Preparedness Deficiencies were found during this inspection period. |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| No Services Deficiencies were found during this inspection period. |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| No Egress Deficiencies were found during this inspection period. |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Provide properly protected cooking facilities. | 5/5/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Few |
Have approved installation, maintenance and testing program for fire alarm systems. | 5/5/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Few |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 5/5/22 | 6/20/22 | 2 - Minimal harm or potential for actual harm | Few |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| No Miscellaneous Deficiencies were found during this inspection period. |
Detailed result for inspection on 7/26/19
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in Virginia: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Establish policies and procedures for volunteers. | 8/7/19 | 9/21/19 | 1 - Potential for minimal harm | Many |
Establish roles under a Waiver declared by secretary. | 8/7/19 | 9/21/19 | 1 - Potential for minimal harm | Many |
Provide primary/alternate means for communication. | 8/7/19 | 9/21/19 | 1 - Potential for minimal harm | Many |
Establish policies and procedures for sheltering. | 8/7/19 | 9/21/19 | 1 - Potential for minimal harm | Many |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Meet other general requirements. | 7/26/19 | 11/19/19 | 2 - Minimal harm or potential for actual harm | Few |
Use approved construction type or materials. | 7/26/19 | 11/19/19 | 2 - Minimal harm or potential for actual harm | Some |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 7/26/19 | 9/11/19 | 1 - Potential for minimal harm | Many |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
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. | 7/26/19 | 9/11/19 | 2 - Minimal harm or potential for actual harm | Few |
Meet other general requirements that are deficient. | 7/26/19 | 11/19/19 | 1 - Potential for minimal harm | Many |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 7/26/19 | 11/19/19 | 2 - Minimal harm or potential for actual harm | Some |
Have approved installation, maintenance and testing program for fire alarm systems. | 7/26/19 | 9/11/19 | 2 - Minimal harm or potential for actual harm | Few |
Properly select, install, inspect, or maintain portable fire extinguishes. | 7/26/19 | 9/11/19 | 2 - Minimal harm or potential for actual harm | Few |
Inspect, test, and maintain automatic sprinkler systems. | 7/26/19 | 9/11/19 | 2 - Minimal harm or potential for actual harm | Few |
Install corridor and hallway doors that block smoke. | 7/26/19 | 11/19/19 | 2 - Minimal harm or potential for actual harm | Few |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | 7/26/19 | 11/19/19 | 2 - Minimal harm or potential for actual harm | Some |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 7/26/19 | 9/11/19 | 1 - Potential for minimal harm | Many |
Meet requirements for the use of electrical equipment. | 7/26/19 | 9/11/19 | 2 - Minimal harm or potential for actual harm | Few |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | 7/26/19 | 9/11/19 | 1 - Potential for minimal harm | Many |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have simulated fire drills held at unexpected times. | 7/26/19 | 9/11/19 | 1 - Potential for minimal harm | Many |
Detailed result for inspection on 3/5/18
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in Virginia: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| No Emergency Preparedness Deficiencies were found during this inspection period. |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| No Services Deficiencies were found during this inspection period. |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| No Egress Deficiencies were found during this inspection period. |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| No Smoke Deficiencies were found during this inspection period. |
| No Interior Finish Deficiencies were found during this inspection period. |
| No Gas, Vacuum, and Electrical Systems Deficiencies were found during this inspection period. |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| No Miscellaneous Deficiencies were found during this inspection period. |
| This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years. |