Overview

Address
267 FREDERICK STREET, HANOVER, PA 17331
Phone
7176378937
Certified beds
151
Avg daily residents
116 (76% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1968-06-28
Setting
Urban
2 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
2/5
Quality Measures breakdown
Long-Stay Quality Measures 2/5
Short-Stay Quality Measures 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.30 3.76 3.39 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.50 0.66 0.51 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.93 0.83 0.96
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.87 2.27 1.92
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.43
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.06

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.96
hrs / resident / day
RN (weekend)
0.35
hrs / resident / day
Total nurse (adjusted, weekend)
3.04
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
57.7%
annual
RN turnover
61.1%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.33
higher acuity than avg
Case-Mix Index Ratio
0.97
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-02-27 18 15 7 116 1 116
Cycle 2/3 (prior) 2024-03-14 21 12 9 140 1 140
Total weighted health score
122.0
lower is better

Deficiencies (60)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

58 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-11-19 2025-12-31
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2025-11-19 2025-12-31
0760 Ensure that residents are free from significant medication errors. G 2025-07-22 2025-07-07
0641 Ensure each resident receives an accurate assessment. D 2025-02-27 2025-04-07
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2025-02-27 2025-04-07
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2025-02-27 2025-04-07
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-02-27 2025-04-07
0688 Provide 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. D 2025-02-27 2025-04-07
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-02-27 2025-04-07
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-02-27 2025-04-07
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. E 2025-02-27 2025-04-07
0727 Have 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. E 2025-02-27 2025-04-07
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-02-27 2025-04-07
0761 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 2025-02-27 2025-04-07
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-02-27 2025-04-07
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-02-27 2025-04-07
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2025-02-27 2025-04-07
0880 Provide and implement an infection prevention and control program. E 2025-02-27 2025-04-07
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2025-02-03 2025-03-03
0887 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. D 2025-02-03 2025-03-03
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2024-08-01 2024-09-05
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2024-08-01 2024-09-05
0641 Ensure each resident receives an accurate assessment. E 2024-03-14 2024-04-24
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-03-14 2024-04-24
0685 Assist a resident in gaining access to vision and hearing services. E 2024-03-14 2024-04-24
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-03-14 2024-04-24
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. E 2024-03-14 2024-04-24
0761 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. E 2024-03-14 2024-04-24
0803 Ensure 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. E 2024-03-14 2024-04-24
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2024-03-14 2024-04-24
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-03-14 2024-04-24
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2024-03-14 2024-04-24
0942 Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. D 2024-03-14 2024-04-24
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. E 2024-03-14 2024-04-24
0584 Honor 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. D 2024-03-04 2024-04-09
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2023-11-30 2024-01-02
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2023-09-28 2023-11-06
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. E 2023-05-09 2023-05-24
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2023-05-09 2023-05-24
0558 Reasonably accommodate the needs and preferences of each resident. E 2023-03-30 2023-05-16
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2023-03-30 2023-05-16
0575 Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. E 2023-03-30 2023-05-16
0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. E 2023-03-30 2023-05-16
0578 Honor 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. E 2023-03-30 2023-05-16
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2023-03-30 2023-05-16
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. E 2023-03-30 2023-05-16
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2023-03-30 2023-05-16
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2023-03-30 2023-05-16
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. D 2023-03-30 2023-05-16
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2023-03-30 2023-05-16

Showing 50 most recent of 60. See the All Data CSV for the full list.

Penalties (1)

Fines issued
1
last 3 years
Total fines
$8,190
Date Type Fine amount
2023-03-30 Fine $8,190

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 4.3% Medicaid 79.6% Other 16.0%

Operating performance

Operating Margin
1.7%
Total Margin
1.7%
Occupancy Rate
72.4%
Cost per Resident Day
$25

Revenue & costs

Net Patient Revenue
$12.5M
Total Costs
$1.0M
Net Income
$216K

Balance sheet

Total Assets
$4.7M
Total Liabilities
$8.0M
Fund Balance
-$3.3M
Current Ratio
0.57

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager organizations (7)

Organization Role Association
SPACEBAR OPCO LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/01/2021
AI ELEMENTS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2021
STRAWBERRY HILL HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 02/25/2022
TILDE PROPCO HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/01/2023
CLINICAL CONSULTING SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 11/01/2021
PRIORITY CARE GROUP LLC OPERATIONAL/MANAGERIAL CONTROL since 11/01/2021
SUMMATION FINANCIAL SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 11/01/2021

Owner / manager individuals (2)

Name Role Association
HAWKINS, STACEY OPERATIONAL/MANAGERIAL CONTROL since 06/16/2022
PEARLSTEIN, ROBERT OPERATIONAL/MANAGERIAL CONTROL since 02/01/2023

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $25 metrics.cost_per_resident_day
Cost Report Current Ratio 0.57 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 79.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 4.3% metrics.medicare_day_share
Cost Report Net Income ($) $215,571 metrics.net_income
Cost Report Net Patient Revenue ($) $12,529,027 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 72.4% metrics.occupancy_rate
Cost Report Operating Margin (%) 1.7% metrics.operating_margin
Cost Report Total Assets ($) $4,651,757 metrics.total_assets
Cost Report Total Costs ($) $1,016,163 metrics.total_costs
Cost Report Total Fund Balances ($) $-3,349,514 metrics.fund_balance
Cost Report Total Liabilities ($) $8,001,271 metrics.total_liabilities
Cost Report Total Margin (%) 1.7% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.95931 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.92379 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.51134 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.39443 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.04314 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 115.5 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.83353 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.26535 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.65701 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.75589 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.31042 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating Chain Average QM Rating
Provider Information Chain Average Staffing Rating Chain Average Staffing Rating
Provider Information Chain ID Chain ID
Provider Information Chain Name Chain Name
Provider Information City/Town HANOVER City/Town
Provider Information CMS Certification Number (CCN) 395016 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish York County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1968-06-28 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 39.7972 Latitude
Provider Information Legal Business Name HANOVER OPCO LLC Legal Business Name
Provider Information Location 267 FREDERICK STREET,HANOVER,PA,17331 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -76.988 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 151 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.33054 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.96581 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 267 FREDERICK STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name HANOVER HALL FOR NURSING AND REHABILITATION Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 800 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 116 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 7 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 15 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-02-27 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 116 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 18 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-03-14 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 140 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 9 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 140 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 21 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.35404 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 61.1 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.43064 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.93321 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.87145 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.05780 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.49743 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.30209 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State PA State
Provider Information Telephone Number 7176378937 Telephone Number
Provider Information Total Amount of Fines in Dollars 8190.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.96035 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 57.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 122.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 17331 ZIP Code