Hanover Health and Rehabilitation Center
8139 Lee Davis Road, Mechanicsville, VA 23111 · Hanover County · 120 certified beds · avg 116 residents/day · certified since Jul 13, 1992
Part of chain: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 9, 2025 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
▲ Immediate jeopardy, one-off · Aug 7, 2019 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 21, 2019 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 7, 2019 · F-0658
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Why it matters: Care that falls below professional standards can directly harm a resident's health and recovery.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 21, 2019 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 7, 2019 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 21, 2019 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 7, 2019 · F-0726
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 21, 2019 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 7, 2019 · F-0841
The facility did not designate a physician to serve as medical director — the doctor responsible for overseeing resident care policies and coordinating medical care across the facility.
Why it matters: Without a medical director, there is no doctor accountable for the overall quality of medical care.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 21, 2019 (Deficient, Provider has date of correction)
All citations in the current public record (39)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 6, 2026 | F · Potential for harm, facility-wide | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Mar 6, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 6, 2026 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Mar 6, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 9, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Apr 28, 2022 | E · Potential for harm, repeated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Apr 28, 2022 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Apr 28, 2022 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 28, 2022 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 28, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 28, 2022 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 28, 2022 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Apr 28, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 28, 2022 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 28, 2022 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Apr 28, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Aug 7, 2019 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Aug 7, 2019 | ▲ J · Immediate jeopardy, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 7, 2019 | ▲ J · Immediate jeopardy, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Aug 7, 2019 | ▲ J · Immediate jeopardy, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Aug 7, 2019 | ▲ J · Immediate jeopardy, one-off | The facility did not designate a physician to serve as medical director — the doctor responsible for overseeing resident care policies and coordinating medical care across the facility. |
| Aug 7, 2019 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 7, 2019 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Aug 7, 2019 | E · Potential for harm, repeated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Aug 7, 2019 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 7, 2019 | E · Potential for harm, repeated | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Aug 7, 2019 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 7, 2019 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Aug 7, 2019 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Aug 7, 2019 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Aug 7, 2019 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Aug 7, 2019 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Aug 7, 2019 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 7, 2019 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Aug 7, 2019 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Aug 7, 2019 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Aug 7, 2019 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Aug 7, 2019 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 7, 2019 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 23 | 5 | J ▲ |
| 2022 | 11 | 0 | E |
| 2025 | 1 | 1 | J ▲ |
| 2026 | 4 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $14,901.
| Date | Type | Amount / length |
|---|---|---|
| Oct 9, 2025 | Fine | $14,901 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Virginia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.79 | 3.67 | 3.95 | bottom 13% in Virginia; bottom 8% in the U.S. |
| Registered Nurse hours | 0.28 | 0.66 | 0.69 | bottom 4% in Virginia; bottom 8% in the U.S. |
| Weekend total nurse staffing | 2.38 | 3.21 | 3.50 | bottom 11% in Virginia; bottom 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.11 | 0.46 | 0.48 | bottom 1% in Virginia; bottom 2% in the U.S. |
| Total nursing staff turnover (%) | 62.3 | 48.1 | 45.8 | bottom 17% in Virginia; bottom 13% in the U.S. |
| RN turnover (%) | 88.2 | 48.2 | 42.9 | bottom 3% in Virginia; bottom 2% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.36, RN 0.34, weekend 2.87. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ak 2003 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Al 2003 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Central Bay LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Charles 1994 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Edward 1998 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Golden 2017 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Golden 2017 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Hanover Holdings I LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/28/2021 |
| Matt 2002 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Matt 2002 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| MRCZ Central LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Nathan 5604 & Family LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Nathan 5604 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Nathan 5604 LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Pivotal Central LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Sas 1998 Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Saul 2012 Family Grantor Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/28/2021 |
| Holmes, Andrea | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/29/2024 |
| Holmes, Andrea | Individual | Corporate Director | NOT APPLICABLE | 01/29/2024 |
| Rybst Central Manager LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/28/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who is your medical director, and how involved are they in day-to-day care decisions?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Covenant Woods Nursing Home | 0.1 mi | Mechanicsville, VA | ★★★★☆ | 4/5 | |
| Autumn Care of Mechanicsville | 0.7 mi | Mechanicsville, VA | ★★☆☆☆ | 2/5 | |
| Henrico Health & Rehabilitation Center | 5.8 mi | Highland Springs, VA | —/5 | SFF | |
| Westminster-Canterbury of Richmond | 6.7 mi | Richmond, VA | ★★★★★ | 4/5 | |
| Vcu Health Children's Services at Brook Road | 6.9 mi | Richmond, VA | ★★★★★ | 5/5 | |
| Lakeside Health & Rehabilitation | 7.2 mi | Richmond, VA | ★★☆☆☆ | 1/5 | |
| Rosedale Health & Rehabilitation | 7.3 mi | Richmond, VA | ★☆☆☆☆ | 1/5 | |
| Parham Health Care & Rehab Center | 8.4 mi | Richmond, VA | ★☆☆☆☆ | 1/5 | abuseSFF |
| The Virginia Home | 9.1 mi | Richmond, VA | ★★★☆☆ | 2/5 | abuse |
| Glenburnie Rehab & Nursing Center | 9.4 mi | Richmond, VA | ★★☆☆☆ | 1/5 | |
| Elizabeth Adam Crump Health and Rehab | 10.5 mi | Glen Allen, VA | ★☆☆☆☆ | 1/5 | |
| Forest Hill Health & Rehabilitation | 10.5 mi | Richmond, VA | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 495266.