Hanover Terrace Health and Rehabilitation
49 Lyme Road, Hanover, NH 03755 · Grafton County · 100 certified beds · avg 49 residents/day · certified since Oct 16, 1970
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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.
All citations in the current public record (3)
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 |
|---|---|---|
| Dec 4, 2025 | 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. |
| Dec 4, 2025 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Dec 4, 2025 | D · Potential for harm, one-off | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 3 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New Hampshire avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.34 | 4.11 | 3.95 | bottom 32% in New Hampshire; bottom 28% in the U.S. |
| Registered Nurse hours | 0.68 | 0.82 | 0.69 | bottom 39% in New Hampshire; top 38% in the U.S. |
| Weekend total nurse staffing | 2.96 | 3.67 | 3.50 | bottom 35% in New Hampshire; bottom 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.55 | 0.48 | bottom 32% in New Hampshire; top 43% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 44.1 | 45.8 | bottom 23% in New Hampshire; bottom 38% in the U.S. |
| RN turnover (%) | 66.7 | 40.9 | 42.9 | bottom 7% in New Hampshire; bottom 15% 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 0.69, weekend 2.98. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mamary, Jonathan | Individual | Direct Ownership Interest | NOT APPLICABLE | 11/01/2025 |
| Mamary, Joshua | Individual | Direct Ownership Interest | NOT APPLICABLE | 11/01/2025 |
| Lyons, Patrick | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Lyons, Patrick | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
| Sennour, Youcef | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2025 |
| Sennour, Youcef | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "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 |
|---|---|---|---|---|---|
| Lebanon Center, Genesis Healthcare | 4.5 mi | Lebanon, NH | ★☆☆☆☆ | 1/5 | SFF |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 305020.