HANOVER HILL HEALTH CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Hanover Hill Health Care Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

HANOVER HILL HEALTH CARE CENTER
700 HANOVER STREET
MANCHESTER, NH 03104
(603) 627-3826

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

94%

Number of Residents and Certified Beds

  • Residents: 117
  • Certified Beds: 124

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Bedford | Goffstown | Derry

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Hanover Hill Health Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-100.7%
Total Percent:0.7%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-101.1%
Total Percent:1.1%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-169.4%
ADL Index Range: 6-1010.5%
ADL Index Range: 0-520.2%
Total Percent:40.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-169.1%
ADL Index Range: 6-108.5%
ADL Index Range: 0-55.3%
Total Percent:22.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.8%
ADL Index Range: 6-101.5%
ADL Index Range: 0-51.8%
Total Percent:4.1%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-164.0%
ADL Index Range: 6-108.7%
ADL Index Range: 0-52.6%
Total Percent:15.3%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
0.2%
Total Percent:0.2%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
0.2%
ADL Index Range: 6-10
- No Signs of depression
2.0%
ADL Index Range: 2-5
- No Signs of depression
3.5%
Total Percent:5.7%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.3%
ADL Index Range: 6-10
- No Signs of depression
2.5%
ADL Index Range: 2-5
- No Signs of depression
0.7%
ADL Index Range: 0-1
- No Signs of depression
0.4%
Total Percent:3.9%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
0.7%
Total Percent:0.7%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 15-16
- Less restorative nursing
1.5%
ADL Index Range: 11-14
- Less restorative nursing
0.7%
ADL Index Range: 6-10
- Two or more restorative nursing on 6+ days/wk
2.7%
ADL Index Range: 6-10
- Less restorative nursing
0.3%
Total Percent:5.3%
 

Rating Details For Hanover Hill Health Care Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours47 Minutes1 Hour and 5 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours43 Minutes40 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 40 Minutes2 Hours and 34 Minutes
Total Licensed Nurse Hours1 Hour and 30 Minutes1 Hour and 45 Minutes
Total Nurse Hours4 Hours and 9 Minutes4 Hours and 19 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for New Hampshire are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNew Hampshire Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse17%15%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores3%8%
Percent of Long-Stay Residents Who Are More Depressed or Anxious19%18%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%6%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder57%51%
Percent of Long-Stay Residents Who Lose Too Much Weight12%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%17%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%90%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90%90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores3%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain24%24%
Percent of Short-Stay Residents Who Have Delirium1%2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/11/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/24/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/24/2008
Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/09/2011
Choose a Doctor to Be the Medical Director.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/09/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/24/2008

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/09/2011
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/09/2011
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/09/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/24/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/24/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/24/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/09/2011

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 02/11/2011
  • Correction Date: 03/09/2011

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 10/10/2008
  • Correction Date: 11/24/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Hanover Hill Health Care Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/11/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/30/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/19/2009
  • Correction Date: 12/30/2009
Source: Medicare Nursing Home Compare; Health Facility Administration of New Hampshire - Retrieved 2011