Pennsylvania Department of Health
ADVANCED HEALTH CARE OF HANOVER
Patient Care Inspection Results

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ADVANCED HEALTH CARE OF HANOVER
Inspection Results For:

There are  20 surveys for this facility. Please select a date to view the survey results.

Surveys don't appear on this website until at least 41 days have elapsed since the exit date of the survey.
ADVANCED HEALTH CARE OF HANOVER - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:
Findings of an Abbreviated survey in response to two complaints completed on March 4, 2025, at Advanced Health Care Of Hanover revealed that the facility was not in compliance with the following requirements of 42 CFR Part 483, Subpart B Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvanian Long Term Care Licensure Regulations as they relate to the Health portion of the survey process.



 Plan of Correction:


483.10(g)(2)(i)(ii)(3) REQUIREMENT Right to Access/Purchase Copies of Records:This is a less serious (but not lowest level) deficiency and is isolated to the fewest number of residents, staff, or occurrences. This deficiency is one that results in minimal discomfort to the resident or has the potential (not yet realized) to negatively affect the resident's ability to achieve his/her highest functional status.
§483.10(g)(2) The resident has the right to access personal and medical records pertaining to him or herself.
(i) The facility must provide the resident with access to personal and medical records pertaining to him or herself, upon an oral or written request, in the form and format requested by the individual, if it is readily producible in such form and format (including in an electronic form or format when such records are maintained electronically), or, if not, in a readable hard copy form or such other form and format as agreed to by the facility and the individual, within 24 hours (excluding weekends and holidays); and
(ii) The facility must allow the resident to obtain a copy of the records or any portions thereof (including in an electronic form or format when such records are maintained electronically) upon request and 2 working days advance notice to the facility. The facility may impose a reasonable, cost-based fee on the provision of copies, provided that the fee includes only the cost of:
(A) Labor for copying the records requested by the individual, whether in paper or electronic form;
(B) Supplies for creating the paper copy or electronic media if the individual requests that the electronic copy be provided on portable media; and
(C)Postage, when the individual has requested the copy be mailed.

§483.10(g)(3) With the exception of information described in paragraphs (g)(2) and (g)(11) of this section, the facility must ensure that information is provided to each resident in a form and manner the resident can access and understand, including in an alternative format or in a language that the resident can understand. Summaries that translate information described in paragraph (g)(2) of this section may be made available to the patient at their request and expense in accordance with applicable law.
Observations:

Based on clinical record review and staff interview, it was determined that the facility failed to provide a copy of a discharged resident's clinical record within two days as requested by the legal representative for one of four resident's sampled. (Resident CR1)

Resident CR1 was discharged from the facility on May 29, 2024. A request was made for a copy of Resident CR1's clinical record to be copied and sent to the legal representative on August 29, 2024.

In an interview on March 4, 2025, at 11:00 a.m., the Nursing Home Administrator confirmed the the requested information was not faxed until December 10, 2024.

28 PA. Code 201.29(a) Resident rights.



 Plan of Correction - To be completed: 03/19/2025

Corrective Action for Resident Cited

Resident CR1 was discharged from the facility 05/29/2024. An initial copy was provided to the
records retrieval company on 10/06/2024, a fax copy in December, and an electronic record on
01/16/2025.

Other Residents at Risk

Residents residing at the facility have the potential to be affected by this deficient practice.
NHA/Designee will audit medical record requests to confirm compliance with regulation.
NHA/Designee will provide 1:1 training if deficient practice is found.
Systemic Change
Medical Records/designee will be educated to provide resident medical records timely as
required by regulation.

Ongoing Monitoring
NHA/designee will audit medical record requests weekly x4 and monthly x2 to verify timely response.
The NHA/designee will present the findings of these audits to the QAPI Committee for review and recommendations.
NHA/designee will provide 1:1 training if deficient practice is noted.
NHA is responsible for maintaining compliance

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