Federal inspection record · CMS data as of October 1, 2026
Lebanon Center, Genesis HealthCare
24 Old Etna Road, Lebanon, NH · (603) 448-2234
- Special Focus Facility
- Certified beds
- 110
- Residents per day
- 79
- Ownership
- For-Profit
- Chain
- Genesis Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 1995
3
What inspectors found
30 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
L
Provide and implement an infection prevention and control program.
Everything else, by area of care
Resident Rights7D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to manage his or her financial affairs.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- B
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Assessment and Care Planning6D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- B
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Ensure each resident receives an accurate assessment.
- B
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary3E
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
Pharmacy Service3D
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure that residents are free from significant medication errors.
- D
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.
Environmental2D
- D
Have policies on smoking.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services2E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- C
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Quality of Life and Care1C
- C
Ensure the activities program is directed by a qualified professional.
Administration1C
- C
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspection history
2025-08-14
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2024-07-11
16 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2023-04-19
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 12 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
3 h 12 min
New Hampshire average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 63% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$72,924 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-14 | Fine | $72,924 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.9 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 99.2% | 97.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 100.0% | 97.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 5.4% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.8 pts worse | 20.6% | 15.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 7.9% | 5.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts worse | 19.2% | 19.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.2 pts worse | 25.1% | 17.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.8 pts worse | 27.6% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.9 pts worse | 33.2% | 22.3% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.8% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.1 pts better | 24.3% | 25.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts worse | 5.8% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 90.1% | 87.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.5 pts better | 6.5% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse | 2.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 87.9% | 85.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.9 pts better | 17.9% | 21.8% | 23.4% |
·
Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Genesis Nh Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 7 facilities |
| Berg, Michael | Corporate Officer · Individual | 0% | 165 facilities |
| Bridgeford, Laura | Corporate Officer · Individual | 0% | 148 facilities |
| Fc-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 155 facilities |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 164 facilities |
| Gen Operations Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 164 facilities |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 161 facilities |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 164 facilities |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 152 facilities |
| Genesis Operations LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 58 facilities |
| Genesis Operations LLC | Adp Of The SNF · Organization | 0% | 58 facilities |
| Ghc Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 118 facilities |
| Mendelson, Avi | Corporate Officer · Individual | 0% | 147 facilities |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 156 facilities |
| Vance, Joseph | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Vance, Joseph | Adp Of The SNF · Individual | 0% | 2 facilities |
| Whitman, Arnold | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 153 facilities |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress5F
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Smoke4F
- F
Provide properly protected cooking facilities.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems2E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- C
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness1E
- E
Conduct testing and exercise requirements.
Miscellaneous1E
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
Other homes nearby
-
Hanover Terrace Health And Rehabilitation
Hanover, NH
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 13 min
- Fines
- $0
-
Cedar Hill Health Care Center
Windsor, VT
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 53 min
- Fines
- $10,358
-
Elm Wood Center At Claremont
Claremont, NH · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 23 min
- Fines
- $0