Lebanon Center, Genesis Healthcare
24 Old Etna Road · Lebanon, NH · 03766 · 6034482234
110 certified beds For profit - Limited Liability company Chain: Genesis Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$72,924 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 2.85 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $72,924 |
Inspection citations (30 in the current record)
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Immediate jeopardy · L October 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 31, 2025 · Infection Control
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Potential for harm · D August 14, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 25, 2025 · Resident Rights
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Potential for harm · D August 14, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 14, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected September 25, 2025 · Nutrition and Dietary
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Potential for harm · D August 14, 2025
Provide and implement an infection prevention and control program.
Corrected September 25, 2025 · Infection Control
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Potential for harm · D August 14, 2025
Have policies on smoking.
Corrected September 25, 2025 · Environmental
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No harm found · B August 14, 2025
Ensure each resident receives an accurate assessment.
Corrected September 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 7, 2025 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · D July 7, 2025 · found via complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · D July 7, 2025 · found via complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected July 21, 2025 · Resident Rights
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Potential for harm · D July 11, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 11, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 29, 2024 · Nursing and Physician Services
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Potential for harm · D July 11, 2024
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.
Corrected August 27, 2024 · Pharmacy Service
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Potential for harm · D July 11, 2024
Ensure that residents are free from significant medication errors.
Deficient, Provider has no plan of correction · Pharmacy Service
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Potential for harm · E July 11, 2024
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.
Corrected August 28, 2024 · Nutrition and Dietary
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Potential for harm · D July 11, 2024
Provide and implement an infection prevention and control program.
Corrected August 14, 2024 · Infection Control
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Potential for harm · D July 11, 2024
Implement a program that monitors antibiotic use.
Corrected August 27, 2024 · Infection Control
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Potential for harm · D July 11, 2024
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected August 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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No harm found · B July 11, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected August 29, 2024 · Resident Rights
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No harm found · B July 11, 2024
Ensure each resident receives an accurate assessment.
Corrected July 17, 2024 · Resident Assessment and Care Planning
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No harm found · C July 11, 2024
Ensure the activities program is directed by a qualified professional.
Corrected August 12, 2024 · Quality of Life and Care
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No harm found · C July 11, 2024
Post nurse staffing information every day.
Corrected August 13, 2024 · Nursing and Physician Services
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No harm found · C July 11, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected August 29, 2024 · Administration
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Potential for harm · D November 21, 2023 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 3, 2024 · Resident Rights
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Potential for harm · D November 21, 2023 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 14, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 14, 2025 | Fine | $72,924 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 305050 · certified since May 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.