Lebanon Center, Genesis Healthcare
A nursing home in Lebanon, New Hampshire 03766
24 Old Etna Road, Lebanon, New Hampshire 03766. (603) 448-2234.
- On CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- Not rated CMS’s overall rating
- 7 health citations at the latest inspection cycle New Hampshire average: 4.1
- 3.20 nurse hours per resident per day New Hampshire average: 3.87
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
7 health citations at the latest inspection cycle
The New Hampshire average is 4.1.
Last standard inspection Aug 14, 2025.
Most serious in three years: immediate jeopardy to health or safety (L), at a complaint inspection on Oct 6, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
23 citations in 4 months of the last 36. Last cited Oct 2025. Most serious: immediate jeopardy to health or safety (L). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 25 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 6 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Oct 6, 2025: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Aug 14, 2025: standard inspection6 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Provide and implement an infection prevention and control program.
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Have policies on smoking.
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Ensure each resident receives an accurate assessment.
Jul 7, 2025: complaint inspection3 citations
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Honor the resident’s right to manage his or her financial affairs.
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Properly hold, secure, and manage each resident’s personal money which is deposited with the nursing home.
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Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Jul 11, 2024: standard inspection13 citations
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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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.
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Ensure that residents are free from significant medication errors.
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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.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
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Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
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Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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Ensure each resident receives an accurate assessment.
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Ensure the activities program is directed by a qualified professional.
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Post nurse staffing information every day.
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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Nov 21, 2023: complaint inspection2 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since May 1, 1995.
- On CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 110 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $72,924 in all.
- No Medicare payment denials in the last three years.
- 6 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Aug 14, 2025 | Fine | $72,924 |
Who does the caring?
3.20 nurse hours per resident per day
The New Hampshire average is 3.87.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | New Hampshire average |
|---|---|---|
| Nurse hours per resident per day | 3.20 | 3.87 |
| Of which registered nurses | 0.67 | 0.78 |
| At weekends | 2.88 | 3.43 |
| Nursing staff turnover | 56.6% | 43.4% |
| Registered nurse turnover | 62.5% | 40.5% |
| Administrators who left | 0 | Not given |
Who owns it?
- Genesis NH Holdings LLC owns 100% directly since Apr 1, 2011.
- 8 owners or officers are people: Arnold M Whitman (owns 5% or more through other companies, 10.8%); Steven E Fishman (owns 5% or more through other companies, 7.6%); Laura Bridgeford (corporate officer); Joseph B Vance (runs it (operational or managerial control)); Joseph B Vance (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Avi Pinchas Mendelson (corporate officer); Michael T Berg (corporate officer).
- Part of Genesis Healthcare (183 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Gen Operations I LLC | Owns 5% or more through other companies | 100% | Feb 2, 2015 |
| Gen Operations II LLC | Owns 5% or more through other companies | 100% | Feb 2, 2015 |
| Fc-Gen Operations Investment LLC | Owns 5% or more through other companies | 100% | Feb 2, 2015 |
| Genesis Operations LLC | Owns 5% or more through other companies | 100% | Feb 2, 2015 |
| Genesis Healthcare LLC | Owns 5% or more through other companies | 100% | Feb 2, 2015 |
| Genesis NH Holdings LLC | Owns 5% or more directly | 100% | Apr 1, 2011 |
| GHC Holdings LLC | Owns 5% or more through other companies | 100% | Feb 2, 2015 |
| Genesis Holdings LLC | Owns 5% or more through other companies | 100% | Feb 2, 2015 |
| Sun Healthcare Group Inc. | Owns 5% or more through other companies | 65.3% | Feb 2, 2015 |
| Genesis Healthcare Inc. | Owns 5% or more through other companies | 52.24% | Feb 2, 2015 |
| Hccf Management Group Xi LLC | Owns 5% or more through other companies | 10.8% | Dec 31, 2011 |
| Zac Properties Xi LLC | Owns 5% or more through other companies | 7.6% | Dec 31, 2011 |
| Welltower Op LLC | Owns 5% or more through other companies | 5.7% | Jun 1, 2024 |
| Sundance Rehabilitation Holdco Inc. | Owns 5% or more through other companies | 5.2% | Jan 1, 2016 |
| Genesis Operations LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 10, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2021 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 10, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 10, 2025 |
How do residents fare?
- CMS hasn’t rated this home’s quality measures.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | Not rated |
| Health inspections | Not rated |
| Staffing | Not rated |
| Quality measures | Not rated |
How does it compare nearby?
- Among the 12 nearest homes, within 34.4 miles, this one had the 3rd most health citations at the latest inspection cycle (7; the middle value was 6).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Lebanon Center, Genesis Healthcare This nursing home | 7 | |
| Hanover Terrace Health and Rehabilitation | 4.5 | 3 |
| Cedar Hill Health Care Center | 17.0 | 9 |
| Elm Wood Center at Claremont | 18.9 | 6 |
| Woodlawn Healthcare Center LLC | 20.5 | 3 |
| Sullivan County Health Care | 24.2 | 2 |
| Menig Nursing Home | 26.8 | 7 |
| Springfield Health & Rehab | 27.8 | 18 |
| Gill Odd Fellows Home of Vermont | 28.7 | 7 |
| Glencliff Home for the Elderly | 30.1 | 6 |
| Grafton County Nursing Home | 33.3 | 6 |
| Mountain Ridge Center, Genesis Healthcare | 34.4 | 6 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.