Nursing homeActiveSpecial Focus Facility candidate · what this means

Lebanon Center, Genesis HealthCare

24 Old Etna Road, Lebanon, NH 037666034482234110 certified beds · 78 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
30
8211
Penalties · 3 yrs
$72,924
1 fine
Last survey
2025-10-06
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · New Hampshire Health Facilities Administration · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-10-06Complaint001CMS-2567 (Care Compare)
2025-08-14Standard150CMS-2567 (Care Compare)
2025-07-07Complaint030CMS-2567 (Care Compare)
2024-07-11Standard580CMS-2567 (Care Compare)
2023-11-21Complaint020CMS-2567 (Care Compare)
2023-04-19Standard230CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · New Hampshire Health Facilities Administration publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-10-06Complaint survey · 1 deficiencyOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity LHarm
Infection control
Widespread; immediate jeopardy to resident health or safety.Corrected 2025-10-31Record 305050-20251006-F880
2025-08-14Standard survey · 6 deficienciesOfficial report
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 305050-20250814-F554
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 305050-20250814-F657
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 305050-20250814-F806
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 305050-20250814-F880
F926Have policies on smoking.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 305050-20250814-F926
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-09-25Record 305050-20250814-F641
2025-07-07Complaint survey · 3 deficienciesOfficial report
F567Honor the resident's right to manage his or her financial affairs.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 305050-20250707-F567
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 305050-20250707-F568
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-21Record 305050-20250707-F569
2024-07-11Standard survey · 13 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-16Record 305050-20240711-F658
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 305050-20240711-F725
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-27Record 305050-20240711-F758
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 305050-20240711-F760
F809Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-28Record 305050-20240711-F809
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-14Record 305050-20240711-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-27Record 305050-20240711-F881
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-28Record 305050-20240711-F943
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-08-29Record 305050-20240711-F553
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2024-07-17Record 305050-20240711-F641
F680Ensure the activities program is directed by a qualified professional.Scope/severity CPaperwork
Care planning
Widespread; potential for minimal harm.Corrected 2024-08-12Record 305050-20240711-F680
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2024-08-13Record 305050-20240711-F732
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2024-08-29Record 305050-20240711-F868
2023-11-21Complaint survey · 2 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-03Record 305050-20231121-F552
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-14Record 305050-20231121-F921
2023-04-19Standard survey · 5 deficienciesOfficial report
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-08Record 305050-20230419-F561
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-02Record 305050-20230419-F761
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-02Record 305050-20230419-F813
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2023-06-07Record 305050-20230419-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2023-06-08Record 305050-20230419-F657

Penalties & enforcement

DateActionAmountSource
2025-08-14Civil money penalty$72,924CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.52
Facility
New Hampshire
National
New Hampshire 0.78 · National 0.69
Total nurse hours per resident day3.17
Facility
New Hampshire
National
New Hampshire 3.90 · National 3.86
Weekend total nurse hours2.86
Facility
New Hampshire
National
New Hampshire 3.47 · National 3.42
Total nursing staff turnover49%
Facility
New Hampshire
National
New Hampshire 44% · National 46%
Registered nurse turnover47%
Facility
New Hampshire
National
New Hampshire 41% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNew HampshireNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.6%4.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.9%4.4%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
24.4%17.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.9%2.1%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
31.5%22.7%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
8.2%5.4%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
16.2%19.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Genesis Nh Holdings LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Fc-Gen Operations Investment LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Gen Operations I LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Gen Operations II LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Genesis Healthcare Inc
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Genesis Healthcare LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Genesis Holdings LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Genesis Operations LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Ghc Holdings LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Sun Healthcare Group Inc
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Whitman, Arnold
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Vance, Joseph
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Berg, Michael
Individual
CORPORATE OFFICERNOT APPLICABLE
Bridgeford, Laura
Individual
CORPORATE OFFICERNOT APPLICABLE
Genesis Operations LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Mendelson, Avi
Individual
CORPORATE OFFICERNOT APPLICABLE
Vance, Joseph
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Genesis Healthcare184 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or New Hampshire.

No county cost figures on file for Grafton.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Hanover Terrace Health And Rehabilitation
Hanover
4.5 mi2025-12-04030
Cedar Hill Health Care Center
Windsor
17.0 mi2024-06-20050
Elm Wood Center At Claremont
Claremont
18.9 mi2025-09-112120
Woodlawn Healthcare Center LLC
Newport
20.5 mi2026-02-192140
Sullivan County Health Care
Unity
24.2 mi2025-12-11181
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01