Grafton County, New Hampshire · Nursing home
Lebanon Center, Genesis HealthCare
1 of 5 overall from CMS
24 Old Etna Road, Lebanon, NH 03766
At a glance
- Overall rating 1 of 5 Below the state average of 3.1
- Nurse time per resident, per day 3.17 hours Below the state average of 3.90
- Nursing staff who left in a year 48.6% Above the state average of 44.1%
- Health citations in 3 years 30 1 at the harm level or above
- Fines in 3 years $72,924 1 fine
- Certified beds in use 70.8% of 110 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Lebanon Center, Genesis HealthCare is a 110-bed nursing home in Lebanon, New Hampshire (Grafton County). CMS rates it 1 of 5 stars overall as of Aug 2026. It reports 3.17 nurse staffing hours per resident per day, below the New Hampshire average of 3.90. CMS lists 1 fine totaling $72,924 in the past three years.
- Certified beds
- 110
- Residents per day (average)
- 77.9
- Certified since
- 1995 (31 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Genesis Healthcare (184 homes)CMS Special Focus: SFF Candidate
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings. Flags are shown as published by CMS; see Medicare.gov Care Compare for their definitions.
Questions to ask Lebanon Center, Genesis HealthCare
Chosen from this home's public data.
- CMS lists this home as "SFF Candidate" in its Special Focus Facility program. What is the improvement plan, and what has changed so far?Special Focus status in CMS data
- CMS lists 1 fine totaling $72,924 in the past three years. What changed after the most recent one?Penalties in CMS data
- The latest standard inspection (Aug 14, 2025) cited 7 health deficiencies; the New Hampshire average is 3.9. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 New Hampshire average 3.1
- Health inspections 1 of 5 New Hampshire average 2.9
- Staffing 2 of 5 New Hampshire average 3.3
- Quality measures 3 of 5 New Hampshire average 3.2
The vertical line marks the New Hampshire average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.17 h New Hampshire average 3.90
- Nurse aides 1.90 h New Hampshire average 2.34
- Licensed practical nurses 0.76 h New Hampshire average 0.78
- Registered nurses 0.52 h New Hampshire average 0.78
- All staff, weekends 2.86 h New Hampshire average 3.47
How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the New Hampshire average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover48.6%
- New Hampshire average44.1%
- Registered nurse turnover46.7%
- New Hampshire average40.9%
- Administrators who left0
Inspection history
Inspectors cited 30 health deficiencies in the past three years. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 6 followed a complaint investigation. The most recent citation at the harm level or above was on Oct 6, 2025: Provide and implement an infection prevention and control program.
| Inspection date | Health | Fire safety |
|---|---|---|
| Aug 14, 2025 | 7 | 6 |
| Jul 11, 2024 | 16 | 5 |
| Apr 19, 2023 | 7 | 2 |
New Hampshire homes averaged 3.9 health deficiencies in the latest cycle; the national average is 9.3.
Health citations, past three years (30)
-
LImmediate jeopardy, widespread
Provide and implement an infection prevention and control program.
Complaint inspection · Infection Control · Deficient, Provider has date of correction (Oct 31, 2025)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Sep 25, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 25, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 25, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 25, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Have policies on smoking.
Environmental · Deficient, Provider has date of correction (Sep 25, 2025)
-
BPotential for minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 25, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to manage his or her financial affairs.
Complaint inspection · Resident Rights · Deficient, Provider has date of correction (Jul 21, 2025)
-
DPotential for more than minimal harm, isolated
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Complaint inspection · Resident Rights · Deficient, Provider has date of correction (Jul 21, 2025)
-
DPotential for more than minimal harm, isolated
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Complaint inspection · Resident Rights · Deficient, Provider has date of correction (Jul 21, 2025)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Aug 29, 2024)
-
EPotential for more than minimal harm, pattern
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 28, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Aug 27, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Aug 14, 2024)
-
DPotential for more than minimal harm, isolated
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Aug 27, 2024)
-
DPotential for more than minimal harm, isolated
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 28, 2024)
-
CPotential for minimal harm, widespread
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care · Deficient, Provider has date of correction (Aug 12, 2024)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Aug 13, 2024)
-
CPotential for minimal harm, widespread
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration · Deficient, Provider has date of correction (Aug 29, 2024)
-
BPotential for minimal harm, pattern
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights · Deficient, Provider has date of correction (Aug 29, 2024)
-
BPotential for minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 17, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Complaint inspection · Resident Rights · Deficient, Provider has date of correction (Jan 3, 2024)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint inspection · Environmental · Deficient, Provider has date of correction (Feb 14, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Jun 8, 2023)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Jun 2, 2023)
-
DPotential for more than minimal harm, isolated
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary · Deficient, Provider has date of correction (Jun 2, 2023)
-
BPotential for minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 7, 2023)
-
BPotential for minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 8, 2023)
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Aug 14, 2025 | Fine | $72,924 |
New Hampshire homes averaged 0.6 fines and $8,016 in fine amounts; the national averages are 0.9 and $31,093.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within New Hampshire
- Size23 of 73 by certified beds
- New Hampshire average residents per day81.3
- ChainGenesis Healthcare
- Chain average overall rating2.4 of 5
- Resident or family councilResident
- Homes in Grafton County5
Common questions
What is the CMS star rating for Lebanon Center, Genesis HealthCare?
Lebanon Center, Genesis HealthCare has an overall rating of 1 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 3.
How many beds does Lebanon Center, Genesis HealthCare have?
Lebanon Center, Genesis HealthCare has 110 certified beds. It averages 77.9 residents per day, about 70.8% of its certified beds.
How much nursing care do residents get at Lebanon Center, Genesis HealthCare?
The home reports 3.17 hours of nurse staffing per resident per day, including 0.52 hours from registered nurses. The New Hampshire average is 3.90 hours and 0.78 hours from registered nurses.
Has Lebanon Center, Genesis HealthCare been fined?
Yes. CMS lists 1 fine totaling $72,924 in the past three years.
Does Lebanon Center, Genesis HealthCare accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Nearest nursing homes
- 4 of 5 Hanover Terrace Health and Rehabilitation 100beds 49.3%in use 3.36nurse hours a day
- 3 of 5 Cedar Hill Health Care Center 39beds 87.9%in use 4.97nurse hours a day
- 2 of 5 Elm Wood Center at Claremont 68beds 85.6%in use 3.18nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Grafton County
Who to call in New Hampshire
These offices serve residents of every nursing home in New Hampshire.
- Long-term care ombudsman Office of the Long-Term Care Ombudsman 1-800-442-5640 A free advocate for residents and their families.
- File a complaint about a nursing home Health Facilities Administration, Health Facility Certification Unit 603-271-9049 The state agency that inspects nursing homes.
New Hampshire staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 305050. Check the official record on Medicare.gov
See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.