Lebanon Center Genesis Healthcare

Nursing Home & Assisted Living · Lebanon, NH

CMS overall rating

24 Old Etna Road, Lebanon, NH 03766 View map

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Lebanon Center Genesis Healthcare accepts Medicaid, Medicare, and private pay.

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Lebanon Center Genesis Healthcare accepts Medicaid, Medicare, and private pay.

Overview of Lebanon Center Genesis Healthcare

Located in Lebanon, New Hampshire, Lebanon Center Genesis Healthcare is a skilled nursing facility owned by Stuart Lewis. The 110-bed home is in a car-dependent area on Old Etna Road. It focuses on rehabilitation and short-term recovery, serving patients transitioning from hospital care and those requiring longer-term skilled nursing support. It accepts Medicaid, Medicare, and private pay, providing multiple ways for families to arrange care.

The facility’s current occupancy is 73%%. Residents stay for an average of 122 days, including short-term rehabilitation residents and those with longer-term care needs.

Clinically, the home offers a full spectrum of rehabilitation services, including physical, occupational, and speech therapy. These also extend to specialized neurological and palliative care. A doctor is on staff. The facility provides 24-hour nursing coverage, averaging 3 hours and 11 minutes per resident each day. This staffing structure supports rehabilitation-focused care and ongoing support for residents with complex medical needs. Respite care and short-stay options are also available for families seeking temporary placement.

State inspections documented recurring issues with infection control practices and medication management. Families should ask about these issues during a tour to understand what protocols and training are in place.

Residents have access to restaurant-style dining and in-room options. There is a café that serves meals throughout the day, accommodating varying preferences and schedules. Residents stay in private and semi-private rooms with private bathrooms. They participate in activities and wellness programs. Amenities include a beauty salon, spa services, and private dining rooms for family gatherings.

The facility offers wireless internet, telephone service, and on-site laundry for resident convenience. Cultural, educational, religious, and social activities are regularly available for residents.

Facility Direct Line (603) 448-2234

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 11m per day

vs avg

5 of 6 metrics below state avg

Standout metric Physical Therapist is +7% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	37m per day	▼ 16% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	43m per day	▼ 6% State avg: 46m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 51m per day	▼ 22% State avg: 2h 23m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 51m per day	▼ 17% State avg: 3h 26m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	4m per day	▲ 7% State avg: 4m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	21m per day	▼ 32% State avg: 31m per day · National avg: 28m per day

Capacity and availability

122 days

110-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 4 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

73%

Lower than the New Hampshire average: 81.1%

Occupied beds

80 / 110

Average occupied beds in New Hampshire homes 80 beds

AHCA Silver Quality Award Winner

Facility TypeNursing Home

StatusActive

IssuanceJanuary 1, 2026

CountyGrafton

License Number03702

CMS Certification Number305050

AccreditationsWe Honor Veterans community partner

Lebanon Center Genesis Healthcare is administered by Nicole A Feola.

Wheelchair Accessible

Accept Medicaid

Accept Medicare

Rehabilitation Services

Respite Care

Short-Term Rehab

Physical Therapy

Occupational Therapy

Speech Therapy

Doctor on Staff

24-Hour Staffing

Shortstay Care

Longterm Care

Neurological Care And Rehabilitation

Palliative Care

Rehabilitation Therapy

Outpatient Rehabilitation Services

Va Contracted

On-Site Medical Director

On-Site Nurse Practitioner

Attending Physicians

Registered Nurses

Iv Therapy

Bariatric Specialties

Colostomy Care

Dental Care

Personal Care

Pet Therapy

Podiatry Care

Psychiatric Services

Vision Care

Wound Care

X-Ray

Pain Management

Case Management

Dietary And Nutrition Needs Management

Discharge Planning

Individual Treatment Plans

Heparin Therapy

Coordinated Transportation

Cultural

Educational

Religious And Social Activities

Recreation Activities

Powerback Rehabilitation To You

Pets Allowed

HousekeepingYes

Linen ServiceYes

Utilities IncludedYes

Private And Semi-Private Rooms

Spacious Rooms

Private Bathroom

Fully Air Conditioned

Activity Room

Wellness Programs

Private Hospice Room

Conveniently Located

Beauty Salon / Barber Services

Cable Television

Café With Always Available Menu Options

Comfortable Common And Lounge Areas To Gather With Friends And Family

Country Kitchen

Dining Room

In-Room Dining Options

Private Dining Rooms For Family Gatherings

Restaurant-Style Dining

Spa Services

Alarm System To Aid In The Security Of Residents With Cognitive Deficits

Complimentary Laundry Facility On-Site

Computer With Internet Access

Housekeeping

Laundry Facility On-Site

Mail And Newspaper Service

Pets Permitted

Pharmaceutical Delivery Service

Phone Service

Telephone

Wireless Internet

Smoke Free Environment

Since 2023 · 3 years of data 30 deficiencies

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2023 vs. New Hampshire state average

Overall vs. NH average

Latest Inspection October 6, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NH Average	vs. NH Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	30	17	This facility has 76% more total deficiencies than a typical New Hampshire assisted living residence (30 vs. NH avg 17).↑ 76% worse
Deficiencies per year Average deficiencies per year since 2023.	10	5.7	This facility has 75% more deficiencies per year than a typical New Hampshire assisted living residence (10 vs. NH avg 5.7).↑ 75% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

October 6, 2025 complaint investigation found failure to follow infection control and Water Management Plan after a resident’s fatal Legionella infection, exposing all 80 residents to risk.
August 14, 2025 routine inspection cited six deficiencies including medication self-administration assessments, inaccurate MDS, care planning, food service, laundry infection control, and smoking policy violations.
July 11, 2024 routine survey identified 13 deficiencies with staffing shortages, medication errors, incomplete care planning, infection control lapses, and lack of staff training on abuse and neglect.

Show Inspection Reports

Inspections since 2023

Total health inspections 6

State average N/A

Last Health inspection on Oct 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

23 of 30 citations resulted from standard inspections; 6 of 30 resulted from complaint investigations; and 1 of 30 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

21 moderate citations State average: N/A

8 minor citations State average: N/A

Citations history (last 3 years)

Infection Control critical citation Oct 06, 2025

Corrected

Environmental moderate citation Aug 14, 2025

Corrected

Infection Control moderate citation Aug 14, 2025

Corrected

Nutrition moderate citation Aug 14, 2025

Corrected

Total staff 125

Employees 97

Contractors 28

Staff to resident ratio 1.54 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 37

Average shift 8.4 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 28,558

Nursing staff breakdown

7.9 hours

10.2 hours

8.9 hours

Contractor staffing

6,303 contractor hours this quarter

Certified Nursing Assistant: 10 Licensed Practical Nurse: 7 Registered Nurse: 3 Occupational Therapy Assistant: 3 Speech Language Pathologist: 1 Respiratory Therapy Technician: 1 Physical Therapy Aide: 1 Occupational Therapy Aide: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	31	10	41	12,641	92	100%	8.9
Licensed Practical Nurse	8	7	15	5,254	92	100%	10.2
Registered Nurse	13	3	16	3,402	92	100%	7.9
Mental Health Service Worker	2	0	2	953	64	70%	7.9
Medication Aide/Technician	10	0	10	846	60	65%	7.6
Physical Therapy Assistant	4	0	4	786	71	77%	7.7
Other Dietary Services Staff	2	0	2	777	81	88%	7.6
Nurse Practitioner	2	0	2	668	64	70%	8
Respiratory Therapy Technician	6	1	7	522	72	78%	4.6
Speech Language Pathologist	4	1	5	492	63	68%	7.4
Other Social Services Staff	2	0	2	474	60	65%	7.7
Administrator	2	0	2	468	55	60%	8
Clinical Nurse Specialist	2	0	2	447	50	54%	8.1
Physical Therapy Aide	1	1	2	407	53	58%	7
Occupational Therapy Aide	0	1	1	215	30	33%	7.2
Occupational Therapy Assistant	0	3	3	66	52	57%	1.2
Qualified Social Worker	5	0	5	56	23	25%	2.4
Medical Director	0	1	1	50	6	7%	8.3
Nurse Aide in Training	2	0	2	28	4	4%	7.1
RN Director of Nursing	1	0	1	8	1	1%	7.5

41 Certified Nursing Assistant

% of Days 100%

15 Licensed Practical Nurse

% of Days 100%

16 Registered Nurse

% of Days 100%

2 Mental Health Service Worker

% of Days 70%

10 Medication Aide/Technician

% of Days 65%

4 Physical Therapy Assistant

% of Days 77%

2 Other Dietary Services Staff

% of Days 88%

2 Nurse Practitioner

% of Days 70%

7 Respiratory Therapy Technician

% of Days 78%

5 Speech Language Pathologist

% of Days 68%

2 Other Social Services Staff

% of Days 65%

2 Administrator

% of Days 60%

2 Clinical Nurse Specialist

% of Days 54%

2 Physical Therapy Aide

% of Days 58%

1 Occupational Therapy Aide

% of Days 33%

3 Occupational Therapy Assistant

% of Days 57%

5 Qualified Social Worker

% of Days 25%

1 Medical Director

% of Days 7%

2 Nurse Aide in Training

% of Days 4%

1 RN Director of Nursing

% of Days 1%

View All Staffing Data

Total fines amount $102K

207% higher than State average

State average: $33K

Number of fines 1

48% fewer fines than State average

State average: 1.9

Payment Denials 0

100% fewer payment denials than State average

State average: 0.1

Fines amount comparison

This facility $102K

State average $33K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Aug 14, 2025 · $102K

Civil Money Penalty Aug 14, 2025

$102K

Last updated: Jan 2026

High-risk clinical events score 13.5

19% worse than State average

State average: 11.4

Functional decline score 25.4

10% worse than State average

State average: 23.2

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 21.4%

In line with State average

State average: 21.9%

Walking Ability Worsened 28.7%

42% worse than State average

State average: 20.3%

Low Risk Residents with Bowel/Bladder Incontinence 26.2%

In line with State average

State average: 27.1%

Falls with Major Injury 5.2%

13% worse than State average

State average: 4.6%

High Risk Residents with Pressure Ulcers 7.4%

65% worse than State average

State average: 4.5%

Urinary Tract Infection 0.8%

69% better than State average

State average: 2.5%

Lost Too Much Weight 4.7%

16% better than State average

State average: 5.6%

Depressive Symptoms 15.9%

93% worse than State average

State average: 8.3%

Antipsychotic Use 21.8%

26% worse than State average

State average: 17.4%

Pneumococcal Vaccine 100.0%

In line with State average

State average: 96.0%

Influenza Vaccine 100.0%

In line with State average

State average: 98.0%

Hospitalizations per 1,000 days 1.43

13% better than State average

State average: 1.65

ED visits per 1,000 days 1.19

37% better than State average

State average: 1.90

Short-stay resident measures

Above average State avg: 2.9

Pneumococcal Vaccine 92.5%

10% better than State average

State average: 83.8%

Antipsychotic medication increase 0.9%

46% better than State average

State average: 1.6%

Influenza Vaccine 88.2%

6% better than State average

State average: 83.0%

Re-hospitalized after SNF stay 21.7%

In line with State average

State average: 22.1%

Emergency department visits 9.1%

35% better than State average

State average: 14.1%

Falls with major injury 0.7%

13% better than State average

State average: 0.8%

Ability to care for self at discharge 52.5%

In line with State average

State average: 53.7%

Successful return to home or community 55.5%

10% better than State average

State average: 50.6%

Breakdown by payment type

Medicare

51% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

39% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

10% of new residents, often for long-term daily care.

Typical stay 2 years

Total residents 81

Medicare

16% of residents

Medicaid

65.4% of residents

Private pay or other

18.5% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Lebanon Center Genesis Healthcare from 2012–2023, based on CMS SNF Cost Reports.

Occupancy Rate 75.0% ↓ 10.2pp vs 2022

Net Patient Income -$6.1M ↓ ~$2.8M vs 2022

Payroll Costs $5.3M ↑ ~$1.3M vs 2022

Operating Margin -53.6% ↓ 27.2pp vs 2022

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	97.0%	96.6%	94.1%	97.1%	96.3%	95.8%	97.8%	96.9%	94.5%	90.9%	85.2%	75.0%
Beds	110	110	110	110	110	110	110	110	110	110	110	110
Net Income	-$694,156	-$66,212	$424,277	$655,662	$132,637	-$476,453	-$862,786	-$843,914	$421,568	-$2,082,054	-$2,527,570	-$6,045,329
Gross Revenue	$15,072,962	$16,045,908	$16,855,518	$17,517,602	$17,473,024	$17,586,156	$17,697,489	$17,915,943	$17,671,437	$16,273,629	$15,300,496	$13,801,508
Operating Expenses	$12,793,279	$12,725,852	$12,858,943	$12,709,644	$12,784,107	$13,073,150	$13,016,881	$12,942,101	$13,474,732	$14,358,213	$16,074,569	$17,522,528
Net Patient Income	-$694,156	-$66,212	$424,277	$655,662	$132,637	-$485,120	-$863,425	-$843,914	$421,568	-$1,671,086	-$3,350,688	-$6,112,012
Net Patient Revenue	$12,099,123	$12,659,640	$13,283,220	$13,365,306	$12,916,744	$12,588,030	$12,153,456	$12,098,187	$13,896,300	$12,687,127	$12,723,881	$11,410,516
Payroll Costs	$5,343,435	$5,149,582	$4,953,053	$4,768,127	$4,844,635	$4,615,086	$4,373,636	$3,966,930	$3,750,823	$4,517,158	$3,952,562	$5,284,026
Operating Margin %	-5.7%	-0.5%	3.2%	4.9%	1.0%	-3.9%	-7.1%	-7.0%	3.0%	-13.2%	-26.3%	-53.6%
Medicare %	23.8%	24.2%	26.9%	28.5%	24.8%	20.9%	16.4%	18.9%	17.3%	17.1%	17.6%	15.6%
Medicaid %	57.9%	56.7%	49.4%	49.3%	48.5%	52.4%	59.6%	58.9%	57.8%	63.1%	57.1%	58.1%
Private %	18.4%	19.1%	23.7%	22.2%	26.7%	26.8%	24.1%	22.1%	24.9%	19.9%	25.3%	26.3%
Net Patient Revenue/Day	$310	$326	$351	$343	$333	$327	$309	$311	$365	$348	$372	$379
Cost/Day	$328	$328	$340	$326	$330	$340	$331	$333	$354	$394	$470	$582
Avg Length of Stay	156.9 days	155.8 days	113.2 days	124.2 days	125.9 days	103.4 days	147.7 days	137.5 days	129.0 days	148.9 days	129.1 days	121.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2023.

Net patient revenue

$11.4M

Net patient income

-$6.1M

For-profit Operated by a single business entity.

Net patient revenue

$11.4M

Net patient income

-$6.1M

Other income

$66.7K

Payroll costs

$5.3M 46.3% of net patient revenue

Other operating costs

$12.2M

Total costs

$17.5M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (51% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 51%

Private pay 39%

Medicaid 10%

Coverage residents most often leave under.

Medicare 39%

Private pay 38%

Medicaid 23%

1.4 miles from city center Estimated distance in miles from Lebanon's city center to Lebanon Center Genesis Healthcare's address, calculated via Google Maps.

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The information below is reported by the New Hampshire Department of Health and Human Services, Health Facilities Administration.


Lebanon Center Genesis Healthcare	NH AL	Lebanon	-	110	-	4	-
Presidential Oaks	NH AL HC NC RC	Concord	-	52	-	43	1 Bed / 2 Bed
Havenwood	NH AL IL MC RC	Concord	-	70	A+	23	1 Bed / 2 Bed
Golden View Health Care Center	NH AL MC RC	Meredith	-	105	A+	39	-
Webster at Rye	NH AL HC MC NC PC	Rye	-	61	A+	5	-

Nursing Home Explorer

Is Lebanon Center Genesis Healthcare in a walkable area?

Lebanon Center Genesis Healthcare has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Lebanon Center Genesis Healthcare?

According to NH state health department records, Lebanon Center Genesis Healthcare's license number is 03702.

What is the occupancy rate at Lebanon Center Genesis Healthcare?

Lebanon Center Genesis Healthcare's occupancy is 73%.

Does Lebanon Center Genesis Healthcare operate as a for-profit or non-profit?

Lebanon Center Genesis Healthcare is registered as a for-profit in NH.

Who is the administrator of Lebanon Center Genesis Healthcare?

Nicole A Feola is the administrator of Lebanon Center Genesis Healthcare.

How many beds does Lebanon Center Genesis Healthcare have?

Lebanon Center Genesis Healthcare has 110 beds.

Are there photos of Lebanon Center Genesis Healthcare?

Yes — there are 4 photos of Lebanon Center Genesis Healthcare in the photo gallery on this page.

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Lebanon Center Genesis Healthcare

Overview of Lebanon Center Genesis Healthcare

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

Awards

License Details

Ownership & Operating Entity

Safety & Compliance

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Lebanon Center Genesis Healthcare

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the New Hampshire state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

41 Certified Nursing Assistant

15 Licensed Practical Nurse

16 Registered Nurse

2 Mental Health Service Worker

10 Medication Aide/Technician

4 Physical Therapy Assistant

2 Other Dietary Services Staff

2 Nurse Practitioner

7 Respiratory Therapy Technician

5 Speech Language Pathologist

2 Other Social Services Staff

2 Administrator

2 Clinical Nurse Specialist

2 Physical Therapy Aide

1 Occupational Therapy Aide

3 Occupational Therapy Assistant

5 Qualified Social Worker

1 Medical Director

2 Nurse Aide in Training

1 RN Director of Nursing

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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