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C
Below Standard

LEBANON CENTER, GENESIS HEALTHCARE

24 OLD ETNA ROAD · LEBANON, NH 03766

6034482234 · For profit - Limited Liability company

110 beds80.9 residents113 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LEBANON CENTER, GENESIS HEALTHCARE receives an overall staffing grade of C (Below Standard). With 3.1285 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5509 HPRD, below the recommended 0.75. It is 0.77 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.69% compared to weekdays. The facility relies heavily on temporary agency staff (15.87% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1285 HPRD — needs 0.35 more hours per resident per day.
⚠️RN staffing (0.5509 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️15.87% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.1285hrs/resident/day▼ 0.77
CMS benchmark: 3.48
RN HPRD
0.5509hrs/resident/day▼ 0.13
Recommended: 0.75
Weekend Drop-off
13.69%
3.2544 weekday → 2.8089 weekend
Agency Staff
15.87%
0% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6993hrs/resident/day
Direct care aides
LPN HPRD
0.738hrs/resident/day
Licensed practical nurses
Consistency
0.2812std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Grafton County Average-0.45 HPRD
3.58
03.13 HPRD
vs. New Hampshire State Average-0.83 HPRD
3.96
03.13 HPRD
vs. National Average-0.77 HPRD
3.90
03.13 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LEBANON CENTER, GENESIS HEALTHCARE ★
LEBANON · This facility
—
C
3.12850.5509★☆☆☆☆
HANOVER TERRACE HEALTH AND REHABILITATION CENTER
HANOVER
4.5 mi
C
3.1440.6368★★★★★
ELM WOOD CENTER AT CLAREMONT
CLAREMONT
18.8 mi
C
3.33810.8588★★☆☆☆
WOODLAWN HEALTHCARE CENTER LLC
NEWPORT
20.5 mi
C
3.75790.4105★★☆☆☆
SULLIVAN COUNTY HEALTH CARE
UNITY
24.1 mi
B
5.56930.6557★☆☆☆☆
GLENCLIFF HOME FOR THE ELDERLY
GLENCLIFF
30.1 mi
A
4.61021.1478★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
30
Total Deficiencies
$72,924
Fines Assessed
Oct 6, 2025Health
1 deficiency cited· Includes actual harm
▼
Aug 14, 2025Health
6 deficiencies cited
▼
Jul 7, 2025Health
3 deficiencies cited
▼
Jul 11, 2024Health
13 deficiencies cited
▼
Nov 21, 2023Health
2 deficiencies cited
▼
Apr 19, 2023Health
5 deficiencies cited
▼

Penalty History

Aug 14, 2025Fine
$72,924
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.