LEBANON CENTER, GENESIS HEALTHCARE

The information listed below provides an in-depth look into the type and quality of care offered at Lebanon Center, Genesis Healthcare. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

LEBANON CENTER, GENESIS HEALTHCARE
RR #1 BOX 13K, 24 OLD ETNA ROAD
LEBANON, NH 03766
(603) 448-2234

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

93%

Number of Residents and Certified Beds

  • Residents: 102
  • Certified Beds: 110

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Hanover | Claremont | New London

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Lebanon Center, Genesis Healthcare. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1617.7%
ADL Index Range: 6-1021.4%
ADL Index Range: 0-516.3%
Total Percent:55.4%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-166.7%
ADL Index Range: 6-106.8%
ADL Index Range: 0-59.8%
Total Percent:23.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-101.9%
ADL Index Range: 0-52.5%
Total Percent:4.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-164.8%
ADL Index Range: 6-105.6%
ADL Index Range: 0-53.4%
Total Percent:13.8%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
0.5%
Total Percent:0.5%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- No Signs of depression
2.6%
Total Percent:2.6%
 

Rating Details For Lebanon Center, Genesis Healthcare

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours53 Minutes1 Hour and 14 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours37 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 24 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours1 Hour and 30 Minutes1 Hour and 56 Minutes
Total Nurse Hours3 Hours and 53 Minutes4 Hours and 19 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for New Hampshire are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNew Hampshire Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%6%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of Long-Stay Residents Who Lose Too Much Weight13%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased25%17%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder51%51%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse18%15%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious30%18%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain10%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%8%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%90%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%90%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores14%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain34%24%
Percent of Short-Stay Residents Who Have Delirium-2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 02/04/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 02/04/2011
  • Correction Date: 03/10/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/08/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/08/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/08/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/08/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 02/04/2011
  • Correction Date: 03/10/2011

Resident Assessment

1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 11/05/2009
  • Correction Date: 12/08/2009

Resident Rights

Give the Resident's Legal Representative the Same Rights As the Resident.
  • Inspection Date: 02/04/2011
  • Correction Date: 03/10/2011
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 02/04/2011
  • Correction Date: 03/10/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Lebanon Center, Genesis Healthcare, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Hire Nurse Aides Who Have Completed Required Training and Shown That They Are Skilled.
  • Complaint Filed: 07/29/2008
  • Correction Date: 08/31/2008
Have Licensed, Certified, or Registered Staff to Give Needed Services.
  • Complaint Filed: 07/29/2008
  • Correction Date: 08/31/2008
Follow All Laws and Professional Standards.
  • Complaint Filed: 11/20/2008
  • Correction Date: 12/11/2008

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 07/29/2008
  • Correction Date: 08/31/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 07/29/2008
  • Correction Date: 08/31/2008
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 11/20/2008
  • Correction Date: 12/11/2008

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 07/29/2008
  • Correction Date: 08/31/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 07/29/2008
  • Correction Date: 08/31/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 11/20/2008
  • Correction Date: 12/11/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Lebanon Center, Genesis Healthcare had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 02/04/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 11/19/2008
  • Correction Date: 12/22/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 11/19/2008
  • Correction Date: 12/22/2008
An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 11/04/2009
  • Correction Date: 12/10/2009

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 11/19/2008
  • Correction Date: 12/22/2008

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 11/04/2009
  • Correction Date: 12/10/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/19/2008
  • Correction Date: 12/22/2008

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 11/19/2008
  • Correction Date: 12/22/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 11/19/2008
  • Correction Date: 12/22/2008
Proper Construction of Ducts Through Walls Designed to Prevent Smoke Passage.
  • Inspection Date: 11/19/2008
  • Correction Date: 12/22/2008

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 11/19/2008
  • Correction Date: 03/05/2009
Source: Medicare Nursing Home Compare; Health Facility Administration of New Hampshire - Retrieved 2011