Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lebanon Center, Genesis Healthcare during CMS and state inspections, most recent first.
A resident was hospitalized and tested positive for Legionella, but the facility did not follow its own water management plan by failing to test or remediate the water system, nor did it document control measures as required. Staff confirmed that a humidifier, which was prohibited by policy, was used in the resident's room, and water samples from the device were not tested. These lapses in infection control procedures exposed all residents to potential Legionella risk.
Failure to assess and document self-administration of meds for two residents. One resident had prescription lotions kept in the room and used them as needed, but there was no self-administration assessment, care plan, or MD order. Another resident had gabapentin and atorvastatin left on a tray table while asleep, and the record showed no assessment, care plan, or physician order for self-administration; staff confirmed the documentation was absent.
The facility failed to hold routine interdisciplinary care plan meetings for two residents and failed to develop and update a comprehensive care plan for another resident. One resident said care meetings had not been held for several months, another resident’s DPOA recalled the last meeting months earlier, and staff confirmed quarterly meetings were not held. A third resident used CPAP nightly, but the chart had no care plan for CPAP use or maintenance.
Failure to Follow Food Preferences and Allergy Orders: A resident with a diet order to add finger foods to meals was observed at lunch and breakfast without any finger food items on the tray, while attempting to eat food with fingers and from the dish. Another resident with a milk allergy/lactose intolerance had a tray ticket indicating no milk, yet staff confirmed lactose-free milk was available but had not been provided, and the resident reported limited non-dairy choices at meals.
Improper linen processing and storage were observed in the laundry room. A small residential washer was being used for resident clothes, kitchen rags, bed sheets, and other linens on a cold-water setting, with household detergent and bleach added for white linens. The DHOH could not provide the facility policy or manufacturer instructions for washer use, and the Laundry Aide could not explain the correct bleach and detergent amounts for washing and disinfecting linens.
A resident who was an independent smoker kept cigarettes and a lighter in the room in an unlocked black bag, and an RN confirmed this arrangement. The facility's smoking policy stated that smoking supplies were to be labeled, maintained by staff, and stored in a suitable cabinet at the nursing station.
MDS assessments did not accurately reflect resident status for four residents. One resident was coded as not using tobacco despite being an independent smoker, one was coded as receiving anticoagulants despite no anticoagulant administration on the EMAR, one was coded with an unstageable pressure injury despite wound documentation showing a DTI, and one was coded as receiving insulin injections despite EMAR review and resident interview showing no insulin use.
The facility did not obtain written authorization from three residents to manage their personal funds, resulting in direct deposit of social security benefits and automatic withdrawals for care costs without proper consent. Review of financial records and fund management forms showed that required authorizations were missing or incomplete for each resident involved.
The facility did not provide two residents or their representatives with required quarterly written statements of personal funds, as confirmed by record review and interviews. Instead, statements were signed only by the administrator, and both residents and their legal representatives reported not receiving the statements.
A resident was not notified when their personal fund account balance exceeded the SSI resource limit for several consecutive months. Despite facility policy and regulatory requirements mandating monthly notification when a resident's account approaches the Medicaid eligibility threshold, the required notifications were not provided or documented.
The facility failed to maintain sufficient nursing staff levels on weekends, as determined by their facility assessment. The required Hours Per Patient Day (HPPD) for nurse aides was set at 1.63, but several weekend dates showed staffing below this level, with HPPD ranging from 1.43 to 1.57. Staff M confirmed these findings, highlighting a pattern of inadequate staffing on weekends.
The facility failed to provide nourishing bedtime snacks, resulting in a 15-hour gap between dinner and breakfast. Interviews with residents and the Resident Council revealed that most did not receive bedtime snacks, despite requests for more substantial options. The facility's policy requires bedtime snacks, but the available options were limited to juice and cookies, and some residents reported not being offered snacks at all.
The facility did not provide necessary training on abuse, neglect, exploitation, and misappropriation of resident property to a Licensed Nursing Assistant. The staff member's education file lacked documentation of such training, and the Director of Nursing confirmed the absence of training prior to the staff member's start date. This was in violation of the facility's policy requiring such training during orientation and annually.
A resident did not receive the correct dosage of Heparin as ordered by the physician. An LPN administered 50 units instead of the prescribed 100 units intravenously for flushing a PICC line. This error was confirmed during an interview with the LPN and was identified through a review of the resident's MAR.
A facility failed to limit psychotropic drug orders to 14 days for a resident. The resident's MAR showed an order for Ativan without a stop date, resulting in 10 doses administered beyond the 14-day limit. This was confirmed by the DON, and the facility's policy requires PRN psychotropic medications to be ordered for no more than 14 days.
A facility failed to follow CDC guidance for Enhanced Barrier Precautions when an LPN accessed a resident's IV site without wearing a gown, despite signage indicating the requirement. The facility's infection preventionist confirmed the expectation for gown use, aligning with CDC guidelines to prevent MDRO transmission during high-contact care activities.
The facility did not follow its antibiotic use protocols as part of its Antibiotic Stewardship Program, resulting in inappropriate antibiotic prescriptions for UTIs in April and June 2024. This was confirmed by the Infection Preventionist, who acknowledged the prescriptions did not meet the facility's criteria.
The facility did not have a qualified professional directing the activities program for its 88 residents. An Activities Aide and the Administrator confirmed the absence of a Director since February 2024. The job description and policy review indicated that the Director of Recreation Services is responsible for overseeing the recreation services and ensuring the inclusion of various programs.
The facility did not update the daily nurse staffing information to reflect actual hours worked at the beginning of each shift. A review showed discrepancies between posted information and actual schedules from June 9 to July 10. Staff M confirmed the postings were not updated, despite the facility's policy requiring daily adjustments to reflect staffing changes.
The facility did not ensure that the required members of the QAA Committee attended meetings quarterly, as per policy. The Medical Director missed the first and second quarter meetings, and the Infection Preventionist missed the fourth quarter meeting. This was confirmed through interviews and a review of attendance sheets.
A facility failed to notify a resident and their representative of quarterly care plan meetings, as required for participation in their person-centered care plan. The resident's DPOA reported attending only two meetings since the resident's admission. Medical records confirmed attendance at two meetings, but no documentation of additional meetings was available. Staff from Social Services confirmed the lack of documentation, highlighting the deficiency.
The facility inaccurately coded the MDS for four residents, indicating daily use of bed rails as restraints when they were used for mobility assistance. Staff interviews and documentation confirmed the inaccuracies.
Failure to Implement Legionella Prevention and Control Measures
Penalty
Summary
The facility failed to adhere to its infection prevention and control policies, specifically regarding Legionella prevention and response. After a resident, who had been admitted since November 2024, was transferred to the hospital with acute respiratory failure and subsequently tested positive for Legionella, the facility did not conduct required testing or remediation of its water system as outlined in its Water Management Plan. Staff interviews confirmed that neither the water system nor equipment where Legionella could proliferate were tested following the confirmed case, despite the facility's policy and CDC guidance requiring such actions after a healthcare-associated Legionnaires' disease diagnosis. Additionally, the facility did not document the results of control measures as required by its Water Management Plan. The maintenance supervisor acknowledged that water heater temperatures were checked but not logged, and there was no documentation to show which portable air conditioning units had been cleaned. The facility's water management plan also did not identify humidifiers as a risk for waterborne pathogens, and routine Legionella monitoring was not performed, contrary to the plan's requirements for outbreak investigation and control. Furthermore, a humidifier was found in the affected resident's room, which was against the facility's own procedures for Legionnaires' disease prevention. Staff were unaware of the prohibition on humidifiers until after the resident's hospitalization. Although a water sample from the humidifier was collected, it was not tested. These failures in following established policies and procedures exposed the facility's residents to the potential spread and growth of Legionella.
Failure to Assess and Document Self-Administration of Medications
Penalty
Summary
The facility failed to determine whether self-administration of medications was clinically appropriate for 2 of 3 residents reviewed for choices. For one resident, two prescription lotions, Ammonium Lactate External Lotion 12% and Anti-Itch External Lotion 0.5-5%, were observed in the room on the windowsill and later on the bedside table and dresser. The resident stated that nursing staff applied the lotions and that the resident also applied them as needed. The medical record contained no self-administration assessment, care plan, or physician order, and the medication orders did not include instruction for the resident to self-administer. Staff confirmed that no assessment, care plan, or order existed for self-administration. For another resident, a clear medicine cup containing gabapentin and atorvastatin was observed on the tray table while the resident was sleeping in bed. Staff identified the medications and stated they were normally given on the evening shift, and the MAR showed the last dose was administered the prior evening. The resident stated that nursing staff had left the medications with him/her so they could be taken at their own pace and that he/she must have fallen asleep before finishing them. The medical record contained no care plan, physician order, or assessment to self-administer medications, and an RN confirmed that none were present. The facility policy stated that residents requesting self-administration must be evaluated for safe and clinically appropriate capability, and that an order, care plan, and evaluation are required.
Failure to Hold Care Plan Meetings and Update a CPAP Care Plan
Penalty
Summary
The facility failed to hold routine interdisciplinary care plan meetings for 2 of 18 residents reviewed and failed to develop and update a comprehensive care plan for 1 of 18 residents. Resident #13 stated that care meetings had occurred in the past but not for several months, and the resident wanted to attend those meetings. Review of the medical record showed the last documented care plan meeting for Resident #13 was on 9/4/24, and the Director of Social Services confirmed that quarterly interdisciplinary care plan meetings had not been held for this resident. Resident #24’s DPOA stated that he or she had been invited to care plan meetings twice the prior year and recalled attending the last meeting in December 2024. The medical record showed the last documented care plan meeting was 12/17/24, and Staff F confirmed that quarterly interdisciplinary care plan meetings had not been held for Resident #24. For Resident #47, observation showed a CPAP machine on the bedside table, and the resident stated that the CPAP was used nightly. Review of the care plan showed no plan for the use or maintenance of the CPAP machine, and a registered nurse confirmed that no care plan existed for the resident’s nightly CPAP use.
Failure to Follow Food Preferences and Allergy Orders
Penalty
Summary
The facility failed to follow resident food preferences, allergies, and intolerances for 2 residents reviewed for food and nutrition concerns. Resident #17 had a current diet order for a regular/liberalized diet with dysphagia advanced texture and nectar thick liquids, and the dietary communication form dated 7/25/25 indicated to add finger foods to meals. During lunch on 8/12/25, Resident #17’s meal ticket read “ADD FINGER FOODS TO MEALS,” but no finger food items were provided, and the resident was observed trying to pick up ground chicken and gravy with fingers and attempting to drink pudding from the dish. During breakfast on 8/13/25, Resident #17 was again observed trying to eat milk-soaked cereal with fingers, and a scoop of scrambled eggs remained untouched on the plate, with no finger food items present. Resident #73 stated they were not supposed to have dairy but enjoyed creamer in coffee and ice cream without issues, and said non-dairy options were not offered so choices were limited at meals. Observation on 8/13/25 showed Resident #73’s meal ticket read “No milk, Allergies: Lactose Intolerant.” Staff M confirmed that Resident #73 had a milk allergy and stated the facility had lactose-free milk available as an alternative, but it had not been provided to Resident #73. The facility policy titled Dining and Food Preferences stated that food allergies, intolerances, dislikes, and food and fluid preferences are to be entered into the resident profile, and the tray assembly ticket is to identify all food items appropriate based on diet order, allergies, intolerances, and preferences.
Improper Linen Processing and Storage
Penalty
Summary
The facility failed to ensure proper storage of washed linens and proper processing of linens to reduce the risk of accidental contamination for 1 of 1 laundry observed. During observation in the laundry room with the Infection Preventionist and Director of Housekeeping, a small residential washing machine was running on normal mode with a cold water setting. The Director of Housekeeping stated the residential washing machine had been used for almost a year for resident clothes, kitchen rags, bed sheets, and other linens. The facility used a household detergent purchased from a local store on all linens and added bleach for white linens, but the washing machine was not connected to hot water and all loads were washed with cold water. The Director of Housekeeping was unable to provide the facility policy for use of the residential washing machine, including the manufacturer's instructions, temperature, detergent, or laundry additives. The Laundry Aide was also unable to explain how much bleach and detergent was used to wash and disinfect linens in the residential washing machine.
Smoking Supplies Stored Unsecured in Resident Room
Penalty
Summary
The facility failed to implement its smoking policy for 1 of 1 residents reviewed for smoking. The smoking policy, reviewed by the facility on 2/24/25, stated that smoking supplies, including tobacco, matches, lighters, lighter fluid, batteries, and refill cartridges, would be labeled with the patient's name, room number, and bed number, maintained by staff, and stored in a suitable cabinet kept at the nursing station. Resident #1 stated that he/she was an independent smoker and kept cigarettes and a lighter in the room in a black bag. A RN confirmed that Resident #1 was an independent smoker and kept cigarettes and a lighter in the room. Observation of the resident's room showed the cigarette and lighter in a black pouch stored in an unlocked black bag, and the RN confirmed this observation.
MDS Assessments Did Not Match Resident Status and Medication/Wound Records
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) accurately reflected resident status for four residents. For one resident, the admission MDS coded current tobacco use as no even though the resident stated he or she had been an independent smoker since admission, the smoking care plan identified the resident as an independent smoker, and the RN confirmed that status. For another resident, the annual MDS coded anticoagulant medication use even though the June 2025 EMAR showed no anticoagulant medications were administered, and the MDS coordinator confirmed the resident was not taking anticoagulants during the look-back period. For a third resident, the MDS coded an unstageable pressure injury present on admission, but the wound assessment and wound picture showed a deep tissue injury, which the wound nurse and MDS coordinator confirmed. For the fourth resident, two quarterly MDS assessments coded insulin injections during the look-back periods even though the EMAR showed no insulin administration and instead showed semaglutide injectable medication; the resident denied insulin use, and the MDS coordinator confirmed the resident was not taking insulin.
Failure to Obtain Written Authorization for Management of Resident Funds
Penalty
Summary
The facility failed to obtain written authorization from three residents to act as fiduciary of their personal funds and to manage, safeguard, and account for those funds deposited with the facility. For each of the three residents reviewed, their social security benefits were direct deposited into their resident fund accounts, and significant amounts were automatically transferred to the facility for care costs. However, a review of the Resident Fund Management Service forms for each resident revealed that none had authorized the facility to either direct deposit their social security benefits or to automatically transfer payments for care costs. Specifically, the forms for all three residents were either unsigned or did not include authorization for the facility to manage these financial transactions. The records showed repeated automatic withdrawals for care costs without the required written consent from the residents or their guardians. These actions were identified through record review and interviews conducted on 7/7/25, and the lack of proper authorization was consistently documented across all three cases.
Failure to Provide Quarterly Personal Fund Statements to Residents or Representatives
Penalty
Summary
The facility failed to provide written quarterly statements of personal funds to residents or their representatives within 30 days after the end of the quarter, as required. For two residents reviewed, the quarterly statements for multiple quarters were signed by the facility administrator rather than the residents or their legal representatives. Record reviews showed that the statements for both residents were not acknowledged by the appropriate parties, and interviews confirmed that neither the residents nor their representatives had received the required statements. Specifically, one resident's guardian reported not receiving any quarterly statements for the resident's personal fund account, and another resident and their activated power of attorney both stated they had not received any such statements. The administrator confirmed during interview that the statements had not been provided to the residents or their representatives, substantiating the deficiency in managing and communicating residents' personal fund information.
Failure to Notify Resident of Exceeding SSI Resource Limit
Penalty
Summary
The facility failed to notify a resident when their personal fund account balance reached or exceeded $200 less than the Supplemental Security Income (SSI) resource limit, as required by state and federal regulations. Record review showed that the resident's account consistently exceeded the $2,500 SSI resource limit from January through June, with monthly balances ranging from $3,604.10 to $5,784.29. Interviews with the Regional Business Office Manager and the Administrator confirmed that the resident was not notified of exceeding the SSI resource limit during this period. The facility's own policy requires monthly notification and documentation when a resident's account approaches the Medicaid eligibility threshold, but this was not followed for the resident in question.
Insufficient Weekend Staffing Levels
Penalty
Summary
The facility failed to provide sufficient nursing staff as determined by their facility assessment. A review of the facility's Payroll Based Journal Staffing Data report for Quarter 2, 2024, revealed excessively low weekend staffing. The facility assessment determined that the required Hours Per Patient Day (HPPD) for nurse aides was 1.63 HPPD. However, a review of the nursing staff punch reports from June 9, 2024, to July 10, 2024, showed that on several weekend dates, the staffing levels for nurse aides were below the required HPPD. Specifically, on June 9, 2024, nurse aides were staffed at 1.57 HPPD; on June 22, 2024, at 1.49 HPPD; on June 23, 2024, at 1.45 HPPD; on June 29, 2024, at 1.49 HPPD; on July 6, 2024, at 1.47 HPPD; and on July 7, 2024, at 1.43 HPPD. An interview with Staff M, the Scheduler/Human Resources, confirmed these findings, indicating a consistent pattern of insufficient staffing on weekends, which did not meet the facility's own assessment requirements.
Failure to Provide Nourishing Bedtime Snacks
Penalty
Summary
The facility failed to provide nourishing bedtime snacks to residents, resulting in a 15-hour gap between the evening meal and breakfast. An interview with the Resident Council, consisting of 13 residents, revealed that most attendees did not receive bedtime snacks. The Resident Council President had previously requested more substantial snacks, such as tuna, egg salad, or chicken salad, to be available in the kitchenettes. However, the facility's snack offerings, as confirmed by the Food Service Director, were limited to items like cranberry juice, apple juice, oatmeal creme cookies, chocolate creme cookies, and crackers. Further interviews with individual residents highlighted the deficiency. One resident reported not being offered a snack in the evening, while another stated they were not offered snacks at any time during the day or night. The facility's policy, revised in October 2022, mandates that bedtime snacks be provided for all residents, with the Dining Services Department collaborating with residents, nursing, and management to identify necessary snack items. Nursing Services is responsible for delivering and offering these snacks, but the policy was not adhered to, leading to the deficiency.
Failure to Provide Required Training on Abuse and Neglect
Penalty
Summary
The facility failed to provide necessary training and education to staff on abuse, neglect, exploitation, and misappropriation of resident property. This deficiency was identified for one of the five staff members reviewed, specifically a Licensed Nursing Assistant (Staff L). Upon reviewing Staff L's education file, it was found that there was no documentation of training or education on these critical topics. An interview with the Director of Nursing (Staff D) confirmed that Staff L had not received the required training prior to their start date in April 2024. The facility's policy, titled 'Abuse Prohibition' and revised in October 2022, mandates that training and reporting obligations be provided to all employees during orientation, through Code of Conduct training, and at least annually. However, this policy was not adhered to in the case of Staff L, leading to the identified deficiency.
Medication Administration Error
Penalty
Summary
The facility failed to ensure that a resident received medication as ordered, specifically involving the administration of Heparin. During an observation, a Licensed Practical Nurse (LPN) administered 50 units of Heparin intravenously to a resident, contrary to the physician's order which specified 100 units to be administered twice daily for flushing a right arm PICC line. This discrepancy was confirmed during an interview with the LPN, who acknowledged administering the incorrect dose. The physician's order had been in place since June 19, 2024, and the error was identified on July 9, 2024, during a review of the resident's Medication Administration Record (MAR).
Failure to Limit Psychotropic Drug Orders to 14 Days
Penalty
Summary
The facility failed to ensure that orders for psychotropic drugs were limited to 14 days for a resident reviewed for psychotropic/opioid side effects. The review of the resident's Medication Administration Record (MAR) revealed a physician's order for Ativan Oral Tablet 0.5 mg to be given every 4 hours as needed for anxiety/nausea, starting on 6/16/24, with no stop date indicated. The resident received 10 doses of the as-needed Ativan after 14 days of the order being initiated. This finding was confirmed during an interview with the Director of Nurses. The facility's policy on psychotropic medication use, revised on 10/24/22, states that PRN psychotropic medications should be ordered for no more than 14 days.
Failure to Follow Enhanced Barrier Precautions for IV Access
Penalty
Summary
The facility failed to adhere to the Centers for Disease Control and Prevention (CDC) guidance for Enhanced Barrier Precautions (EBP) for a resident with an intravenous (IV) access. During an observation, it was noted that a Licensed Practical Nurse (LPN) accessed the resident's IV site without wearing a gown, despite signage on the resident's room door indicating that EBP was required. This action was confirmed through an interview with the LPN, who acknowledged the failure to wear a gown while accessing the IV site. Further interviews and policy reviews revealed that the facility's infection preventionist expected staff to wear a gown when accessing an IV. The facility's policy on Enhanced Barrier Precautions, revised in January 2024, aimed to reduce the transmission risk of epidemiologically significant microorganisms through direct or indirect contact. The CDC guidelines, updated in July 2022, specify that gown and gloves should be used during high-contact resident care activities, especially for residents with wounds or indwelling medical devices, to prevent the spread of multidrug-resistant organisms (MDROs).
Failure to Adhere to Antibiotic Use Protocols
Penalty
Summary
The facility failed to adhere to its antibiotic use protocols, which are part of its Antibiotic Stewardship Program (ASP), during the period from March 2024 to June 2024. Specifically, the facility did not meet its criteria for determining appropriate antibiotic use in two out of the four months reviewed. In April 2024, one resident was prescribed antibiotics for a urinary tract infection (UTI) without meeting the facility's criteria. Similarly, in June 2024, six residents were prescribed antibiotics for UTIs without meeting the established criteria. This was confirmed during an interview with the Infection Preventionist, who acknowledged that the antibiotics were prescribed without adhering to the facility's criteria. The facility's policy, titled IC402 Antibiotic Stewardship, mandates the implementation of an ASP that includes protocols and systems for monitoring antibiotic use, which were not followed in these instances.
Lack of Qualified Director for Activities Program
Penalty
Summary
The facility failed to ensure that the activities program was directed by a qualified professional for its census of 88 residents. During an interview, an Activities Aide revealed that there was no Director of the Activities program at the facility. This was confirmed by the Administrator, who stated that the previous Director left the position in February 2024. A review of the facility's job description for the Director of Recreation Services indicated that this role is responsible for the development, implementation, and supervision of the full scope of recreation services in the nursing center. Additionally, the facility's policy on Recreation Program Components outlined that the Recreation Director is responsible for ensuring the inclusion of various recreation programs.
Failure to Update Daily Nurse Staffing Information
Penalty
Summary
The facility failed to update the posted daily nurse staffing information to reflect the actual hours worked at the beginning of each shift on a daily basis. A review of the facility's daily nursing staff postings from June 9, 2024, through July 10, 2024, revealed discrepancies between the posted information and the actual daily nursing schedules. During an interview on July 11, 2024, Staff M, who is responsible for scheduling and human resources, confirmed that the postings were not updated to reflect the actual staffing. The facility's policy, revised on August 7, 2023, requires that the census, shift hours, number of staff, and total actual hours worked by licensed and unlicensed nursing staff be posted and adjusted daily to reflect any staffing changes.
Failure to Ensure Required QAA Committee Attendance
Penalty
Summary
The facility failed to ensure that the required members of the Quality Assessment and Assurance (QAA) Committee attended meetings at least quarterly, as mandated by their policy. Specifically, the Medical Director was absent from the meetings in the first and second quarters, and the Infection Preventionist was absent in the fourth quarter of 2023/24. This deficiency was confirmed through an interview with the Administrator and a review of the QAPI meeting attendance sheets. The facility's policy, revised in March 2024, stipulates that the QAA Committee must include the Director of Nursing Services, the Medical Director, the Administrator, at least two other staff members, and the infection control and prevention officer.
Failure to Notify Resident of Quarterly Care Plan Meetings
Penalty
Summary
The facility failed to notify a resident and/or their representative of quarterly care plan meetings, which is a requirement for resident participation in their person-centered plan of care. Specifically, the deficiency involved a resident whose activated alternate Durable Power of Attorney (DPOA) reported being invited to only two care plan meetings since the resident's admission in April 2023. A review of the resident's medical record confirmed the presence of two quarterly care plan attendance sheets dated April 26, 2023, and February 27, 2024, indicating that both the DPOA and the alternate DPOA were in attendance. However, Staff K from Social Services was unable to provide documentation of any additional quarterly care plan meetings, confirming the deficiency.
Inaccurate MDS Coding for Bed Rail Use
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) accurately reflected the status of four residents regarding the use of bed rails. For Resident #11, the Quarterly MDS indicated daily use of bed rails as a restraint, while a Bed Rail Evaluation showed that the resident requested the use of two half upper rails for mobility and transfer assistance, not as a restraint. This discrepancy was confirmed by the MDS Coordinator during an interview. Similarly, for Residents #53, #76, and #24, the MDS inaccurately coded the bed rails as restraints used daily. Interviews with staff, including a Licensed Practical Nurse and the MDS Coordinator, confirmed that the bed rails for these residents were not restraints. Resident #24's Consent for Use of Bed Rails also indicated that the rails were used as a mobility enabler, not a restraint. These inaccuracies in the MDS submissions were acknowledged by the staff involved.
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Illustrative
What surveyors actually found near you
We read the 12 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lebanon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hanover Terrace Health And Rehabilitation | 4.5 mi | ★★★★★ | 4 | 0 |
| Cedar Hill Health Care Center | 17 mi | ★★★★★ | 0 | 0 |
| Elm Wood Center At Claremont | 18.9 mi | ★★★★★ | 1 | 0 |
| Woodlawn Healthcare Center Llc | 20.5 mi | ★★★★★ | 4 | 0 |
| Sullivan County Health Care | 24.2 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.