Lebanon Center, Genesis HealthCare

In the surveyor’s words

From the most serious findings on record at Lebanon Center, Genesis HealthCare, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Oct 6, 2025

  Based on observations, interviews, and record reviews, the facility failed to adhere to its policies and procedures for infection control and Legionella prevention. The facility failed to follow the established water management plan by neglecting remediation or testing of the water system after a confirmed resident case of Legionella. Furthermore, the facility failed to document the results of control measures as required by the Water Management Plan. Additionally, the facility allowed the use of a humidifier in a resident's room, which creates a potential risk for the spread and growth of Legionella. […]

• No harm, potential for more than minimal, patternF725Jul 11, 2024

  Based on record review and interview, it was determined that the facility failed to provide sufficient nursing staff as determined by their facility assessment. Findings Include: Review on 7/9/24 of the facilities Payroll Based Journal Staffing Data report Quarter 2, 2024 (January 1-March 31) revealed the facility had excessively low weekend staffing. Review on 7/11/24 of the facility assessment nursing staff and personnel total number needed revealed that the facility assessment determined the required Hours Per Patient Day (HPPD) for nurses aides was 1.63 HPPD. […]

• No harm, potential for more than minimal, patternF809Jul 11, 2024

  Based on interview, observation, review of facility policy, and review of the facility menu, it was determined that the facility failed to offer the residents a nourishing snack at bedtime while having 15 hours between the evening meal and the breakfast meal. Findings include: Interview on 7/9/24 at approximately 2:00 p.m. with the facility's Resident Council (13 residents) revealed that the majority of the residents that attended did not receive bedtime snacks. The Resident Council President stated he/she met with Staff F (Food Service Director) back in January to request more substantial snacks such as tuna, egg salad or chicken salad be available in the kitchettes. […]

• No harm, potential for more than minimal, patternF809May 25, 2022

  Based on interview, review of facility policy, and review of the facility's menu, it was determined that the facility failed to offer resident's a nourishing snack at bedtime while having 15 hours between the evening meal and the breakfast meal. Findings include: Interview on 5/23/22 at approximately 1:30 p.m. with the facility's Resident Council (11 residents) revealed that approximately 8 of the residents that attended did not receive HS (bedtime snacks). 1 resident stated, Sometimes they even run out of what they have for any kind of snacks and you have to wait until the next day. Another resident revealed that he/she was diabetic and never received HS snacks. Review on 5/24/22 of the facility dining times revealed: . Meal Times Breakfast 7:30 a.m. Lunch 11:30 a.m. […]

• No harm, potential for more than minimal, patternF812May 25, 2022

  Based on observation, interview, and record review, it was determined that the facility failed to store foods and maintain sanitation of kitchen equipment to prevent foodborne illness in 1 out of 1 kitchen observed and 2 out of 2 kitchenettes observed. Findings include: Main Kitchen Observations on 5/22/22 at 9:10 a.m. of the main kitchen refrigerator revealed the following: Two open cartons of whole egg mixture with no use by label; One covered container containing peeled diced potatoes with labeled use by date of 5/10/22; One covered container containing beaten egg with no use by label; Three sealed bags containing pre-cut romaine lettuce with labeld use by date of 5/4/22; One covered container containing chocolate pudding with labeled use by date of 5/2/22; One covered container… […]