Lebanon Center: Immediate Jeopardy Infection Control - NH
That admission triggered an immediate jeopardy finding, the most serious designation federal inspectors can assign, affecting many residents.
The maintenance supervisor, identified in inspection records only as Staff C, also acknowledged that he checks the temperature of the facility's hot water storage tanks but does not log the readings. No documentation. No record that the water ever reached the 160 degrees Fahrenheit the facility's own system is designed to maintain.
The facility operates two 120-gallon hot water storage tanks fed by three indirect boilers. Water temperatures are supposed to be monitored weekly through a tracking system called Tels. The supervisor confirmed he checks the tanks. He could not produce the records to show it.
There was more. When inspectors reviewed the facility's water management plan, they found that humidifiers had not been identified as equipment at risk for waterborne pathogens. The plan listed ice machines, dead legs, eyewash stations, hot water holding tanks, and HVAC units. Humidifiers were not on it.
Staff C told inspectors he cleans portable air conditioning units twice a month. When asked to show which units had been cleaned and when, he could not. There was no documentation.
Legionella bacteria thrive in water systems where temperatures are inconsistent, where stagnant water sits in equipment, and where monitoring lapses go unrecorded. The bacteria cause Legionnaires' disease, a severe form of pneumonia that kills roughly one in ten people who contract it, and is particularly dangerous in older adults with compromised immune systems.
The residents living at Lebanon Center had no way of knowing any of this.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Lebanon Center, Genesis Healthcare from 2025-10-06 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Lebanon Center, Genesis HealthCare in LEBANON, NH was cited for immediate jeopardy violations during a health inspection on October 6, 2025.
That admission triggered an immediate jeopardy finding, the most serious designation federal inspectors can assign, affecting many residents.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.