Lebanon Center, Genesis Healthcare
Inspection Findings
F-Tag F0880
F 0880 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Many
Legionella before units are put back in service. Further review revealed, 3. Hot Water. The domestic hot water supply is heated by 3 indirect boilers to approximately 160 degrees Fahrenheit and transferred into two 120 gallon hot water storage tanks. Water temperatures are monitored, recorded and documented in our Tels system [a system that tracks maintenance tasks] on a weekly basis .Areas Subject to Legionella. 1.
Ice Machines 2. Dead Legs 3. Less frequently used areas including eyewash stations 4. Hot water holding tanks 5. HVAC-PTAC units [Heating, ventilation, and air conditioning - Packaged Terminal Air Conditioner] Further review revealed that humidifiers were not identified to be at risk for waterborne pathogens in the water management plan.
Interview on 10/6/25 at 9:15 a.m. with Staff C (Maintenance Supervisor) confirmed the above water management and revealed that he/she does not test for Legionella routinely as part of the facility's water management plan.
Interview on 10/6/25 at approximately 1:00 p.m. with Staff C revealed that he/she checks but does not log
the water heater temperature of the hot water tanks. Staff C revealed that he/she would clean any portable air conditioners units twice monthly. Staff C could not provide documentation to show which portable air conditioners had been cleaned.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Lebanon Center, Genesis HealthCare in LEBANON, NH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LEBANON, NH, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Lebanon Center, Genesis HealthCare or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.