Overall Rating
Address
24 Old Etna Road
Lebanon, NH 03766
Contact
6034482234
Certification Date
1995-05-01
CMS Certification Number
305050
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Average Number of Residents per Day
87.8
Provider Type
Medicare and Medicaid
Legal Business Name
24 OLD ETNA ROAD OPERATIONS LLC
Affiliated Entity Name
GENESIS HEALTHCARE
Affiliated Entity ID
237
Health Inspection Rating
2
Quality Measure Rating
3
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
1.50000
Reported LPN Staffing Hours per Resident per Day
0.65370
Reported RN Staffing Hours per Resident per Day
0.74826
Reported Total Nurse Staffing Hours per Resident per Day
2.90197
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.51670
Registered Nurse Hours per Resident per Day on the Weekend
0.39000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11307
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
31.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-04-19
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
2
Health Deficiency Score
20
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
20
Standard Health Survey Date
2022-05-25
Total Number of Health Deficiencies
12
Number of Standard Health Deficiencies
12
Number of Complaint Health Deficiencies
0
Health Deficiency Score
56
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
56
Standard Health Survey Date
2021-03-19
Total Number of Health Deficiencies
3
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
0
Health Deficiency Score
16
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
16
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0