Nursing Home Checker Compare
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Grafton County, New Hampshire · Nursing home

Lafayette Center

1 of 5 overall from CMS

93 Main Street, Franconia, NH 03580

Call (603) 823-5502Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Lafayette Center is a 72-bed nursing home in Franconia, New Hampshire (Grafton County). CMS rates it 1 of 5 stars overall as of Aug 2026. It reports 3.58 nurse staffing hours per resident per day, below the New Hampshire average of 3.90. CMS lists 1 fine totaling $50,164 in the past three years.

Certified beds
72
Residents per day (average)
61.4
Certified since
1996 (30 yrs)

For profit - Limited Liability company Participates in Medicare and MedicaidCMS Special Focus: SFF Candidate

Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings. Flags are shown as published by CMS; see Medicare.gov Care Compare for their definitions.

Questions to ask Lafayette Center

Chosen from this home's public data.

  1. CMS lists this home as "SFF Candidate" in its Special Focus Facility program. What is the improvement plan, and what has changed so far?Special Focus status in CMS data
  2. CMS lists 1 fine totaling $50,164 in the past three years. What changed after the most recent one?Penalties in CMS data
  3. The latest standard inspection (May 27, 2025) cited 7 health deficiencies; the New Hampshire average is 3.9. Which have been corrected?Inspection results in CMS data

More in what to ask on a nursing home tour.

CMS star ratings

The vertical line marks the New Hampshire average. Ratings run from 1 to 5. How to read CMS star ratings

Nurse staffing

Hours of care per resident per day, as the home reported to CMS.

What these roles do

Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.

How much nurse staffing is enough? All bars share one scale, 0 to 6 hours. The vertical line marks the New Hampshire average; the national average for all nursing staff is 3.86 hours.

Inspection history

Inspectors cited 29 health deficiencies in the past three years. Of these, 1 involved actual harm; the rest were graded as no actual harm. 5 followed a complaint investigation. The most recent citation at the harm level or above was on May 27, 2025: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Deficiencies cited at each standard inspection
Inspection dateHealthFire safety
May 27, 202576
May 15, 20241110
Mar 20, 2023114

New Hampshire homes averaged 3.9 health deficiencies in the latest cycle; the national average is 9.3.

Health citations, past three years (29)

  1. GActual harm, isolated

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 8, 2025)

  2. FPotential for more than minimal harm, widespread

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Jul 8, 2025)

  3. DPotential for more than minimal harm, isolated

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Resident Rights · Deficient, Provider has date of correction (Jul 8, 2025)

  4. DPotential for more than minimal harm, isolated

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 8, 2025)

  5. DPotential for more than minimal harm, isolated

    Ensure services provided by the nursing facility meet professional standards of quality.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 8, 2025)

Show 24 more

  1. DPotential for more than minimal harm, isolated

    Assist a resident in gaining access to vision and hearing services.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 8, 2025)

  2. DPotential for more than minimal harm, isolated

    Help the resident make transportation arrangements to and from radiology services.

    Administration · Deficient, Provider has date of correction (Jul 8, 2025)

  3. DPotential for more than minimal harm, isolated

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 18, 2024)

  4. DPotential for more than minimal harm, isolated

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 18, 2024)

  5. DPotential for more than minimal harm, isolated

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 18, 2024)

  6. DPotential for more than minimal harm, isolated

    Provide care or services that was trauma informed and/or culturally competent.

    Complaint inspection · Quality of Life and Care · Deficient, Provider has date of correction (Oct 18, 2024)

  7. DPotential for more than minimal harm, isolated

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Complaint inspection · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 18, 2024)

  8. DPotential for more than minimal harm, isolated

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 11, 2024)

  9. DPotential for more than minimal harm, isolated

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 11, 2024)

  10. DPotential for more than minimal harm, isolated

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pharmacy Service · Deficient, Provider has date of correction (Jun 29, 2024)

  11. DPotential for more than minimal harm, isolated

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (Jun 17, 2024)

  12. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Jul 11, 2024)

  13. BPotential for minimal harm, pattern

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 29, 2024)

  14. EPotential for more than minimal harm, pattern

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 11, 2023)

  15. EPotential for more than minimal harm, pattern

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Nutrition and Dietary · Deficient, Provider has date of correction (May 5, 2023)

  16. DPotential for more than minimal harm, isolated

    Ensure services provided by the nursing facility meet professional standards of quality.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 8, 2023)

  17. DPotential for more than minimal harm, isolated

    Provide safe, appropriate pain management for a resident who requires such services.

    Quality of Life and Care · Deficient, Provider has date of correction (May 8, 2023)

  18. DPotential for more than minimal harm, isolated

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Pharmacy Service · Deficient, Provider has date of correction (May 5, 2023)

  19. DPotential for more than minimal harm, isolated

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (May 5, 2023)

  20. DPotential for more than minimal harm, isolated

    Report COVID19 data to residents and families.

    Infection Control · Deficient, Provider has date of correction (Apr 23, 2023)

  21. DPotential for more than minimal harm, isolated

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Environmental · Deficient, Provider has date of correction (May 8, 2023)

  22. BPotential for minimal harm, pattern

    Give residents a notice of rights, rules, services and charges.

    Resident Rights · Deficient, Provider has date of correction (May 3, 2023)

  23. BPotential for minimal harm, pattern

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Resident Rights · Deficient, Provider has date of correction (May 5, 2023)

  24. BPotential for minimal harm, pattern

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Resident Rights · Deficient, Provider has date of correction (Apr 24, 2023)

What severity letters A to L mean

Penalties, past three years

DateTypeAmount
May 27, 2025Fine$50,164

New Hampshire homes averaged 0.6 fines and $8,016 in fine amounts; the national averages are 0.9 and $31,093.

Cost

Not in the public data. CMS does not publish what a nursing home charges.

Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.

Compared within New Hampshire

Common questions

What is the CMS star rating for Lafayette Center?

Lafayette Center has an overall rating of 1 of 5 stars from CMS as of Aug 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 2.

How many beds does Lafayette Center have?

Lafayette Center has 72 certified beds. It averages 61.4 residents per day, about 85.3% of its certified beds.

How much nursing care do residents get at Lafayette Center?

The home reports 3.58 hours of nurse staffing per resident per day, including 0.69 hours from registered nurses. The New Hampshire average is 3.90 hours and 0.78 hours from registered nurses.

Has Lafayette Center been fined?

Yes. CMS lists 1 fine totaling $50,164 in the past three years.

Does Lafayette Center accept Medicare or Medicaid?

CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.

Nearest nursing homes

Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Grafton County

Who to call in New Hampshire

These offices serve residents of every nursing home in New Hampshire.

New Hampshire staffing, bed-hold and Medicaid rules · Residents' rights in every state

Call (603) 823-5502 Compare

Source: CMS Provider Data Catalog, nursing home datasets processed Aug 1, 2026. CMS Certification Number 305077. Check the official record on Medicare.gov

See something shown incorrectly? Tell us. To change the underlying record, the home must contact CMS or its state survey agency.