New Hampshire › Grafton County › Franconia
Lafayette Center
93 Main Street, Franconia, NH 03580
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Lafayette Center, in Franconia, New Hampshire, is certified for 72 beds under for-profit, limited liability company ownership.
CMS gives it 1 of 5 stars overall, below the New Hampshire median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (7, 11, 11 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 40.3 per 100 beds, more than the state median of 13.1.
CMS lists 1 penalty in the period covered: fines totalling $50K.
Reported nurse staffing is 3.6 hours per resident per day (0.7 RN), close to the New Hampshire median of 3.6; nursing staff turnover is 54.8%.
CMS flags that the facility is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Grafton Co. median | New Hampshire median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 20 | 12 | 28.7 |
| Citations per 100 beds | 40.3 | 14.8 | 13.1 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 54.8% | 50.0% | 43.6% | 45.8% |
| Fines listed | $50,164 | $0 | $0 | — |
County and state figures are medians across facilities (5 in the county, 73 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New Hampshire average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 May 2025, 15 May 2024.
Severity mix: G ×1 D ×21 E ×2 F ×1 B ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 8 Jul 2025 |
| 27 May 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 8 Jul 2025 |
| 27 May 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 8 Jul 2025 |
| 27 May 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 8 Jul 2025 |
| 27 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 8 Jul 2025 |
| 27 May 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 8 Jul 2025 |
| 27 May 2025 | F0778 | Help the resident make transportation arrangements to and from radiology services. | D | Standard survey | 8 Jul 2025 |
| 16 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 18 Oct 2024 |
| 16 Aug 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 Oct 2024 |
| 16 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 18 Oct 2024 |
| 16 Aug 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 18 Oct 2024 |
| 16 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 18 Oct 2024 |
| 15 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 11 Jul 2024 |
| 15 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Jul 2024 |
| 15 May 2024 | F0761 | 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. | D | Standard survey | 29 Jun 2024 |
| 15 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 17 Jun 2024 |
| 15 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Jul 2024 |
| 15 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | B | Standard survey | 29 Jun 2024 |
| 20 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 11 Apr 2023 |
| 20 Mar 2023 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 5 May 2023 |
| 20 Mar 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 8 May 2023 |
| 20 Mar 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 8 May 2023 |
| 20 Mar 2023 | F0758 | 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. | D | Standard survey | 5 May 2023 |
| 20 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 5 May 2023 |
| 20 Mar 2023 | F0885 | Report COVID19 data to residents and families. | D | Standard survey | 23 Apr 2023 |
| 20 Mar 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 8 May 2023 |
| 20 Mar 2023 | F0572 | Give residents a notice of rights, rules, services and charges. | B | Standard survey | 3 May 2023 |
| 20 Mar 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 5 May 2023 |
| 20 Mar 2023 | F0625 | 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. | B | Standard survey | 24 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 May 2025 | Fine | $50,164 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New Hampshire average. Turnover: nursing staff 54.8%, RNs 50.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | New Hampshire median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 36.1% | 22.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.9% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.4% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.2% | 4.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 28.1% | 17.7% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.0% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.4% | 16.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Lafayette Operating Group Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| An Magnolia Opco, LLC | 5% or greater direct ownership interest | 11% | 01/21/2022 |
| Perigrove 1014 LLC | 5% or greater indirect ownership interest | 17% | 01/21/2022 |
| Berry Dunn Mcneil & Parker LLC | Adp of the snf | NOT APPLICABLE | 07/01/2021 |
| Magnolia Care Centers, LLC | Adp of the snf | NOT APPLICABLE | 07/01/2021 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Grafton County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hanover Terrace Health and Rehabilitation | Hanover | 100 | 4 | 3 | 2 | 3 | 3.0 | — | 4 Dec 2025 |
| Glencliff Home For the Elderly | Glencliff | 130 | 2 | 1 | 5 | 11 | 8.5 | — | 30 Oct 2025 |
| Grafton County Nursing Home | North Haverhill | 135 | 2 | 2 | 3 | 20 | 14.8 | — | 2 Apr 2026 |
| Lebanon Center, Genesis HealthcareSFF Candidate | Lebanon | 110 | 1 | 1 | 2 | 30 | 27.3 | $73K | 6 Oct 2025 |
All 5 facilities in Grafton County
Questions and answers
How many deficiencies has Lafayette Center been cited for?
29 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The New Hampshire median is 12 per facility.
Has Lafayette Center been fined?
Yes. CMS lists fines totalling $50K in the period covered.
How does staffing at Lafayette Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a New Hampshire median of 3.6 and a national average of 3.9.
Who operates Lafayette Center?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include An Magnolia Opco, LLC and Perigrove 1014 LLC. Individual owners and managers are not listed on this site.
When was Lafayette Center last inspected?
The most recent survey or investigation in the CMS record is dated 27 May 2025; the most recent standard health survey was 27 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.