Nursing HomeInspections

Lafayette Center

Nursing home in Franconia, NH

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

Call (603) 823-5502Send a messageMap ↗

Public-record details

Address
93 Main Street, Franconia, NH 03580
Phone
(603) 823-5502
Listed under
For-profit
Medicare CCN
305077
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
72
Average residents per day
61
Ownership
For-profit, limited Liability company
Legal business name
Lafayette Operating Group LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1996
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 305077. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 27, 2025. CMS lists 29 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 20, 2023 to May 27, 2025): 5 from complaint inspections, 1 at the “actual harm” level or higher. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
May 27, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights		D
Potential for more than minimal harm, isolated
May 27, 2025Develop 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		D
Potential for more than minimal harm, isolated
May 27, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 27, 2025Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 27, 2025Help the resident make transportation arrangements to and from radiology services.
Administration		D
Potential for more than minimal harm, isolated
May 27, 2025Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread
May 27, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		G
Actual harm, isolated
Aug 16, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 16, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 16, 2024Develop 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 16, 2024Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 16, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 29. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $50,164 in the last three years.

May 27, 2025Fine: $50,164

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.58 hours
Registered nurse (RN) time per resident per day
0.69 hours
Nurse aide time per resident per day
2.05 hours
Total nurse staffing on weekends
3.25 hours
Nursing staff turnover (yearly)
55%
RN turnover (yearly)
50%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.