ElderGrade
D

54/100

Below average

Lafayette Center

93 Main Street, Franconia, NH 03580

CMS 1/5 stars #4 of 5 in Grafton County (603) 823-5502
Certified beds
72
Occupancy
85%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $50,164 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

25.6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -0.4 for 18 total citations against a national median of 17

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.3 total nurse hours per resident per day (national median 3.77)
  • 0.69 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 55% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $50,164 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.58 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.69 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.25 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 54.80%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 29 citations

Last standard health inspection: May 27, 2025 (1 year ago).

G May 27, 2025 F0686

Quality of Life and Care Deficiencies

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

Actual harm to a resident

F May 27, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D May 27, 2025 F0565

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D May 27, 2025 F0657

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D May 27, 2025 F0658

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D May 27, 2025 F0685

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D May 27, 2025 F0778

Administration Deficiencies

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

No actual harm, potential for more than minimal harm

D Aug 16, 2024 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
EICHLER, ABRAHAM Individual MANAGING CONTROL - GOVERNING BODY
EICHLER, ABRAHAM Individual CORPORATE OFFICER
DJALAYER, KASRA Individual OPERATIONAL/MANAGERIAL CONTROL
MCCRACKEN, KATHLEEN Individual OPERATIONAL/MANAGERIAL CONTROL
BERRY DUNN MCNEIL & PARKER LLC Organization ADP OF THE SNF
MAGNOLIA CARE CENTERS, LLC Organization ADP OF THE SNF
DJALAYER, KASRA Individual ADP OF THE SNF
MCCRACKEN, KATHLEEN Individual ADP OF THE SNF
KLEIN, YEHUDIS Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
PERLSTEIN, BARRY Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
EICHLER, ABRAHAM Individual 5% OR GREATER DIRECT OWNERSHIP INTEREST
PERIGROVE 1014 LLC Organization 5% OR GREATER INDIRECT OWNERSHIP INTEREST

What families say

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Common questions about Lafayette Center

What is the ElderGrade for Lafayette Center? +

Lafayette Center holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Lafayette Center? +

Residents receive an average of 3.58 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Lafayette Center been cited for harming residents? +

Yes. 1 of the 29 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Lafayette Center accept Medicaid? +

Yes, Lafayette Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.