64/100
Average
Lafayette Center
93 Main Street, Franconia, NH 03580
- 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.
$50,164 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Lafayette Center
Lafayette Center is a 72-bed for-profit home in Franconia, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.58 hours per resident per day, about 7% under the national average, and it thins out further on weekends. Staff turnover runs near 55%, well above the national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of problems. The current inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, plus a $50,164 fine and a one-star health inspection rating. A May 2025 inspection is recent, so the picture reflects current conditions rather than old ones.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
15/30Nursing 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
9/15How 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
5/15The 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
5/10Fines 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)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: June 24, 2026 (4 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
Write a reviewNo family reviews yet for Lafayette Center. If you or a relative have experience of this home, other families would find it useful.
Be the first to reviewEvery review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.
Common questions about Lafayette Center
What is the ElderGrade for Lafayette Center? +
Lafayette Center holds an ElderGrade of C (64 out of 100), which we describe as "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? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
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.
- Add another