Lafayette Center
93 Main Street · Franconia, NH · 03580 · 6038235502
72 certified beds For profit - Limited Liability company
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$50,164 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 1 · $50,164 |
Inspection citations (29 in the current record)
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Actual harm · G May 27, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 8, 2025 · Quality of Life and Care
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Potential for harm · D May 27, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 8, 2025 · Resident Rights
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Potential for harm · D May 27, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 27, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 27, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected July 8, 2025 · Quality of Life and Care
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Potential for harm · D May 27, 2025
Help the resident make transportation arrangements to and from radiology services.
Corrected July 8, 2025 · Administration
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Potential for harm · F May 27, 2025
Provide and implement an infection prevention and control program.
Corrected July 8, 2025 · Infection Control
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Potential for harm · D August 16, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 16, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 16, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 16, 2024 · found via complaint
Provide care or services that was trauma informed and/or culturally competent.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · D August 16, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 11, 2024 · Quality of Life and Care
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Potential for harm · D May 15, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 11, 2024 · Quality of Life and Care
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Potential for harm · D May 15, 2024
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.
Corrected June 29, 2024 · Pharmacy Service
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Potential for harm · D May 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 17, 2024 · Nutrition and Dietary
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Potential for harm · D May 15, 2024
Provide and implement an infection prevention and control program.
Corrected July 11, 2024 · Infection Control
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No harm found · B May 15, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 20, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 11, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 8, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 8, 2023 · Quality of Life and Care
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Potential for harm · D March 20, 2023
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.
Corrected May 5, 2023 · Pharmacy Service
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Potential for harm · D March 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 5, 2023 · Nutrition and Dietary
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Potential for harm · E March 20, 2023
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected May 5, 2023 · Nutrition and Dietary
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Potential for harm · D March 20, 2023
Report COVID19 data to residents and families.
Corrected April 23, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 27, 2025 | Fine | $50,164 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 305077 · certified since May 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.