nursing home in Franconia, NH
Lafayette Center
93 Main Street, Franconia, NH 03580 · (603) 823-5502
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lafayette Center at a glance
Lafayette Center is a 72-bed for-profit nursing home in Franconia, New Hampshire (Grafton County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the New Hampshire average of 3.
Residents receive about 3.6 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (June 24, 2026) found 6 health citations. The New Hampshire average is 4.
Federal regulators fined it 1 time in the past three years, totaling $50,164.
Nursing staff turnover is 54.8% per year (state average 44.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 72
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- May 1, 1996
- Resident/family council
- Resident
- County
- Grafton County
- CMS Certification Number
- 305077
Ratings
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.58 hrs | 3.90 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.69 hrs | 0.78 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.05 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.25 hrs | 3.47 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 54.8% | 44.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 40.9% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 4 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 0 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 46 | 24.6 | 80.6 | Better |
Penalties
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $50,164 | $7,928 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 72 | 100 | 107 | |
| Average residents per day | 61 | 81 | 86 | |
| Occupancy | 85.3% | 81.4% | 80.9% |
Long-stay residents
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.2% | 4.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 8% | 4.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 13.4% | 17.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 2.1% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.9% | 1.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 36.1% | 22.7% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 28.1% | 17.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.5% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 77.5% | 13.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 22.6% | 19% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 24.2% | 25.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 92.4% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 88.9% | 97.3% | 93.6% | Average |
Short-stay residents
| Measure | This facility | New Hampshire avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.3% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 81.5% | 83% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 70.6% | 86.8% | 82% | Worse |
Inspection citations
State inspectors cited this home for 24 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 24, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected July 17, 2026 |
| June 24, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected July 21, 2026 |
| June 24, 2026 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected July 31, 2026 |
| June 24, 2026 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected August 6, 2026 |
| June 24, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 3, 2026 |
| June 24, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 31, 2026 |
| June 24, 2026 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | B No harm, pattern | Corrected August 5, 2026 |
| May 27, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected July 9, 2025 |
| May 27, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected July 9, 2025 |
| May 27, 2025 Fire safety | Ensure operating rooms are properly protected and written records are maintained and available for inspection. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0913 | C No harm, widespread | Corrected July 9, 2025 |
| May 27, 2025 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | C No harm, widespread | Corrected July 9, 2025 |
| May 27, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | C No harm, widespread | Corrected July 9, 2025 |
| May 27, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | C No harm, widespread | Corrected July 9, 2025 |
| May 27, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected July 8, 2025 |
| May 27, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected July 8, 2025 |
| May 27, 2025 Standard | Develop 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 8, 2025 |
| May 27, 2025 Standard | Help the resident make transportation arrangements to and from radiology services. Administration Deficiencies · Tag F0778 | D Potential harm, isolated | Corrected July 8, 2025 |
| May 27, 2025 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected July 8, 2025 |
| May 27, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 8, 2025 |
| May 27, 2025 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | D Potential harm, isolated | Corrected July 8, 2025 |
| August 16, 2024 Complaint | Develop 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 18, 2024 |
| August 16, 2024 Complaint | Protect 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 Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected October 18, 2024 |
| August 16, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 18, 2024 |
| August 16, 2024 Complaint | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected October 18, 2024 |
| August 16, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected October 18, 2024 |
| May 15, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 8, 2024 |
| May 15, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected July 1, 2024 |
| May 15, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected July 1, 2024 |
| May 15, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected July 1, 2024 |
| May 15, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected July 1, 2024 |
| May 15, 2024 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected July 1, 2024 |
| May 15, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | C No harm, widespread | Corrected July 1, 2024 |
| May 15, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected July 1, 2024 |
| May 15, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | C No harm, widespread | Corrected July 1, 2024 |
| May 15, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | B No harm, pattern | Corrected July 1, 2024 |
| May 15, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 11, 2024 |
| May 15, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected July 11, 2024 |
| May 15, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 29, 2024 |
| May 15, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected June 17, 2024 |
| May 15, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 11, 2024 |
| May 15, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | B No harm, pattern | Corrected June 29, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $50,164 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 27, 2025 | Fine | $50,164 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AN MAGNOLIA OPCO, LLC Organization | 5% or greater direct ownership interest | 11% | 01/21/2022 |
| EICHLER, ABRAHAM Individual | 5% or greater direct ownership interest | 40% | 01/21/2022 |
| EISEN, MENASHE Individual | 5% or greater direct ownership interest | 14% | 01/21/2022 |
| KLEIN, YEHUDIS Individual | 5% or greater direct ownership interest | 8% | 01/21/2022 |
| PERLSTEIN, BARRY Individual | 5% or greater direct ownership interest | 8% | 01/21/2022 |
| PERIGROVE 1014 LLC Organization | 5% or greater indirect ownership interest | 17% | 01/21/2022 |
| BERRY DUNN MCNEIL & PARKER LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| DJALAYER, KASRA Individual | adp of the snf | NOT APPLICABLE | 11/25/2025 |
| MAGNOLIA CARE CENTERS, LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| MCCRACKEN, KATHLEEN Individual | adp of the snf | NOT APPLICABLE | 11/25/2025 |
| EICHLER, ABRAHAM Individual | corporate officer | NOT APPLICABLE | 07/01/2021 |
| EICHLER, ABRAHAM Individual | managing control - governing body | NOT APPLICABLE | 07/01/2021 |
| DJALAYER, KASRA Individual | operational/managerial control | NOT APPLICABLE | 06/05/2021 |
| MCCRACKEN, KATHLEEN Individual | operational/managerial control | NOT APPLICABLE | 06/05/2025 |
Other nursing homes near Lafayette Center
- ★★★★★4Above average
Grafton County Nursing Home
3855 Dartmouth College Highway, North Haverhill, NH 03774 · 16.2 mi
Government · 135 beds
★★★★★2Below average- ★★★★★2Below average
St. Johnsbury Health & Rehab
1248 Hospital Drive, Saint Johnsbury, VT 05819 · 19.5 mi
For-profit · 99 beds · Part of Allaire Health Services
- Special Focus candidate
★★★★★1Much below averageCountry Village Center, Genesis Healthcare
91 Country Village Road, Lancaster, NH 03584 · 20.5 mi
For-profit · 86 beds · Part of Genesis Healthcare
★★★★★4Above averagePines Rehab & Health Center
601 Red Village Road, Lyndonville, VT 05851 · 22.8 mi
For-profit · 60 beds
★★★★★4Above average
Frequently asked questions
What is Lafayette Center's rating?
Lafayette Center has 1 out of 5 stars on the CMS overall star rating. The average for New Hampshire nursing homes is 3 stars.
How many inspection citations did Lafayette Center receive?
Its most recent standard health inspection found 6 citations, compared with a New Hampshire average of 4. Every citation is listed on this page with its severity.
Does Lafayette Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Lafayette Center?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Lafayette Center and how do I contact it?
Lafayette Center is at 93 Main Street, Franconia, NH 03580. Phone: (603) 823-5502.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.