Nursing home
Lafayette Center
93 Main Street, Franconia, NH 03580 · Map
For profit - Limited Liability company · 72 certified beds
Lafayette Center is a Medicare-certified nursing home in Franconia, New Hampshire. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.44 hours per resident per day, below the New Hampshire average of 3.88. Its most recent inspection on May 27, 2025 cited 7 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 1 fine totaling $50,164In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Lafayette Center compares
This facility vs. the New Hampshire and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New Hampshire avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.44 | 3.88 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.71 | 0.74 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.07 | 2.39 | 2.34 | below avg |
| Nursing staff turnover | 47.4% | 48.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 7.0 | 4.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $50,164, 1 total penalty.
What inspectors found at Lafayette Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · May 27, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 27, 2025 · Full report (PDF) - Potential for harm
Help the resident make transportation arrangements to and from radiology services.
Administration Deficiencies · May 27, 2025 · Full report (PDF) - Potential for harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · May 27, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · May 27, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · May 27, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · May 27, 2025 · Full report (PDF) - Potential for harm
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 · Aug 16, 2024 · Full report (PDF) - Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Aug 16, 2024 · Full report (PDF) - Potential for harm
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 · Aug 16, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 16, 2024 · Full report (PDF) - Potential for harm
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 · Aug 16, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 93 Main Street
Franconia, NH 03580 - CMS certification #
- 305077
- Ownership
- For profit - Limited Liability company
- Certified beds
- 72
- Avg residents/day
- 57.7
- Provider type
- Medicare and Medicaid
- First certified
- 1996-05-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Lafayette Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Littleton Regional Healthcare, Littleton. 6.9 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Morrison Nursing Home, Whitefield. 12.1 miles away, straight line.
- Nearest home health agency office
- North Country Home Health & Hospice Agency, Littleton. 4.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 5.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 03580 as rural (rural area).
- Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 03580.
North Country Home Health & Hospice Agency, office in Littleton, 4.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Maria Fatigati, MD, Barton. 43.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado very low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Lafayette Center a good nursing home?
CMS gives Lafayette Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Lafayette Center staffed?
Lafayette Center reports 3.44 total nurse hours per resident per day, compared with the New Hampshire average of 3.88.
Has Lafayette Center had inspection problems?
Its most recent CMS inspection cited 7 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Lafayette Center have?
Lafayette Center is certified for 72 beds.