93 MAIN ST, Franconia, NH 03580
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Prices not published
About Lafayette Center
Lafayette Center brings skilled nursing and rehabilitation expertise to Franconia, New Hampshire, where experienced caregivers focus on helping residents regain independence and strength. Our compassionate team creates personalized recovery plans that honor each person's goals and dignity.
Community at a glance
Capacity
72 residents
Location
Franconia, NH
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
93 MAIN STREET, Franconia, New Hampshire 03580
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on June 24, 2026, state inspectors cited 6 health deficiencies (the New Hampshire average is 4.0).
Nurses and nurse aides spend 3 hours 35 minutes with each resident a day, below the New Hampshire average of 3 hours 54 minutes.
Medicare fined Lafayette Center once in the last three years, $50,164 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 35 minutesBelow the New Hampshire average |
| Registered nurse time per resident, per day | 41 minutesBelow the New Hampshire average |
| Nursing staff who left in the past year | 55%Above the New Hampshire average |
1 administrator has left the home in the past year.
Inspections
24 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 24, 2026 · Standard inspection · 6 citations
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Jul 21, 2026Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jul 31, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 3, 2026Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 6, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 31, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Minimal harm or risk, a pattern (level B)Resident RightsCorrected Aug 5, 2026
May 27, 2025 · Standard inspection · 7 citations
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jul 8, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Jul 8, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 8, 2025Assist a resident in gaining access to vision and hearing services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 8, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 8, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 8, 2025Help the resident make transportation arrangements to and from radiology services.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jul 8, 2025
August 16, 2024 · Complaint investigation · 5 citations+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 18, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 18, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Oct 18, 2024Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 18, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Oct 18, 2024
May 15, 2024 · Standard inspection · 6 citations+
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 11, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 11, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 17, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 29, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 11, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningCorrected Jun 29, 2024
Fines and payment denials
1 fine totaling $50,164 in the last three years.
- May 27, 2025Fine: $50,164
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Lafayette Operating Group LLC
- Medicare-certified beds
- 72
- Average residents per day
- 61
- Accepts
- Medicare and Medicaid
- First certified
- May 1, 1996
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 305077
Location
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93 MAIN STREETFranconia, NH 03580
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Questions about Lafayette Center
How did Lafayette Center do on its last inspection?+
State inspectors visited on June 24, 2026 and cited 6 health deficiencies. The New Hampshire average is 4.0.
How much nursing care does each resident get at Lafayette Center?+
Nurses and aides spend 3 hours 35 minutes with each resident per day, including 41 minutes from registered nurses. 55% of nursing staff left over the past year.
Has Lafayette Center been fined by Medicare?+
Yes. Medicare fined Lafayette Center once in the last three years, totaling $50,164.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.