All states › New Hampshire › Franconia › Lafayette Center
93 Main Street Franconia, NH 03580 · Grafton County
CMS certification number 305077 · See this home on Medicare Care Compare
Is Lafayette Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Lafayette Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the New Hampshire average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.71 hours per resident per day at Lafayette Center, about the same as the New Hampshire median of 3.66 (US median: 3.72). About 0.72 of those hours are from registered nurses. On weekends it falls to 3.35 hours, 10% below its all-week average. 52.2% of nursing staff left within a year (New Hampshire median 43%).
About this nursing home
Paying for care at Lafayette Center: Medicare and Medicaid
Lafayette Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New Hampshire's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 24, 2026 and found 6 deficiencies. In total, inspectors issued 24 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 24 citations at Lafayette Center across 4 inspection dates, 5 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on May 27, 2025. The most common areas cited were quality of life and care (7) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level G, May 27, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
June 24, 2026 · 6 citations
FProvide and implement an infection prevention and control program.
EImplement a program that monitors antibiotic use.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
BProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 27, 2025 · 7 citations, includes actual harm
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FProvide and implement an infection prevention and control program.
DHonor the resident's right to organize and participate in resident/family groups in the facility.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DAssist a resident in gaining access to vision and hearing services.
DHelp the resident make transportation arrangements to and from radiology services.
August 16, 2024 · 5 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care or services that was trauma informed and/or culturally competent.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 15, 2024 · 6 citations
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide and implement an infection prevention and control program.
BDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Questions to ask on a tour of Lafayette Center
- Inspectors cited the home at the actual-harm level on May 27, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 16, 2024. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $50,164 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 27, 2025 | Fine | $50,164 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
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Location
Hospitals near Lafayette Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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6.9 mi
Littleton Regional Hospital LittletonEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 2h 17m for patients treated and sent home
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14.9 mi
Cottage Hospital WoodsvilleEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 0m for patients treated and sent home
- 19.4 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Lafayette Center with the 3 closest homes side by side ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.