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LAFAYETTE CENTER

93 MAIN STREET
FRANCONIA, NH 03580 · 6038235502 · Grafton County
⚠ Special Focus Candidate. CMS lists this facility as a candidate for the Special Focus Facility program due to a history of serious quality problems.

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds72
OwnershipFor profit - Limited Liability company
State rank#71

By the numbers

29
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
1
Actual-harm (G/H/I)
$50,164
Federal fines (CMPs)
The trend: Citations are trending down — 7 in the most recent cycle versus 11 two cycles ago.

Recent Health Citations

May 27, 2025 · Health survey · F-tag 0778
D — No actual harm
Administration Deficiencies
Help the resident make transportation arrangements to and from radiology services.
May 27, 2025 · Health survey · F-tag 0685
D — No actual harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
May 27, 2025 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
May 27, 2025 · Health survey · F-tag 0657
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
May 27, 2025 · Health survey · F-tag 0565
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
May 27, 2025 · Health survey · F-tag 0880
F — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 27, 2025 · Health survey · F-tag 0686
G — Actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Details
Correction status: Corrected Jul 8, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Standard survey
Aug 16, 2024 · Health survey · F-tag 0842
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 16, 2024 · Health survey · F-tag 0699
D — No actual harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Aug 16, 2024 · Health survey · F-tag 0657
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Aug 16, 2024 · Health survey · F-tag 0609
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 16, 2024 · Health survey · F-tag 0600
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 15, 2024 · Health survey · F-tag 0656
B — Cited
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 15, 2024 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 15, 2024 · Health survey · F-tag 0812
D — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 15, 2024 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
May 15, 2024 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 15, 2024 · Health survey · F-tag 0686
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Mar 20, 2023 · Health survey · F-tag 0625
B — Cited
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Mar 20, 2023 · Health survey · F-tag 0623
B — Cited
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in New Hampshire →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.