The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
LAFAYETTE CENTER
FRANCONIA, NH · Medicare-certified · 72 beds
Needs attention
Special Focus candidateFor-profit
1 of 5 overall
Lafayette Center in Franconia, NH has a 1-star overall rating, with 1-star health inspections and quality measures and 2-star staffing. It is a Special Focus Facility candidate/flagged as special focus, reported nurse staffing is below the federal benchmark (3.35 vs. 4.1 hours per resident per day), and it had $50,164 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.3523 hrs/resident/day
Quality measures
Last inspection: May 27, 2025Penalties, last 24 months: $50,164special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3523.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.78
- Nurse aides
- 1.93
- Weekend nursing
- 3.11
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 38%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.9%Improving
Residents with a fall causing major injury
6.6%Improving
Residents with pressure ulcers (bedsores)
9.9%Steady
Residents with a urinary tract infection
1.3%Improving
Residents who lost too much weight
8.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
33.5%Improving
Residents whose ability to walk got worse
32.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
24.3%Improving
Short-stay residents newly given an antipsychotic
2.1%Steady
Residents with a long-term catheter
3.6%Improving
Residents with new or worsening incontinence
24.3%Improving
Residents with depressive symptoms
78%Improving
Long-stay residents given the seasonal flu vaccine
92.4%Steady
Long-stay residents given the pneumonia vaccine
86.4%Worsening
Short-stay residents given the seasonal flu vaccine
81.5%Steady
Short-stay residents given the pneumonia vaccine
68.1%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2023 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to have and follow a policy for how food brought in by family and visitors should be used and stored safely. Cited March 2023 — limited pattern, potential for harm.
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F-Tag 813 — 42 CFR §483.60 — S/S: E
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited May 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $50,164 was recorded.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $50,164 in total fines.
- $50,164
Federal fine
May 27, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 64.1 residents on an average day (89% of 72 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.