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
Data as of July 1, 2026
1 of 5 overall
Lafayette Center in Franconia, NH has a 1-star overall rating, with 1-star health inspections and 2-star staffing and quality ratings. It is a Special Focus Facility candidate, has $50,164 in fines over the last 24 months, and reported nurse staffing of 3.58 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.5793 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 3.5793.
Staffing detail
- Registered nurses
- 0.69
- Licensed practical nurses
- 0.84
- Nurse aides
- 2.05
- Weekend nursing
- 3.25
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
26.5%6.7%Improving
Residents with a fall causing major injury
7.1%6.9%No change
Residents with pressure ulcers (bedsores)
9.2%4%Improving
Residents with a urinary tract infection
1.8%0%Improving
Residents who lost too much weight
10.6%13.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.4%31.5%Worsening
Residents whose ability to walk got worse
24.6%11.1%Improving
Long-stay residents on antianxiety or sleep medication
24%18.2%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
3.6%1.5%Improving
Residents with new or worsening incontinence
27.5%28.6%Worsening
Residents with depressive symptoms
66%87.7%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—92.4%—
Long-stay residents given the pneumonia vaccine
89.3%100%Improving
Short-stay residents given the seasonal flu vaccine
—81.5%—
Short-stay residents given the pneumonia vaccine
71.4%75%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.
View the original federal record
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.
View the original federal record
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
Recent ownership change · Jul 1, 2021
Now operated by Lafayette Center, previously Lafayette Center Genesis Healthcare.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 61.4 residents on an average day (85% 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.