Before you decide: this page is information, not medical advice or a recommendation. Confirm current availability, services, Medicare/Medicaid acceptance, pricing and licensing directly with the home and the state. Data shown is from CMS files dated Oct 1, 2026; things may have changed since.
At a glance
| Overall | ★★★★★ 1 of 5 |
|---|---|
| Health inspections | ★★★★★ 1 of 5 |
| Staffing | ★★★★★ 3 of 5 |
| Quality measures | ★★★★★ 2 of 5 |
| Long-stay quality | ★★★★★ 1 of 5 |
| Short-stay quality | ★★★★★ 2 of 5 |
Source: CMS Provider Information, Oct 1, 2026. NH homes average 3.0 overall (72 rated). How the ratings work.
Editorial note: a star rating is one signal. CMS itself says ratings can't capture everything, such as specialty care or how easy it is for family to visit.
Staffing
Hours of nursing care per resident per day, as reported by the home to CMS through payroll-based data. Higher is generally better when comparing homes; it is an average, not the number of staff present at any moment.
CMS case-mix adjusted total nurse hours: 3.61. Lower turnover is generally better. Source: CMS Provider Information (Oct 1, 2026). “n/r” = not reported.
Inspections and penalties
Show all 24 citations, newest first
Inspection Jun 24, 2026 · 6 citations
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Infection Control Deficiencies: Implement a program that monitors antibiotic use.
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.
Quality of Life and Care Deficiencies: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspection May 27, 2025 · 7 citations
Quality of Life and Care Deficiencies: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
Resident Rights Deficiencies: Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies: Assist a resident in gaining access to vision and hearing services.
Administration Deficiencies: Help the resident make transportation arrangements to and from radiology services.
Inspection Aug 16, 2024 · 5 citations
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Quality of Life and Care Deficiencies: Provide care or services that was trauma informed and/or culturally competent.
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.
Inspection May 15, 2024 · 6 citations
Quality of Life and Care Deficiencies: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies: Provide and implement an infection prevention and control program.
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.
| Date | Type | Amount / length |
|---|---|---|
| May 27, 2025 | Fine | $50,164 |
Letters A–L are CMS scope and severity codes; J–L is immediate jeopardy, G–I actual harm. How to read inspection results. Sources: CMS Health Deficiencies, CMS Penalties (Oct 1, 2026). Full reports: Medicare Care Compare.
Quality measures
Selected clinical measures CMS reports from resident assessments, averaged over four quarters (2025Q3-2026Q2). Each is a percentage of residents; the last column says which direction is better.
| Measure | This home | NH average | Better if |
|---|---|---|---|
| Long-stay residents with one or more falls with major injury | 5.4% | 4.5% | Lower |
| Long-stay residents with pressure ulcers | 8.5% | 4.3% | Lower |
| Long-stay residents who received an antipsychotic medication | 7.8% | 17.9% | Lower |
| Long-stay residents who lose too much weight | 8.5% | 5.2% | Lower |
| Long-stay residents with a urinary tract infection | 0.0% | 2.2% | Lower |
| Long-stay residents whose need for help with daily activities increased | 32.7% | 22.3% | Lower |
| Long-stay residents whose ability to walk independently worsened | 24.1% | 15.8% | Lower |
| Long-stay residents with depressive symptoms | 77.5% | 15.8% | Lower |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | Lower |
| Long-stay residents assessed and appropriately given the seasonal flu vaccine | 100.0% | 97.8% | Higher |
| Short-stay residents who newly received an antipsychotic medication | 0.0% | 1.2% | Lower |
| Short-stay residents assessed and appropriately given the seasonal flu vaccine | 83.8% | 85.7% | Higher |
Source: CMS MDS Quality Measures (Oct 1, 2026). “Not reported” is not zero; footnote codes are explained in the CMS data dictionary. Only one snapshot is stored, so no trend is shown.
Ownership
Ownership type: For profit - Limited Liability company. Legal business name: LAFAYETTE OPERATING GROUP LLC.
CMS does not list this home as part of a chain.
Owners and operators reported to CMS (8)
5% or greater direct ownership interest
- An Magnolia Opco, LLC
- Eichler, Abraham
- Eisen, Menashe
- Klein, Yehudis
- Perlstein, Barry
5% or greater indirect ownership interest
- Perigrove 1014 LLC
Operational/managerial control
- Djalayer, Kasra
- Mccracken, Kathleen
Sources: CMS Provider Information, CMS Ownership (Oct 1, 2026). Shows direct/indirect ownership interests and operational control; directors, officers and managing employees are on Care Compare.
Contact and identifiers
Lafayette Center
93 Main Street
Franconia, NH 03580 (Grafton County)
(603) 823-5502
- CMS Certification Number (CCN): 305077
- Certified for Medicare and Medicaid since 1996
- Inside a hospital: N
- Continuing care retirement community: N
- Resident and family council: Resident
- Sprinklers in all required areas: Yes
We do not book appointments or check bed availability. Call the home directly. Data refreshed Nov 11, 2026. Something wrong? Request a correction.
Map © OpenStreetMap contributors, using CMS coordinates.
Nearby alternatives
Morrison Nursing Home, Whitefield · about 12.1 mi · CMS overall: ★★★★★ 4 of 5
Grafton County Nursing Home, North Haverhill · about 16.2 mi · CMS overall: ★★★★★ 2 of 5
Glencliff Home for the Elderly, Glencliff · about 17.0 mi · CMS overall: ★★★★★ 2 of 5
Country Village Center, Genesis Healthcare, Lancaster · about 20.5 mi · CMS overall: ★★★★★ 3 of 5
Coos County Nursing Home, Berlin · about 33.2 mi · CMS overall: ★★★★★ 3 of 5
Straight-line distance between CMS coordinates. All homes in Franconia · Grafton County
Questions to ask this home
- How many nurses and aides work days, nights and weekends, and how many residents does each aide care for?
- CMS reports 3.71 nurse staff hours per resident per day here; how has staffing changed recently?
- What changed after the most recent inspection (Jun 24, 2026)? Ask to see the report and plan of correction.
- Does the home accept Medicare and/or Medicaid for the type of stay you need, and is a bed available?