Data as of: CMS nursing home files updated Oct 1, 2026 (CMS processing date Oct 1, 2026), retrieved Nov 11, 2026. Hospitals: CMS file updated Jul 22, 2026. All sources.
CMS star ratings
1of 5
★
CMS overall star rating. NH homes average 3.0 (72 rated homes).
Health inspections
1/5
Staffing
3/5
Quality measures
2/5
Long-stay quality
1/5
Short-stay quality
2/5
Source: CMS Provider Information. Footnote codes: CMS data dictionary.
Location & turnover
Map © OpenStreetMap contributors. Approximate coordinates from CMS.
52.2%nursing staff turnover
50.0%RN turnover
1administrators who left
NH averages: nursing staff turnover 43.4%, RN turnover 40.5%. Source: CMS Provider Information.
Staffing: hours of care per resident per day
This home reports 3.71 total nurse staff hours per resident per day. The NH average is 3.87.
Reported by the facility to CMS (Payroll-Based Journal) This home NH average of 72 homes
Show staffing by role (RN, LPN, aide, weekend)
Total nurse staff
Registered nurse (RN)
LPN
Nurse aide
Weekend total
CMS also publishes case-mix adjusted total nurse hours: 3.61. Source: CMS Provider Information.
Inspections & penalties
6health deficiencies, most recent rating cycle (standard inspection Jun 24, 2026)
24health citations listed by CMS since May 15, 2024
0at immediate-jeopardy level (J–L); 1 at actual-harm level (G–I)
Show all 24 citations, newest first
Inspection Jun 24, 2026 · 6 citations
Severity FCorrected Jul 21, 2026
Infection Control Deficiencies: Provide and implement an infection prevention and control program.Tag F0880 · standard inspection
Severity ECorrected Jul 31, 2026
Infection Control Deficiencies: Implement a program that monitors antibiotic use.Tag F0881 · standard inspection
Severity DCorrected Jul 31, 2026
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.Tag F0656 · standard inspection
Severity DCorrected Aug 6, 2026
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.Tag F0676 · standard inspection
Severity DCorrected Aug 3, 2026
Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Tag F0689 · standard inspection
Severity BCorrected Aug 5, 2026
Resident Rights Deficiencies: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Tag F0628 · standard inspection
Inspection May 27, 2025 · 7 citations
Severity GCorrected Jul 8, 2025
Quality of Life and Care Deficiencies: Provide appropriate pressure ulcer care and prevent new ulcers from developing.Tag F0686 · standard inspection
Severity FCorrected Jul 8, 2025
Infection Control Deficiencies: Provide and implement an infection prevention and control program.Tag F0880 · standard inspection
Severity DCorrected Jul 8, 2025
Resident Rights Deficiencies: Honor the resident's right to organize and participate in resident/family groups in the facility.Tag F0565 · standard inspection
Severity DCorrected Jul 8, 2025
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.Tag F0657 · standard inspection
Severity DCorrected Jul 8, 2025
Resident Assessment and Care Planning Deficiencies: Ensure services provided by the nursing facility meet professional standards of quality.Tag F0658 · standard inspection
Severity DCorrected Jul 8, 2025
Quality of Life and Care Deficiencies: Assist a resident in gaining access to vision and hearing services.Tag F0685 · standard inspection
Severity DCorrected Jul 8, 2025
Administration Deficiencies: Help the resident make transportation arrangements to and from radiology services.Tag F0778 · standard inspection
Inspection Aug 16, 2024 · 5 citations
Severity DCorrected Oct 18, 2024
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.Tag F0600 · complaint inspection
Severity DCorrected Oct 18, 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Tag F0609 · complaint inspection
Severity DCorrected Oct 18, 2024
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.Tag F0657 · complaint inspection
Severity DCorrected Oct 18, 2024
Quality of Life and Care Deficiencies: Provide care or services that was trauma informed and/or culturally competent.Tag F0699 · complaint inspection
Severity DCorrected Oct 18, 2024
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.Tag F0842 · complaint inspection
Inspection May 15, 2024 · 6 citations
Severity DCorrected Jul 11, 2024
Quality of Life and Care Deficiencies: Provide appropriate pressure ulcer care and prevent new ulcers from developing.Tag F0686 · standard inspection
Severity DCorrected Jul 11, 2024
Quality of Life and Care Deficiencies: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Tag F0689 · standard inspection
Severity DCorrected Jun 29, 2024
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.Tag F0761 · standard inspection
Severity DCorrected Jun 17, 2024
Nutrition and Dietary Deficiencies: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Tag F0812 · standard inspection
Severity DCorrected Jul 11, 2024
Infection Control Deficiencies: Provide and implement an infection prevention and control program.Tag F0880 · standard inspection
Severity BCorrected Jun 29, 2024
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.Tag F0656 · standard inspection
| Date | Type | Amount / length |
|---|---|---|
| May 27, 2025 | Fine | $50,164 |
Severity letters are CMS scope/severity codes A–L. Later letters are more serious or widespread; J–L means immediate jeopardy to resident health or safety. Sources: CMS Health Deficiencies, CMS Penalties. Full reports: Medicare Care Compare (CCN 305077).
Ownership & details
Legal business name: LAFAYETTE OPERATING GROUP LLC. Ownership type: For profit - Limited Liability company. Resident/family council: Resident. Sprinklers in all required areas: Yes.
Source: CMS Provider Information. CMS Certification Number (CCN): 305077.
Other nursing homes nearby
This is the only CMS-certified nursing home in Franconia. See all Grafton County nursing homes.
Help choosing
- Visit in person, more than once, including an evening or weekend.
- Ask about staffing levels and turnover, and compare them with the CMS numbers on each facility page.
- Read the full inspection reports on Medicare Care Compare.
- Ask whether the home accepts Medicare and/or Medicaid for the kind of stay you need, and whether a bed is available.
- Talk with the NH Long-Term Care Ombudsman if you have concerns: dhhs.nh.gov.