Lafayette Center
93 Main Street, Franconia, NH 03580603823550272 certified beds · 61 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
29
● 4● 24● 1
Penalties · 3 yrs
$50,164
1 fine
Last survey
2025-05-27
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 2
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · New Hampshire Health Facilities Administration · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-05-27 | Standard | 061 | CMS-2567 (Care Compare) | — |
| 2024-08-16 | Complaint | 050 | CMS-2567 (Care Compare) | — |
| 2024-05-15 | Standard | 150 | CMS-2567 (Care Compare) | — |
| 2023-03-20 | Standard | 380 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · New Hampshire Health Facilities Administration publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-07-08Record 305077-20250527-F686
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 305077-20250527-F565
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 305077-20250527-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 305077-20250527-F658
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 305077-20250527-F685
F778Help the resident make transportation arrangements to and from radiology services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 305077-20250527-F778
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-07-08Record 305077-20250527-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 305077-20240816-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 305077-20240816-F609
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 305077-20240816-F657
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 305077-20240816-F699
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-18Record 305077-20240816-F842
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-11Record 305077-20240515-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-11Record 305077-20240515-F689
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-29Record 305077-20240515-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-17Record 305077-20240515-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-11Record 305077-20240515-F880
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2024-06-29Record 305077-20240515-F656
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-11Record 305077-20230320-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-08Record 305077-20230320-F658
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-08Record 305077-20230320-F697
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 305077-20230320-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 305077-20230320-F812
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-05Record 305077-20230320-F813
F885Report COVID19 data to residents and families.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-23Record 305077-20230320-F885
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-08Record 305077-20230320-F919
F572Give residents a notice of rights, rules, services and charges.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2023-05-03Record 305077-20230320-F572
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2023-05-05Record 305077-20230320-F623
F625Notify 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.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2023-04-24Record 305077-20230320-F625
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-05-27 | Civil money penalty | $50,164 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.69
Facility
New Hampshire
National
New Hampshire 0.78 · National 0.69
Total nurse hours per resident day3.58
Facility
New Hampshire
National
New Hampshire 3.90 · National 3.86
Weekend total nurse hours3.25
Facility
New Hampshire
National
New Hampshire 3.47 · National 3.42
Total nursing staff turnover55%
Facility
New Hampshire
National
New Hampshire 44% · National 46%
Registered nurse turnover50%
Facility
New Hampshire
National
New Hampshire 41% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | New Hampshire | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 8.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.2% | 4.4% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 13.4% | 17.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.4% | 2.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 36.1% | 22.7% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.5% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.6% | 19.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| An Magnolia Opco, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 11% | — | — |
| Eichler, Abraham Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | — | — |
| Eisen, Menashe Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | — | — |
| Klein, Yehudis Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | — | — |
| Perlstein, Barry Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | — | — |
| Perigrove 1014 LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 17% | — | — |
| Djalayer, Kasra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mccracken, Kathleen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Berry Dunn Mcneil & Parker LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Djalayer, Kasra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Eichler, Abraham Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Eichler, Abraham Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Magnolia Care Centers, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mccracken, Kathleen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or New Hampshire.
No county cost figures on file for Grafton.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Morrison Nursing Home Whitefield | 12.1 mi | 2026-01-08 | 2172 |
| Glencliff Home For The Elderly Glencliff | 17.0 mi | 2025-10-30 | 0110 |
| Grafton County Nursing Home North Haverhill | 16.2 mi | 2026-04-02 | 4160 |
| Country Village Center, Genesis Healthcare Lancaster | 20.5 mi | 2025-09-11 | 190 |
| St. Johnsbury Health & Rehab Saint Johnsbury | 19.5 mi | 2026-05-04 | 1519 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |