Lafayette Center: Staffing, Turnover, and Inspection Record
Lafayette Center is a 72-bed for-profit nursing home in Franconia, New Hampshire. In the CMS August 2026 release it reported 2.05 nurse aide hours per resident per day, 12% below the New Hampshire average of 2.34, and 54.8% nursing staff turnover (New Hampshire average 44.1%).
Lafayette Center
93 Main StreetFranconia, NH 03580
Grafton County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Lafayette Center, nurse aides logged 2.05 hours per resident per day, 12% below the New Hampshire average. With about 61 residents a day, that works out to roughly 126 aide hours a day, or about 16 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | New Hampshire avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.05 | 2.34 | 2.32 |
| Licensed practical nurses | 0.84 | 0.78 | 0.86 |
| Registered nurses | 0.69 | 0.78 | 0.69 |
| All nursing staff | 3.58 | 3.90 | 3.86 |
| All nursing staff, weekends | 3.25 | 3.47 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
54.8% of nursing staff at Lafayette Center left over the year CMS measured, against a New Hampshire average of 44.1% and a US average of 45.8%. Registered nurse turnover was 50.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 27, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (New Hampshire average 3.9). CMS lists 1 fine totaling $50,164 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 27, 2025 | Fine | $50,164 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Lafayette Center holds 1 of 5 overall; the New Hampshire average is 3.1.
About Lafayette Center
- Ownership: For profit - Limited Liability company
- Legal name: Lafayette Operating Group LLC
- Medicare and Medicaid certified since: May 1, 1996
- Councils: resident council
- Area: rural
Nursing homes near Lafayette Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Morrison Nursing Home Whitefield | 12.1 | 57 | 2.11 | 3.39 | 40.0% | 4 | $45,227 |
| Grafton County Nursing Home North Haverhill | 16.2 | 135 | 3.16 | 4.67 | — | 2 | None |
| Glencliff Home for the Elderly Glencliff | 17.0 | 130 | 2.90 | 4.23 | 13.9% | 2 | None |
| St. Johnsbury Health & Rehab Saint Johnsbury · SFF candidate | 19.5 | 99 | 2.58 | 4.63 | 74.1% | 1 | $314,323 |
| Country Village Center, Genesis Healthcare Lancaster | 20.5 | 86 | 1.83 | 3.19 | 30.0% | 4 | None |
| Pines Rehab & Health Center Lyndonville | 22.8 | 60 | 2.84 | 4.42 | 58.8% | 4 | None |
| Coos County Nursing Home Berlin | 33.2 | 100 | 3.29 | 4.93 | 50.9% | 2 | None |
| Saint Vincent Rehabilitation & Nursing Center Berlin | 34.3 | 80 | 2.27 | 3.61 | 43.9% | 1 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.