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C
Below Standard

LAFAYETTE CENTER

93 MAIN STREET · FRANCONIA, NH 03580

6038235502 · For profit - Limited Liability company

72 beds57.7 residents90 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LAFAYETTE CENTER receives an overall staffing grade of C (Below Standard). With 3.4379 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7065 HPRD, below the recommended 0.75. It is 0.46 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.48% compared to weekdays. The facility relies heavily on temporary agency staff (23.9% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4379 HPRD — needs 0.04 more hours per resident per day.
⚠️RN staffing (0.7065 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️23.9% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.4379hrs/resident/day▼ 0.46
CMS benchmark: 3.48
RN HPRD
0.7065hrs/resident/day▲ 0.02
Recommended: 0.75
Weekend Drop-off
14.48%
3.5846 weekday → 3.0655 weekend
Agency Staff
23.9%
30.39% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9717hrs/resident/day
Direct care aides
LPN HPRD
0.6562hrs/resident/day
Licensed practical nurses
Consistency
0.3159std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Grafton County Average-0.14 HPRD
3.58
03.44 HPRD
vs. New Hampshire State Average-0.52 HPRD
3.96
03.44 HPRD
vs. National Average-0.46 HPRD
3.90
03.44 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LAFAYETTE CENTER ★
FRANCONIA · This facility
—
C
3.43790.7065★☆☆☆☆
MORRISON NURSING HOME
WHITEFIELD
12.1 mi
C
3.38220.7198★☆☆☆☆
GRAFTON COUNTY NURSING HOME
NORTH HAVERHILL
16.2 mi
A
5.22230.9089★☆☆☆☆
GLENCLIFF HOME FOR THE ELDERLY
GLENCLIFF
17 mi
A
4.61021.1478★★☆☆☆
COUNTRY VILLAGE CENTER, GENESIS HEALTHCARE
LANCASTER
20.5 mi
C
3.17080.6933★★★☆☆
MERRIMAN HOUSE
NORTH CONWAY
32.6 mi
A+
6.72311.6709★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
29
Total Deficiencies
$50,164
Fines Assessed
May 27, 2025Health
7 deficiencies cited· Includes actual harm
▼
Aug 16, 2024Health
5 deficiencies cited
▼
May 15, 2024Health
6 deficiencies cited
▼
Mar 20, 2023Health
11 deficiencies cited
▼

Penalty History

May 27, 2025Fine
$50,164
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.