Nursing Care Index

Lafayette Center

Franconia, Grafton County, New Hampshire · CCN 305077 · For-profit (LLC) · not part of a chain

CMS rates Lafayette Center 1 of 5 overall as of August 2026. 72 certified beds, 61 residents a day on average. 29 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $50,164.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★☆☆☆☆ 1 of 5
Health inspections★☆☆☆☆ 1 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay2 / 3 of 5

Staffing

Total nurse staffing3.57929 hours per resident per day
Registered nurses0.6902 hours per resident per day
Weekend total3.24562 hours per resident per day
Nursing staff turnover54.8% (registered nurses 50%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-05-27 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-07-08
2025-05-27 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-07-08
2025-05-27 Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · tag F0565
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-08
2025-05-27 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 · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-08
2025-05-27 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-08
2025-05-27 Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · tag F0685
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-08
2025-05-27 Help the resident make transportation arrangements to and from radiology services.
Administration Deficiencies · tag F0778
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-08
2024-08-16
complaint survey
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 · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-18
2024-08-16
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-18
2024-08-16
complaint survey
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 · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-18
2024-08-16
complaint survey
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · tag F0699
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-18
2024-08-16
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-18
2024-05-15 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-11
2024-05-15 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-11
2024-05-15 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-29
2024-05-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-17
2024-05-15 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-11
2024-05-15 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-06-29
2023-03-20 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-11
2023-03-20 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · tag F0813
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-05-05
2023-03-20 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-08
2023-03-20 Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-08
2023-03-20 Implement 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-05
2023-03-20 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-05
2023-03-20 Report COVID19 data to residents and families.
Infection Control Deficiencies · tag F0885
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-23
2023-03-20 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-08
2023-03-20 Give residents a notice of rights, rules, services and charges.
Resident Rights Deficiencies · tag F0572
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2023-05-03
2023-03-20 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2023-05-05
2023-03-20 Notify 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.
Resident Rights Deficiencies · tag F0625
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2023-04-24

Fines and payment denials

DatePenaltyAmount
2025-05-27Fine$50,164

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
An Magnolia Opco, LLC
Organization
5% or greater direct ownership interest11%2022-01-21
Perigrove 1014 LLC
Organization
5% or greater indirect ownership interest17%2022-01-21
Berry Dunn Mcneil & Parker LLC
Organization
adp of the snf2021-07-01
Magnolia Care Centers, LLC
Organization
adp of the snf2021-07-01
Eichler, Abraham
Individual
5% or greater direct ownership interest40%2022-01-21
Eisen, Menashe
Individual
5% or greater direct ownership interest14%2022-01-21
Klein, Yehudis
Individual
5% or greater direct ownership interest8%2022-01-21
Perlstein, Barry
Individual
5% or greater direct ownership interest8%2022-01-21
Djalayer, Kasra
Individual
adp of the snf2025-11-25
Mccracken, Kathleen
Individual
adp of the snf2025-11-25
Eichler, Abraham
Individual
corporate officer2021-07-01
Eichler, Abraham
Individual
managing control - governing body2021-07-01
Djalayer, Kasra
Individual
operational/managerial control2021-06-05
Mccracken, Kathleen
Individual
operational/managerial control2025-06-05

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Grafton County.