Cycle 1
Health 2025-05-27 · Fire 2025-05-27
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Franconia, NH
Lafayette Center
1-star overall rating with 1-star inspections with Special Focus status with $50,164 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
93 Main Street, Franconia, NH
(603) 823-5502
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
72
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.71
Registered nurse staffing · state 0.74 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.76 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.39 · national 2.35
Total nurse hours
3.44
All reported nurse hours · state 3.88 · national 3.89
Licensed hours
1.36
RN + LPN hours · state 1.49 · national 1.54
Weekend hours
3.06
Weekend nurse staffing · state 3.44 · national 3.43
Weekend RN hours
0.48
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.64
CMS adjusted RN staffing hours
Adjusted total hours
3.12
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,963
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.41
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 17.68% · Performance 21.69% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.22% · Performance 8.06% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.02
Baseline 60.42% · Performance 55.41% · Measure score 2.02 · Achievement 2.02 · Improvement 0.91
Adjusted total nurse staffing
1.74
Baseline 2.9 hours · Performance 3.55 hours · Measure score 1.74 · Achievement 1.64 · Improvement 1.74
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.33% |
10.72%
2.4 pts better
|
No Different than the National Rate · Eligible stays 87 · Observed rate 1.15% · Lower 95% interval 5.68% |
| Discharge to community | 51.61% |
50.57%
1 pts better
|
No Different than the National Rate · Eligible stays 78 · Observed rate 48.72% · Lower 95% interval 43.12% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 95.83% |
95.27%
0.6 pts better
|
Numerator 46 · Denominator 48 |
| Falls with major injury | 4.17% |
0.77%
3.4 pts worse
|
Numerator 2 · Denominator 48 |
| Discharge self-care score | 32.35% |
53.69%
21.3 pts worse
|
Numerator 11 · Denominator 34 |
| Discharge mobility score | 44.12% |
50.94%
6.8 pts worse
|
Numerator 15 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 6.25% |
2.29%
4 pts worse
|
Numerator 3 · Denominator 48 · Adjusted rate 6.09% |
| Healthcare-associated infections requiring hospitalization | 8.06% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 54 · Observed rate 9.26% · Lower 95% interval 4.81% |
| Staff COVID-19 vaccination coverage | 26.92% |
8.2%
18.7 pts better
|
Numerator 14 · Denominator 52 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 61.76% |
56.45%
5.3 pts better
|
Numerator 21 · Denominator 34 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 25 · Denominator 25 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 26.09% |
25.2%
0.9 pts better
|
Numerator 6 · Denominator 23 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.6
0.3 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.7 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.7 |
1.9
0.8 pts worse
|
1.8
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.6% |
96.4%
9.8 pts worse
|
93.4%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 84.7% · Q2 90.2% · Q3 89.3% · Q4 81.8% · 4Q avg 86.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.4% |
98.0%
5.6 pts worse
|
95.5%
3.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.4% |
4.5%
2.9 pts worse
|
3.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.2% · Q3 7.1% · Q4 5.5% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 74.8% |
9.7%
65.1 pts worse
|
11.4%
63.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 48.1% · Q2 89.7% · Q3 66.0% · Q4 92.5% · 4Q avg 74.8% |
| Percentage of long-stay residents who lose too much weight | 9.2% |
5.5%
3.7 pts worse
|
5.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 11.8% · Q3 10.6% · Q4 4.2% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.8% |
18.9%
7.9 pts worse
|
19.6%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 24.5% · Q3 24.0% · Q4 28.0% · 4Q avg 26.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.1% |
18.7%
9.4 pts worse
|
16.7%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 35.1% · Q3 27.8% · Q4 17.9% · 4Q avg 28.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 35.4% |
19.2%
16.2 pts worse
|
16.3%
19.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 29.6% · Q3 24.6% · Q4 72.3% · 4Q avg 35.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 35.9% |
21.9%
14 pts worse
|
14.9%
21 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 20.4% · Q3 22.4% · Q4 74.5% · 4Q avg 35.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.9% |
1.3%
4.6 pts worse
|
1.0%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 4.3% · Q3 3.6% · Q4 4.8% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
2.4%
0.2 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 3.3% · Q3 1.8% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.4% |
26.7%
2.3 pts better
|
19.8%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 29.2% · Q3 27.5% · Q4 15.9% · 4Q avg 24.4% |
| Percentage of long-stay residents with pressure ulcers | 9.0% |
4.4%
4.6 pts worse
|
5.1%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 11.6% · Q3 9.2% · Q4 6.8% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.4% |
85.6%
17.2 pts worse
|
81.7%
13.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 68.4% · Q2 65.4% · Q3 71.4% · Q4 68.0% · 4Q avg 68.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 28.9% |
14.1%
14.8 pts worse
|
12.0%
16.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.9% · Observed 30.6% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.2% |
1.7%
4.5 pts worse
|
1.6%
4.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.5% |
83.0%
1.5 pts worse
|
79.7%
1.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.6% |
22.1%
0.5 pts better
|
23.9%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.6% · Observed 19.4% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-15 · Fire 2024-05-15
11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Cycle 3
Health 2023-03-20 · Fire 2023-03-20
11 health deficiencies
Top issue: Resident Rights (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-05-27
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-07-09
D · Potential for more than minimal harm
2025-05-27
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-09
C · Minimal harm
2025-05-27
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-07-09
C · Minimal harm
2025-05-27
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-09
C · Minimal harm
2025-05-27
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-07-09
C · Minimal harm
2025-05-27
K913 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
Corrected 2025-07-09
F · Potential for more than minimal harm
2024-05-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-08
E · Potential for more than minimal harm
2024-05-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-01
D · Potential for more than minimal harm
2024-05-15
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-07-01
D · Potential for more than minimal harm
2024-05-15
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-01
D · Potential for more than minimal harm
2024-05-15
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-07-01
D · Potential for more than minimal harm
2024-05-15
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-07-01
C · Minimal harm
2024-05-15
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-01
C · Minimal harm
2024-05-15
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-07-01
C · Minimal harm
2024-05-15
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-07-01
B · Minimal harm
2024-05-15
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-01
D · Potential for more than minimal harm
2023-03-20
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-05-10
D · Potential for more than minimal harm
2023-03-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-10
C · Minimal harm
2023-03-20
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-05-10
C · Minimal harm
2023-03-20
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-10
Inspection history
Recent health citations
G · Actual harm
2025-05-27
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-08
F · Potential for more than minimal harm
2025-05-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-05-27
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-05-27
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-05-27
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-05-27
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-07-08
D · Potential for more than minimal harm
2025-05-27
F778 · Administration Deficiencies
Health
Help the resident make transportation arrangements to and from radiology services.
Corrected 2025-07-08
D · Potential for more than minimal harm
2024-08-16
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-16
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-16
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-16
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-08-16
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-05-15
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-11
D · Potential for more than minimal harm
2024-05-15
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-11
D · Potential for more than minimal harm
2024-05-15
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-06-29
D · Potential for more than minimal harm
2024-05-15
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-17
D · Potential for more than minimal harm
2024-05-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-11
B · Minimal harm
2024-05-15
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-29
E · Potential for more than minimal harm
2023-03-20
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-04-11
E · Potential for more than minimal harm
2023-03-20
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2023-05-05
D · Potential for more than minimal harm
2023-03-20
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-08
D · Potential for more than minimal harm
2023-03-20
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-05-08
D · Potential for more than minimal harm
2023-03-20
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-05-05
D · Potential for more than minimal harm
2023-03-20
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-05
D · Potential for more than minimal harm
2023-03-20
F885 · Infection Control Deficiencies
Health
Report COVID19 data to residents and families.
Corrected 2023-04-23
D · Potential for more than minimal harm
2023-03-20
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-05-08
B · Minimal harm
2023-03-20
F572 · Resident Rights Deficiencies
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2023-05-03
B · Minimal harm
2023-03-20
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-05-05
B · Minimal harm
2023-03-20
F625 · Resident Rights Deficiencies
Health
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.
Corrected 2023-04-24
Penalties and ownership
What sits behind the stars
$50,164
2025-05-27
Fine
Fine · fine $50,164
Fine
Ownership
Eichler, Abraham
5% Or Greater Direct Ownership Interest · Individual
Perigrove 1014 LLC
5% Or Greater Indirect Ownership Interest · Organization
Eisen, Menashe
5% Or Greater Direct Ownership Interest · Individual
An Magnolia Opco, LLC
5% Or Greater Direct Ownership Interest · Organization
Klein, Yehudis
5% Or Greater Direct Ownership Interest · Individual
Perlstein, Barry
5% Or Greater Direct Ownership Interest · Individual
Djalayer, Kasra
Operational/Managerial Control · Individual
Eichler, Abraham
Corporate Officer · Individual
Mccracken, Kathleen
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Morrison Nursing Home
Whitefield, NH
1-star overall rating with 1-star inspections with $73,340 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Grafton County Nursing Home
North Haverhill, NH
1-star overall rating with 2-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Glencliff Home For The Elderly
Glencliff, NH
2-star overall rating with 1-star inspections with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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