SNF
LAFAYETTE CENTER
CCN: 305077 · FRANCONIA, NH 03580 · Grafton County
SFF Candidate
Overview
- Address
- 93 MAIN STREET, FRANCONIA, NH 03580
- Phone
- 6038235502
- Certified beds
- 72
- Avg daily residents
- 58 (80% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1996-05-01
- Setting
- Rural
1 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.44 | 4.25 | 3.12 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.71 | 0.74 | 0.64 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.66 | 0.94 | 0.60 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.07 | 2.56 | 1.88 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.36 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.06 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.06
hrs / resident / day
RN (weekend)
0.48
hrs / resident / day
Total nurse (adjusted, weekend)
2.78
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
47.4%
annual
RN turnover
37.5%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.51
higher acuity than avg
Case-Mix Index Ratio
1.09
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-05-27 | 7 | 7 | 0 | 56 | 1 | 56 |
| Cycle 2/3 (prior) | 2024-05-15 | 13 | 6 | 7 | 48 | 1 | 48 |
Total weighted health score
54.0
lower is better
Deficiencies (29)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
4 A/B/C No actual harm — minor
24 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2025-05-27 | 2025-07-08 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-05-27 | 2025-07-08 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-27 | 2025-07-08 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-05-27 | 2025-07-08 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-05-27 | 2025-07-08 |
| 0778 | Help the resident make transportation arrangements to and from radiology services. | D | 2025-05-27 | 2025-07-08 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2025-05-27 | 2025-07-08 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-08-16 | 2024-10-18 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-16 | 2024-10-18 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-08-16 | 2024-10-18 |
| 0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-08-16 | 2024-10-18 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-08-16 | 2024-10-18 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | B | 2024-05-15 | 2024-06-29 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-05-15 | 2024-07-11 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-15 | 2024-07-11 |
| 0761 | 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. | D | 2024-05-15 | 2024-06-29 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-05-15 | 2024-06-17 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-05-15 | 2024-07-11 |
| 0572 | Give residents a notice of rights, rules, services and charges. | B | 2023-03-20 | 2023-05-03 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2023-03-20 | 2023-05-05 |
| 0625 | 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. | B | 2023-03-20 | 2023-04-24 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-03-20 | 2023-04-11 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-03-20 | 2023-05-08 |
| 0758 | 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. | D | 2023-03-20 | 2023-05-05 |
| 0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | 2023-03-20 | 2023-05-05 |
| 0885 | Report COVID19 data to residents and families. | D | 2023-03-20 | 2023-04-23 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-03-20 | 2023-05-08 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-03-20 | 2023-05-08 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-03-20 | 2023-05-05 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$50,164
| Date | Type | Fine amount |
|---|---|---|
| 2025-05-27 | Fine | $50,164 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 12.7% Medicaid 65.0% Other 22.3%
Operating performance
Operating Margin
0.3%
Total Margin
0.4%
Occupancy Rate
86.1%
Cost per Resident Day
$34
Revenue & costs
Net Patient Revenue
$8.3M
Total Costs
$774K
Net Income
$31K
Balance sheet
Total Assets
$1.3M
Total Liabilities
$1.1M
Fund Balance
$220K
Current Ratio
1.28
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| AN MAGNOLIA OPCO, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/21/2022 |
| PERIGROVE 1014 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/21/2022 |
Owner / manager individuals (7)
| Name | Role | Association |
|---|---|---|
| EICHLER, ABRAHAM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/21/2022 |
| EISEN, MENASHE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/21/2022 |
| KLEIN, YEHUDIS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/21/2022 |
| PERLSTEIN, BARRY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/21/2022 |
| DJALAYER, KASRA | OPERATIONAL/MANAGERIAL CONTROL | since 06/05/2021 |
| MCCRACKEN, KATHLEEN | OPERATIONAL/MANAGERIAL CONTROL | since 06/05/2025 |
| EICHLER, ABRAHAM | CORPORATE OFFICER | since 07/01/2021 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Special focus status
- SFF Candidate
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $34 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.28 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 65.0% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 12.7% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $30,523 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $8,324,197 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 86.1% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 0.3% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $1,324,298 | metrics.total_assets |
| Cost Report | Total Costs ($) | $774,432 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $219,668 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,104,630 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 0.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.59708 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.88280 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.64130 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.12117 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.78148 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 57.7 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.94351 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.56426 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.74370 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.25147 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.74722 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | FRANCONIA | City/Town |
| Provider Information | CMS Certification Number (CCN) | 305077 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Grafton | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1996-05-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 44.2313 | Latitude |
| Provider Information | Legal Business Name | LAFAYETTE OPERATING GROUP LLC | Legal Business Name |
| Provider Information | Location | 93 MAIN STREET,FRANCONIA,NH,03580 | Location |
| Provider Information | Long-Stay QM Rating | 1 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -71.755 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 72 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.50611 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.09324 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 1 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 93 MAIN STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | LAFAYETTE CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 040 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 1 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 56 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 7 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-05-27 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 56 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 7 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 6 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-05-15 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 48 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 7 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 48 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 13 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.47550 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 37.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.36364 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.65748 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.07325 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.05538 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.70617 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.43689 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 2 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | SFF Candidate | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NH | State |
| Provider Information | Telephone Number | 6038235502 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 50164.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.06283 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 47.4 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 54.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | N | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 03580 | ZIP Code |