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    Lafayette Center

    93 Main St, Franconia, NH 03580
    • Assisted Living
    • Skilled Nursing

    Grateful for caring, professional staff

    I'm grateful my mom lives here - the staff are professional, respectful, and truly caring, treating residents like family and helping her recover quickly. Management supports a friendly, compassionate team that gives me real peace of mind; overall a very positive experience.

    Loved one of resident
    Jul 2026

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    Reviews

    3.88·(16)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.3
    • Staff

      4.1
    • Meals

      2.0
    • Amenities

      1.0
    • Value

      3.9

    Pros

    • Compassionate, loving and professional staff
    • Friendly and supportive caregivers
    • Staff provide respectful, attentive care
    • Staff viewed facility as a great place to work
    • Family-like atmosphere for some residents
    • Positive rehabilitation outcomes reported by some families
    • Gives some families peace of mind
    • Claims of being COVID-free in some reviews

    Cons

    • Serious safety incidents reported (falls, resident dropped, wrongful death allegation)
    • Delayed emergency response and late hospitalization after incidents
    • On-call doctor allegedly unavailable or not on-site during holidays
    • Inconsistent or missing daily personal care/grooming (family had to help)
    • Poor communication around COVID cases and testing
    • Not properly prepared for residents' rehab needs
    • Dining issues (food served cold)
    • Facility comfort problems (no air conditioning, no windows, no fans in rooms)
    • Restrictive COVID visiting policies that caused family distress
    • Wide inconsistency in care quality between different residents/cases

    Summary of reviews

    Overall sentiment in these reviews is highly mixed and polarized: many reviewers praise the staff and describe warm, compassionate care, while several serious reports allege major safety failures and poor systems-level responses. The strongest positive theme is the quality of frontline staff — multiple summaries call the team "amazing," "professional," "loving," "supportive," and say staff treat residents like family. Several families explicitly say staff are respectful, understanding, compassionate and that the environment gives them peace of mind. A number of comments also indicate the facility is viewed positively as a workplace, with staff and management reportedly treating employees well, which can correlate with caring day-to-day interactions. In individual cases reviewers report rapid recovery and good rehabilitation outcomes attributable to attentive staff work.

    Contrasting those positive accounts are very serious and specific negative allegations that affect safety and trust. Reviews include reports of a resident being dropped and suffering a head injury, wheelchair falls, delayed transport to the emergency room, and a claim of wrongful death with the resident dying eight days after a fall. Several reviewers point to failures in escalation and medical availability — for example, relatives saying the on-call doctor was not contacted or not present on the property (including during holidays) and that hospitalization was delayed. These are not minor complaints about comfort but statements about potentially dangerous lapses in clinical supervision, emergency protocols, and continuity of medical care.

    Beyond acute safety concerns, reviewers describe inconsistent day-to-day care and facility shortcomings. Multiple accounts state grooming tasks (such as teeth brushing and general grooming) were not provided and required family intervention. Dining complaints include food being served cold. Facility infrastructure issues are also mentioned — rooms without air conditioning, windows or fans — which affected resident comfort, and at least one reviewer said they were relieved to move a parent out. Some reviews praise infection control (calling the center "COVID-free"), while others criticize poor communication around a COVID case and testing, and note restrictive visiting policies that contributed to family distress and social isolation for residents.

    A clear pattern is inconsistency: many reviews highlight exceptional, caring staff behavior and positive experiences, while others recount systemic failings that jeopardize safety or basic needs. This suggests variability across shifts, units, or cases — strong interpersonal care can coexist with problematic institutional processes (on-call physician coverage, emergency response timelines, rehab planning, housekeeping/comfort standards, and family communication). Management appears to have strengths in staff relations, but there are gaps in staff training, supervision, or protocols that need addressing.

    For prospective residents and families, the takeaways are mixed. If consistent, compassionate day-to-day caregiving and a family-like team are your top priorities, several reviewers experienced exactly that. However, the presence of multiple serious safety-related allegations means families should ask specific, concrete questions before placement: how falls and other incidents are prevented and investigated, exact on-call physician and emergency response arrangements (including holiday coverage), how grooming and activities of daily living are scheduled and tracked, what the rehab plan and staffing ratio will be, and how the facility handles infection events and family communication. Also verify room climate control and meal quality if those concerns matter.

    In summary, Lafayette Center receives strong praise for the compassion and professionalism of many caregivers, but the facility also shows troubling reports of critical safety lapses, inconsistent care delivery, and communication/infrastructure problems. These mixed signals point to a need for improved institutional processes — emergency protocols, physician availability, daily-care consistency, rehab preparedness, meals and building comfort — while preserving and reinforcing the frontline staff strengths that families repeatedly praise.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Lafayette Center

    Lafayette Center is located at 93 Main St, Franconia, NH, 03580.

    About Lafayette Center

    Lafayette Center sits in a spot with views of Mount Lafayette and provides healthcare and support for older adults who need skilled nursing care, assisted living, or other help with daily life, and this place is part of Genesis HealthCare, a large company that runs over 200 facilities, and it's owned for profit by an individual owner. The center has 72 certified beds, with some likely available in June 2025, and offers several room types like studios, semi-private, and two-bedroom options, with a studio apartment costing about $3,030 a month, plus other fees for community entrance, respite stays, and different care needs, and payment options include Medicaid, Medicare, private pay, Social Security, veterans' benefits, and private insurance. People who live here get help with bathing, dressing, eating, toileting, hygiene, grooming, and moving between bed and wheelchair, and the staff's around 24 hours to watch out for issues, handle emergencies, and assist with mobility-this includes care for those who have trouble walking and folks who need help checking their insulin or managing incontinence. There are services for those with memory needs, like Alzheimer's or complex health problems, and the staff can do everything from medication management and wound care to intravenous therapy and rehab, with a focus on things like screening, nutrition, behavior checks, and working with outside doctors. The building has wheelchair access, all-day dining with special diet options for allergies or diabetes, and meal plans built around nutrition using quality ingredients. Residents and their families can choose between furnished or semi-private rooms, and every room comes with basics like a phone and furniture. Indoor areas let folks gather and chat, enjoy movies, arts and crafts, or relax in the garden, and there's a 24-hour emergency call system for safety. Housekeeping, laundry, and dry cleaning services are covered, too. There's support for day-to-day living, plus services for those who need hospice, respite stays, or intermediate care, and care plans get tailored to each person whether their needs are high, medium, or low. The place is set up for both long-term living and short-term rehab, and offers Continuing Care Retirement Community (CCRC) options, so that as people's needs change, the living and care options can also change. Activities encourage movement and socializing, meals help residents stay healthy, and transportation plus parking are available for when folks want or need to go somewhere.

    People often ask...

    Lafayette Center offers assisted living and skilled nursing.

    There are 7 photos of Lafayette Center on Mirador.

    The full address for this community is 93 Main St, Franconia, NH 03580.

    No, Lafayette Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Lafayette Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Lafayette Center directly. There is no cost for this service. We are compensated by the community you select.

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