Lafayette Center is a small, for-profit nursing facility located in Franconia, New Hampshire. With a capacity of 72 beds, it serves as both a short-term rehabilitation center and a provider of long-term care services. Though it is owned and operated by a corporate entity, Lafayette Center is not part of a larger continuing care retirement community. The center accepts both Medicare and Medicaid, making it an option for a wide range of residents seeking skilled nursing, daily medical care, and rehabilitation following hospital stays for events such as strokes, heart attacks, infections, or injuries.
The environment at Lafayette Center is designed to address the needs of seniors requiring either temporary support as they recover from acute illnesses or injuries, or those seeking a more permanent living arrangement due to ongoing medical or functional needs. Residents benefit from an average of 3 hours and 38 minutes of nurse staffing per day, a level maintained consistently even on weekends. This degree of staffing support is vital to ensure residents receive timely assistance with medication administration, mobility, eating, dressing, and other daily activities. The center takes particular care in maintaining the quality of its staff presence, which influences the level of support and supervision each resident receives, including falls prevention, infection control, and emergency interventions.
Recent data reflecting the center’s performance indicate that around 41% of short-term rehabilitation residents are able to return to their homes after their stay, reflecting the facility’s focus on recovery and reintegration. While the incidence of serious infections requiring hospitalization and major falls are areas the center monitors closely, they remain part of the complex clinical landscape inherent in skilled nursing care. Emergency room visits are tracked as part of the center’s commitment to monitoring acute changes in resident conditions and ensuring timely medical intervention when needed.
Immunizations, including annual influenza vaccinations, are emphasized at Lafayette Center, with a high rate of residents receiving these vital protections. The facility also measures and reports the rate at which residents maintain their ability to perform self-care tasks such as moving independently, eating, and bathroom use. Consistent with regulatory guidelines, health, fire, and safety inspections are a regular part of operations, with findings leading to improvements in care planning, professional standards, pain management, medication protocols, and the storage and preparation of resident meals.
Lafayette Center demonstrates attention to the comfort, dignity, and rights of its residents, providing notices of resident rights, services, and charges, and maintaining policies on topics such as room transfers, holding resident beds during hospitalizations, and communication about COVID-19 data. Safety features, including operable call systems in resident bathrooms and bathing areas, are integral aspects of the facility’s environment. The center is also mindful of the dietary needs and preferences of residents, ensuring food safety and quality whether meals are prepared on-site or brought in by families.
Through a blend of medical supervision, personalized care planning, and rehabilitative services, Lafayette Center aims to offer a supportive and caring environment for older adults. The facility’s operations, clinical performance indicators, and environment collectively shape the experience of residents and their families as they navigate the challenges and opportunities of skilled nursing and long-term care.