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Lafayette Center, Genesis Healthcare

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93 Main Street
Franconia, NH 03580
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Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 72
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 05/05/2011

Date of last standard health inspection: 05/05/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in NH: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in NH: 0 - 10

Inspection, 00/05/2005

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/05/2005 01/03/2006 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/05/2005 01/03/2006 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 00/05/2005 01/03/2006 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/05/2005 01/03/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give the resident's representative the ability to exercise the resident's rights. 00/05/2005 01/03/2006 2 Few

Inspection, 02/06/2004

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/06/2004 00/04/2006 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/06/2004 00/04/2006 2 Few
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 02/06/2004 00/04/2006 2 Few
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. 02/06/2004 00/04/2006 2 Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 02/06/2004 00/04/2006 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/06/2004 00/04/2006 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/06/2004 00/04/2006 3 Few

Inspection, 01/05/2004

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 01/05/2004 00/03/2007 2 Many
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 01/05/2004 00/07/2005 2 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/05/2004 00/03/2007 2 Some
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. 01/05/2004 00/00/0000 2 Many
Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. 01/05/2004 00/07/2005 2 Many
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/05/2004 00/00/0000 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment, neglect and misappropriation of personal property. 01/05/2004 00/07/2005 4 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 01/05/2004 00/03/2007 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/05/2004 00/07/2005 4 Some
Ensure services provided by the nursing facility meet professional standards of quality. 01/05/2004 00/03/2007 2 Few
Provide care by qualified persons according to each resident's written plan of care. 01/05/2004 00/07/2005 2 Few
Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. 01/05/2004 00/07/2005 3 Few
Provide medically-related social services to help each resident achieve the highest possible quality of life. 01/05/2004 00/07/2005 4 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 01/05/2004 00/07/2005 2 Few
Make sure that doctors visit residents regularly, as required. 01/05/2004 00/07/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/05/2004 00/07/2005 2 Few
Upon the death of a resident, convey the resident 01/05/2004 00/07/2005 1 Many
Permit residents to remain in the facility and not be transferred or discharged without adequate reason. 01/05/2004 00/07/2005 3 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/05/2004 00/07/2005 4 Some
Reasonably accommodate the needs and preferences of each resident. 01/05/2004 00/03/2007 2 Few
Give notice to the resident before a room or roommate change. 01/05/2004 00/07/2005 3 Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 01/05/2004 00/07/2005 2 Few
Give notice to the resident before a room or roommate change. 01/05/2004 00/07/2005 3 Few

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in NH Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 85 87 66
Total, Licensed Nurse Staff Hours
per Resident per Day 		15 hours 26 minutes 9 hours 1 hour 27 minutes
RN Hours
per Resident per Day 		14 hours 37 minutes 8 hours 24 minutes 57 minutes
LPN/LVN Hours
per Resident per Day 		14 hours 52 minutes 8 hours 15 minutes 30 minutes
CNA Hours
per Resident per Day 		16 hours 21 minutes 10 hours 2 minutes 2 hours 25 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 05/04/2011

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 05/04/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in NH: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in NH: 0 - 0

Inspection, 00/04/2005

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 00/04/2005 01/03/2006 1 Some

Inspection, 02/04/2004

Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly protected cooking facilities. 02/04/2004 02/03/2006 2 Few
Restrictions on the use of portable space heaters. 02/04/2004 02/03/2006 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 02/04/2004 02/03/2006 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/04/2004 02/03/2006 2 Few
Proper construction of ducts through walls designed to prevent smoke passage. 02/04/2004 02/03/2006 2 Few

Inspection, 00/08/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An adequate water supply for the sprinkler system. 00/08/2004 03/01/2005 2 Many
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 00/08/2004 03/01/2005 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Horizontal exits. 00/08/2004 03/01/2005 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper backup exit lighting. 00/08/2004 03/01/2005 2 Few
Medical Gases and Anesthetizing Areas Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper medical gas storage and administration areas. 00/08/2004 03/01/2005 2 Few