Home / Massachusetts / Marblehead
25 Lafayette Street, Marblehead, MA 01945 · Essex County · (781) 631-4535
65 certified beds, about 48 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225411 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 6, 2025, inspectors cited 0 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
None of its 9 health citations since August 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.84 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
53.1% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
CMS links it to Lme Family Holdings, an affiliated group of 15 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
Inspectors wroteBased on observation, policy review and interview the facility failed to provide a dignified dining experience on two out of two units.
Inspectors wroteBased on the facility's PBJ (Payroll-Based Journal) report, licensed nurse staff schedules, punch cards and interviews, the facility failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week when no staffing waivers were in place for nine days for the period of January 1, 2024 to March 31, 2024.
Inspectors wroteBased on record review and interview, the facility failed to inform one Resident (#30), out of three records reviewed, of the potential liability for payment for non-covered services, including estimated cost of services. Specifically, the facility failed to ensure the Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) was provided to Resident #30.
Inspectors wroteBased on document review and interview the facility failed to accurately code the Minimum Data Set (MDS) assessment for one Resident (#24) out of a total sample of 13 residents.
Inspectors wroteBased on observations, record reviews and interviews the facility failed to implement a physician order, specifically, apply derma dot behind resident's ears, for one Resident (#1) out of a total sample of 16 residents.
Inspectors wroteBased on record review, interview and observation, the facility failed to obtain a physician order for an air mattress for one Resident (#38) out of a total of 16 sampled residents. Findings Include: Resident #38 was admitted to the facility in July 2023 with diagnoses including adult failure to thrive, sciatica, muscle weakness, fracture of the sacrum. Review of Resident #38's most recent Minimum Data Set (MDS), dated [DATE], indicated he/she scored 8 out of a possible 15 which indicated Resident #38 had a moderate cognitive impairment. Further review of the MDS indicated Resident #38 was at risk for skin breakdown. On 8/8/23 at 7:59 A.M., the surveyor observed Resident #38 lying in bed on an air mattress. The air mattress was set to max 350 lbs (pounds). On 8/9/23 at 7:30 A.M., the surveyor observed Resident #38 lying in bed on an air mattress. [...]
Inspectors wroteBased on observation, record review and interview the facility failed to follow a physician order for prevention of a pressure ulcer for one Resident (#1) out of a total sample of 16 residents.
Inspectors wroteBased on observation, records review, policy review, and interview, the facility failed to ensure it was free from a medication error rate of greater than 5% when one out of two nurses observed made two errors out of 27 opportunities resulting in a medication error rate of 7.41%. Those errors impacted two Residents (#18 and #27), out of six residents observed.
Inspectors wroteBased on record review and interview, the facility failed to accurately code the Minimum Data Set Assessment (MDS) for two sampled Residents (#36, #29) out of a total of 16 sampled residents.
17 fire safety citations on file: 7 on August 6, 2025, 5 on August 28, 2024, 5 on August 9, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Massachusetts | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.84 | 3.86 | 3.86 |
| Registered nurses | 0.63 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.78 | 3.48 | 3.42 |
| Nurse aides | 2.16 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | 53.1% | 38.2% | 45.8% |
| Registered nurse turnover | 63.6% | 42.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.28 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.86 on weekdays and 3.78 on weekends, 2% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.29 in April to June 2025 to 3.84 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.84 | 0.63 | 3.86 | 3.78 | 2.8% | 1 of 90 | 48 |
| Oct to Dec 2025 | 4.17 | 0.64 | 4.25 | 3.95 | 0.1% | 4 of 92 | 44 |
| Jul to Sep 2025 | 4.35 | 0.66 | 4.51 | 3.95 | 1.7% | 1 of 92 | 43 |
| Apr to Jun 2025 | 4.29 | 0.62 | 4.44 | 3.92 | 0.0% | 2 of 91 | 44 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Massachusetts, Jan to Mar 2026 | 3.79 | 0.61 | 3.94 | 3.41 | 5.0% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Massachusetts, all employers | |||
| CNAs (nursing assistants) | $22.44 | $21.32 to $23.94 | 38,130 |
| LPNs and LVNs | $38.57 | $34.91 to $40.66 | 13,210 |
| Registered nurses | $50.27 | $42.05 to $65.44 | 88,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Massachusetts | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 21.1 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.1 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.2 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.9 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 35.6 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.1 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.0 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Lafayette Rehabilitation & Skilled Nursing's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
46.0% this home
No different from the national rate
US median of homes 51.5% · Massachusetts: 121 better, 19 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 84 eligible stays.
9.0% this home
No different from the national rate
US median of homes 10.7% · Massachusetts: 4 better, 15 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 94 eligible stays.
6.0% this home
No different from the national rate
US median of homes 7.1% · Massachusetts: 5 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 51 eligible stays.
34.9% this home
Median of homes: Massachusetts51.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 43 residents counted.
0.0% this home
Median of homes: Massachusetts0.4% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 66 residents counted.
3.2% this home
Median of homes: Massachusetts2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 66 residents counted.
100.0% this home
Median of homes: Massachusetts99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 34 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: LAFAYETTE CARE LLC. CMS links this home to Lme Family Holdings, a group of 15 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hirsch, Nisson | 5% or greater direct ownership interest | Individual | 8% | 09/01/2022 |
| Hirsch, Shmuel | 5% or greater direct ownership interest | Individual | 29% | 09/01/2022 |
| Probst, Sarah | 5% or greater direct ownership interest | Individual | 15% | 09/01/2022 |
| Probst, Seth | 5% or greater direct ownership interest | Individual | 15% | 09/01/2022 |
| Barbuzzi, George | Contracted managing employee | Individual | 09/01/2022 | |
| Lme Family Holdings LLC | Operational/managerial control | Organization | 09/01/2022 | |
| Hirsch, Nisson | Operational/managerial control | Individual | 09/01/2022 | |
| Hirsch, Shmuel | Operational/managerial control | Individual | 09/01/2022 | |
| Lahasky, Ephram | Operational/managerial control | Individual | 09/01/2022 | |
| Probst, Sarah | Operational/managerial control | Individual | 09/01/2022 | |
| Probst, Seth | Operational/managerial control | Individual | 09/01/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.