SNF
LAFAYETTE REHABILITATION & SKILLED NURSING
CCN: 225411 · MARBLEHEAD, MA 01945 · Essex County
Overview
- Address
- 25 LAFAYETTE STREET, MARBLEHEAD, MA 01945
- Phone
- 7816314535
- Certified beds
- 65
- Avg daily residents
- 43 (66% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1990-07-01
- Setting
- Urban
5 /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 | 4.35 | 3.32 | 5.06 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.66 | 0.58 | 0.76 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.24 | 0.74 | 1.44 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.46 | 2.00 | 2.85 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.90 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.33 | — | — | — |
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)
3.95
hrs / resident / day
RN (weekend)
0.37
hrs / resident / day
Total nurse (adjusted, weekend)
4.59
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
53.1%
annual
RN turnover
83.3%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.18
higher acuity than avg
Case-Mix Index Ratio
0.85
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) | 2025-08-06 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cycle 2/3 (prior) | 2024-08-28 | 4 | 4 | 0 | 24 | 1 | 24 |
Total weighted health score
6.0
lower is better
Deficiencies (9)
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).
1 A/B/C No actual harm — minor
8 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-08-28 | 2024-09-06 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-08-28 | 2024-09-06 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2024-08-28 | 2024-09-05 |
| 0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | 2024-08-28 | 2024-08-28 |
| 0641 | Ensure each resident receives an accurate assessment. | B | 2023-08-09 | 2023-08-31 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-08-09 | 2023-08-31 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-08-09 | 2023-09-15 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-08-09 | 2023-09-15 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-08-09 | 2023-09-15 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 12.6% Medicaid 56.7% Other 30.7%
Operating performance
Operating Margin
-1.4%
Total Margin
-1.4%
Occupancy Rate
65.1%
Cost per Resident Day
$26
Revenue & costs
Net Patient Revenue
$6.0M
Total Costs
$396K
Net Income
-$80K
Balance sheet
Total Assets
$1.5M
Total Liabilities
$1.6M
Fund Balance
-$82K
Current Ratio
1.08
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: LME FAMILY HOLDINGS
- Chain ID
321- Facilities in chain
- 15
- Legal business name
- LAFAYETTE CARE LLC
Chain-average star ratings (for peer context)
Overall
2.2
Health
2.2
Staffing
2.6
QM
3.2
Owner / manager organizations (3)
| Organization | Role | Association |
|---|---|---|
| LME FAMILY HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2022 |
| ML FAMILY TREE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/01/2022 |
| LME FAMILY HOLDINGS LLC | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2022 |
Owner / manager individuals (10)
| Name | Role | Association |
|---|---|---|
| HIRSCH, NISSON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2022 |
| HIRSCH, SHMUEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2022 |
| PROBST, SARAH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2022 |
| PROBST, SETH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2022 |
| HIRSCH, NISSON | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2022 |
| HIRSCH, SHMUEL | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2022 |
| LAHASKY, EPHRAM | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2022 |
| PROBST, SARAH | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2022 |
| PROBST, SETH | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2022 |
| BARBUZZI, GEORGE | CONTRACTED MANAGING EMPLOYEE | since 09/01/2022 |
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
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 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 ($) | $26 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.08 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 56.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 12.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-80,181 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $5,954,433 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 65.1% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -1.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $1,480,006 | metrics.total_assets |
| Cost Report | Total Costs ($) | $396,044 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-81,793 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,561,799 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -1.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.44159 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.85328 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.76311 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.05798 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.59241 | 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 | 42.8 | 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 | 0.73756 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.00453 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.58136 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.32345 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 2.92927 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.2 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.2 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.2 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.6 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 321 | Chain ID |
| Provider Information | Chain Name | LME FAMILY HOLDINGS | Chain Name |
| Provider Information | City/Town | MARBLEHEAD | City/Town |
| Provider Information | CMS Certification Number (CCN) | 225411 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Essex | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1990-07-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 5 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.4935 | Latitude |
| Provider Information | Legal Business Name | LAFAYETTE CARE LLC | Legal Business Name |
| Provider Information | Location | 25 LAFAYETTE STREET,MARBLEHEAD,MA,01945 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -70.874 | 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 | 65 | 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 | 15 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.17735 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.85461 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | 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 | 25 LAFAYETTE 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 REHABILITATION & SKILLED NURSING | 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 | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 0 | 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 | 0 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 0 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-08-06 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 0 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 0 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 4 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-08-28 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 24 | 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 | 0 | 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 | 24 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 4 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.37286 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 83.3 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.89779 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.24091 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.45608 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.32583 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.65688 | 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 | 4.35386 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 1 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MA | State |
| Provider Information | Telephone Number | 7816314535 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.95311 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 53.1 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 6.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 01945 | ZIP Code |