79/100
Above average
Lafayette Rehabilitation & Skilled Nursing
25 Lafayette Street, Marblehead, MA 01945
- Certified beds
- 65
- Occupancy
- 74%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
Our read on Lafayette Rehabilitation & Skilled Nursing
Lafayette Rehabilitation & Skilled Nursing runs 65 certified beds in Marblehead under for-profit LLC ownership, and its inspection record is the strongest thing it has going: a 5-star health inspection rating, nine total deficiencies on file, and none of them at the harm or jeopardy level. The staffing picture is more mixed. At 3.84 nurse hours per resident day it sits just under the national average of 3.86, and weekend coverage dips about 1% below its own weekday level. The number worth asking about is turnover: 53.1% of staff leaving annually against a national average of 45.8%. Quality measures score 2 out of 5. A recent inspection in August 2025 helps.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
25/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.49 total nurse hours per resident per day (national median 3.77)
- →0.63 RN hours per resident per day
- →Weekend staffing holds steady
Staff stability
9/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →53% of nursing staff left in the last year
Resident outcomes
5/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →2 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: August 6, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of LME FAMILY HOLDINGS, which operates 15 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Lafayette Rehabilitation & Skilled Nursing
What is the ElderGrade for Lafayette Rehabilitation & Skilled Nursing? +
Lafayette Rehabilitation & Skilled Nursing holds an ElderGrade of B (79 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Lafayette Rehabilitation & Skilled Nursing? +
Residents receive an average of 3.84 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Lafayette Rehabilitation & Skilled Nursing been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Lafayette Rehabilitation & Skilled Nursing accept Medicaid? +
Yes, Lafayette Rehabilitation & Skilled Nursing is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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