Federal inspection record · CMS data as of October 1, 2026
Lafayette Rehabilitation & Skilled Nursing
25 Lafayette Street, Marblehead, MA · (781) 631-4535
- CMS high-performer trophy
- Certified beds
- 65
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- Lme Family Holdings
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1990
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
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Staffing
★★★★★no change (already 5)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Lafayette Rehabilitation & Skilled Nursing carries 6 inspection points. That is fewer than 89% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
9 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Ensure each resident receives an accurate assessment.
Resident Rights2E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Nursing and Physician Services1E
- E
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.
Quality of Life and Care1D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Inspection history
2025-08-06
0 health deficiencies · 7 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-08-28
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2023-08-09
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 14 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
4 h 14 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.5 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 0.4 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better | 100.0% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better | 100.0% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 1.4% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms23.8 pts worse | 41.2% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts worse | 5.8% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts worse | 23.0% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11.8 pts worse | 33.3% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.1 pts better | 10.8% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.3 pts worse | 22.1% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.4% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts worse | 3.5% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.3 pts worse | 25.7% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.1 pts worse | 7.3% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.7 pts better | 95.6% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts better | 10.2% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse | 2.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.3 pts better | 97.4% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.8 pts better | 21.9% | 25.7% | 23.4% |
·
Who owns and runs it
11 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Hirsch, Shmuel | 5% Or Greater Direct Ownership Interest · Individual | 29% | 5 facilities |
| Probst, Sarah | 5% Or Greater Direct Ownership Interest · Individual | 15% | 2 facilities |
| Probst, Seth | 5% Or Greater Direct Ownership Interest · Individual | 15% | 6 facilities |
| Hirsch, Nisson | 5% Or Greater Direct Ownership Interest · Individual | 8% | 9 facilities |
| Barbuzzi, George | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Hirsch, Nisson | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Hirsch, Shmuel | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Lahasky, Ephram | Operational/Managerial Control · Individual | 0% | 41 facilities |
| Lme Family Holdings LLC | Operational/Managerial Control · Organization | 0% | 23 facilities |
| Probst, Sarah | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Probst, Seth | Operational/Managerial Control · Individual | 0% | 6 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress12F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Provide hallway or ground-level exits in all residents' rooms.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Provide hallway or ground-level exits in all residents' rooms.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Provide hallway or ground-level exits in all residents' rooms.
Construction3F
- F
Use approved construction type or materials.
- F
Use approved construction type or materials.
- F
Use approved construction type or materials.
Smoke1F
- F
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Devereux Skilled Nursing & Rehabilitation Center
Marblehead, MA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 47 min
- Fines
- $0
-
Salem Rehab Center
Salem, MA · Adviniacare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 39 min
- Fines
- $238,905
-
★★★★★
- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0