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Nursing HomeMedicaid

Lafayette Rehabilitation & Skilled Nursing

Strong Medicare quality ratings; families often praise skilled and attentive nursing staff. Still worth an in-person visit.

25 Lafayette Street, Marblehead, MA 0194565 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 12 Google reviews

5
4
3
2
1
Lafayette Rehabilitation & Skilled Nursing Nursing Home in Marblehead, MA — Street View
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What this means for your family

The facility is highly regarded for its skilled nursing and effective rehabilitation programs, with recent reviews highlighting improved communication. However, because there have been past reports of staff being unresponsive during urgent situations, we recommend asking the administration specifically about their protocols for shift change coverage and how they ensure immediate assistance is available for residents.

Google Reviews

Google Reviews

12 reviews on Google
Lafayette Rehabilitation & Skilled Nursing receives high praise for its attentive, skilled nursing staff and effective physical therapy programs that support resident recovery and health improvements. However, some families have reported significant concerns regarding staff responsiveness and professional conduct during urgent situations, particularly regarding shift coverage.

Quality Themes

Tap a score for details
FoodN/AStaff7.0Clean8.0Activities9.0MedsN/AMemory8.0Comms8.0ValueN/A

Strengths

  • Skilled and attentive nursing staff
  • Effective physical and occupational therapy
  • Proactive communication with families upon admission
  • Compassionate care for long-term residents

Concerns

  • Slow response times and lack of urgency from staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2341.0'17(2)5.01.0'19(1)3.75.0'22(1)4.05.0'25(1)5.0'26(2)

Distribution · 13 analyzed

5
7
4
1
3
1
2
1
1
3

How They Respond to Reviews

8%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1It is wonderful to see such a high 5-star CMS rating for health inspections; how do you maintain such high standards of clinical care for your residents?
  • 2We've heard great things about the skill of your nursing and therapy teams; how do the physical and occupational therapists work together to help residents regain their independence?
  • 3Communication is so important to us; how does the staff keep families updated on changes in a resident's condition, especially during the initial admission period?
  • 4In moments when a resident might need immediate assistance or if a medical emergency arises during the night, what is the protocol for ensuring a rapid response from the nursing team?
  • 5What kind of daily activities or social programs do you have planned to keep the residents engaged and connected with one another?
  • 6Since the facility has a cozy, intimate size of 65 residents, how does that smaller community setting help foster a sense of family and compassion among the long-term residents?

Personalized based on this facility's data


Key Review Excerpts

The outstanding physical and occupational therapists created a respectful and encouraging atmosphere as they guided me on my journey to improvement.

Rehab patient · 2026★★★★★

The staff at this nursing home is incredibly skilled, attentive and caring. While the facility is outdated and needs renovation, the older decor actually provided comfort to my elder mom who has Alzheimer's disease.

Long-term resident's family · 2024★★★★★

Specifically, I appreciated the calls I received from numerous different staff upon his admission who sought to learn more about him and his needs in order to provide him with the best care.

Long-term resident's family · 2025★★★★★
Source: 12 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.64hrs
85%
Registered nurses for medical care
Total Nursing
4.17hrs
OK
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
80%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

9

measures

Worse Than Avg

8

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility37.8%
Worse than Avg
Here
37.8%
US
15.5%
MA
21.3%
Essex
22.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
12.1%
MA
13.7%
Essex
18.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility28.6%
Worse than Avg
Here
28.6%
US
19.4%
MA
21.4%
Essex
20.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.3%
Better than Avg
Here
8.3%
US
15.3%
MA
16.4%
Essex
13.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
MA
92.4%
Essex
93.2%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility10.1%
Worse than Avg
Here
10.1%
US
4.9%
MA
4.3%
Essex
4.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.9%
Better than Avg
Here
95.9%
US
79.8%
MA
77.7%
Essex
81.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.8%
Better than Avg
Here
91.8%
US
81.8%
MA
77.6%
Essex
82.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.3%
Worse than Avg
Here
2.3%
US
1.6%
MA
1.3%
Essex
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (8.9)
Clean record — no deficiencies

This facility shows concerning patterns of persistent building safety issues across three consecutive years, with identical emergency exit and construction deficiencies recurring annually from 2023-2025 despite reported corrections. The main problem areas are emergency exit safety, building construction compliance, and care planning assessments. While all deficiencies show correction dates and none were complaint-triggered, the repeated safety violations suggest ongoing challenges with maintaining proper emergency preparedness standards that families should discuss during visits.

Aug 6, 2025Routine
7
0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0225Potential for harm · WidespreadCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0232Potential for harm · WidespreadCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0254Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide hallway or ground-level exits in all residents' rooms.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Aug 28, 2024Routine
9
0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0225Potential for harm · WidespreadCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0232Potential for harm · WidespreadCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0254Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide hallway or ground-level exits in all residents' rooms.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Aug 9, 2023Routine
10
0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0225Potential for harm · WidespreadCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0232Potential for harm · WidespreadCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0254Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide hallway or ground-level exits in all residents' rooms.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lafayette Rehabilitation & Skilled Nursing

Organization Type

for profit

Chain Affiliation

Chain Name

Lme Family Holdings

Chain Size

15 facilities nationwide

Chain avg rating: 2.2/5 · Rank 1 of 15 (Best)

Ownership & Management

Owners

Hirsch, Nisson

Owner

8%

Hirsch, Shmuel

Owner

29%

Probst, Sarah

Owner

15%

Probst, Seth

Owner

15%

Key personnel

Barbuzzi, GeorgeContracted Managing EmployeeLme Family Holdings LLCManagerHirsch, NissonManagerHirsch, ShmuelManagerLahasky, EphramManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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