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Lafayette Rehabilitation & Skilled Nursing

All states › Massachusetts › Marblehead › Lafayette Rehabilitation & Skilled Nursing

25 Lafayette Street Marblehead, MA 01945 · Essex County

(781) 631-4535

All 2 nursing homes in Marblehead, MA (2 take Medicaid)

Accepts Medicare Accepts Medicaid 65 certified beds For profit

CMS certification number 225411 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Lafayette Rehabilitation & Skilled Nursing a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Lafayette Rehabilitation & Skilled Nursing as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Massachusetts average of 3.1. Inspectors issued 9 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 3 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 4.23 hours per resident per day at Lafayette Rehabilitation & Skilled Nursing, above the Massachusetts median of 3.72 (US median: 3.72). About 0.68 of those hours are from registered nurses. Weekend staffing is close to its all-week average. 34.5% of nursing staff left within a year (Massachusetts median 36.1%).

Nursing care per resident per day 4.23 hours
Above the Massachusetts median of 3.72 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.68 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.09 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 34.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 33.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds65
Residents per day 43 About 66% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1990
Part of a chainLme Family Holdings
Legal business nameLAFAYETTE CARE LLC

Paying for care at Lafayette Rehabilitation & Skilled Nursing: Medicare and Medicaid

Lafayette Rehabilitation & Skilled Nursing is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Massachusetts's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 6, 2025 and found 0 deficiencies. In total, inspectors issued 9 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 9 citations at Lafayette Rehabilitation & Skilled Nursing across 2 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 8 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident assessment and care planning (4) and resident rights (2). The most serious was cited under the CMS rule to "honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights" (tag F0550, level E, August 28, 2024).

August 28, 2024 · 4 citations

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Sep 6, 2024)

EHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Aug 28, 2024)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Sep 6, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Sep 5, 2024)

August 9, 2023 · 5 citations

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Aug 31, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Sep 15, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Sep 15, 2023)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Sep 15, 2023)

BEnsure each resident receives an accurate assessment.

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Aug 31, 2023)

Questions to ask on a tour of Lafayette Rehabilitation & Skilled Nursing

  1. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 5/5 5/5 2/5
August 2026 5/5 5/5 4/5 2/5
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Location

Hospitals near Lafayette Rehabilitation & Skilled Nursing

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 2.1 mi
    North Shore Medical Center Salem
    Emergency room ★★★★★ Medicare overall 5 of 5
    Median ER visit 4h 31m for patients treated and sent home
  • 4.9 mi
    Beverly Hospital Corporation Beverly
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 10m for patients treated and sent home
  • 9.8 mi
    Melrosewakefield Healthcare Melrose
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 10m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Devereux Skilled Nursing & Rehabilitation Center Marblehead · 0.1 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 64 beds · Medicaid
Salem Rehab Center Salem · 1.5 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 123 beds · Medicaid
Abbott Skilled Nursing & Rehabilitation Center Lynn · 3.0 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 55 beds · Medicaid
Life Care Center of the North Shore Lynn · 3.3 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 123 beds · Medicaid
New England Homes for the Deaf Danvers · 4.2 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 81 beds · Medicaid

More nursing homes near Lafayette Rehabilitation & Skilled Nursing ›   All nursing homes in Marblehead ›

Compare Lafayette Rehabilitation & Skilled Nursing with the 3 closest homes side by side ›

Other Lme Family Holdings nursing homes in Massachusetts

Affiliation comes from CMS's affiliated-entity data, October 2026. All 15 Lme Family Holdings nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/massachusetts/marblehead/lafayette-rehabilitation-and-skilled-nursing/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.