Lafayette Rehabilitation & Skilled Nursing
Marblehead, Essex County, Massachusetts · CCN 225411 · For-profit (LLC) · part of Lme Family Holdings (15 facilities, chain average 2.1 stars)
CMS rates Lafayette Rehabilitation & Skilled Nursing 5 of 5 overall as of August 2026. 65 certified beds, 48 residents a day on average. 9 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 3 / 2 of 5 |
Staffing
| Total nurse staffing | 3.83929 hours per resident per day |
|---|---|
| Registered nurses | 0.63081 hours per resident per day |
| Weekend total | 3.78328 hours per resident per day |
| Nursing staff turnover | 53.1% (registered nurses 63.6%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2024-08-28 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-06 |
| 2024-08-28 | 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. Nursing and Physician Services Deficiencies · tag F0727 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-28 |
| 2024-08-28 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-06 |
| 2024-08-28 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-05 |
| 2023-08-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-31 |
| 2023-08-09 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-15 |
| 2023-08-09 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-15 |
| 2023-08-09 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-15 |
| 2023-08-09 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2023-08-31 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Lme Family Holdings LLC Organization | operational/managerial control | — | 2022-09-01 |
| Hirsch, Nisson Individual | 5% or greater direct ownership interest | 8% | 2022-09-01 |
| Hirsch, Shmuel Individual | 5% or greater direct ownership interest | 29% | 2022-09-01 |
| Probst, Sarah Individual | 5% or greater direct ownership interest | 15% | 2022-09-01 |
| Probst, Seth Individual | 5% or greater direct ownership interest | 15% | 2022-09-01 |
| Barbuzzi, George Individual | contracted managing employee | — | 2022-09-01 |
| Hirsch, Nisson Individual | operational/managerial control | — | 2022-09-01 |
| Hirsch, Shmuel Individual | operational/managerial control | — | 2022-09-01 |
| Lahasky, Ephram Individual | operational/managerial control | — | 2022-09-01 |
| Probst, Sarah Individual | operational/managerial control | — | 2022-09-01 |
| Probst, Seth Individual | operational/managerial control | — | 2022-09-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Lafayette Rehabilitation & Skilled Nursing.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Essex County.