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B
Good

LAFAYETTE REHABILITATION & SKILLED NURSING

25 LAFAYETTE STREET · MARBLEHEAD, MA 01945

7816314535 · For profit - Limited Liability company

65 beds42.8 residents92 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LAFAYETTE REHABILITATION & SKILLED NURSING receives an overall staffing grade of B (Good). With 4.3631 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6581 HPRD, below the recommended 0.75. It is 0.47 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 12.46% compared to weekdays. The facility has low agency staff usage (1.66% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.6581 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (1.66%) — mostly permanent, familiar staff
Total Nurse HPRD
4.3631hrs/resident/day▲ 0.47
CMS benchmark: 3.48
RN HPRD
0.6581hrs/resident/day▼ 0.02
Recommended: 0.75
Weekend Drop-off
12.46%
4.5223 weekday → 3.9589 weekend
Agency Staff
1.66%
10.38% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
2.463hrs/resident/day
Direct care aides
LPN HPRD
1.242hrs/resident/day
Licensed practical nurses
Consistency
0.4098std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Essex County Average+0.59 HPRD
3.77
04.36 HPRD
vs. Massachusetts State Average+0.49 HPRD
3.87
04.36 HPRD
vs. National Average+0.47 HPRD
3.90
04.36 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LAFAYETTE REHABILITATION & SKILLED NURSING ★
MARBLEHEAD · This facility
—
B
4.36310.6581★★★★★
DEVEREUX SKILLED NURSING & REHABILITATION CENTER
MARBLEHEAD
0.1 mi
C
3.63010.4167★★★★☆
ABBOTT SKILLED NURSING & REHABILITATION CENTER
LYNN
3 mi
B
3.78810.5679★★★☆☆
PILGRIM REHABILITATION & SKILLED NURSING CENTER
PEABODY
4.8 mi
A
4.23430.9352★★★★☆
CARE ONE AT ESSEX PARK
BEVERLY
5.1 mi
C
3.49640.4352★★★★★
JEFFREY & SUSAN BRUDNICK CENTER FOR LIVING
PEABODY
5.1 mi
C
4.56890.4041★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
9
Total Deficiencies
$0
Fines Assessed
Aug 28, 2024Health
4 deficiencies cited
▼
Aug 9, 2023Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.