Lafayette Rehabilitation & Skilled Nursing is one of the top-rated nursing facilities in Marblehead, Massachusetts, earning an A grade based on CMS data. With a score of 87/100, it ranks in the top 16% of facilities statewide — a strong indicator of quality care.
Staffing levels at Lafayette Rehabilitation & Skilled Nursing exceed national averages, with 4.35 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.66 hours per resident per day is near the national average of 0.7 hours.
Recent inspections identified 9 deficiencies at Lafayette Rehabilitation & Skilled Nursing. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.35 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.66 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 1.24 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.46 | 2.4 | Average |
| Weekend Total Nursing | 3.95 | 3.8 | Average |
| Weekend RN Hours | 0.37 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Aug 27, 2024 · Resident Rights Deficiencies
- Tag 0727 Severity 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.Aug 27, 2024 · Nursing and Physician Services Deficiencies
- Tag 0582 Severity DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Aug 27, 2024 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Aug 27, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Aug 8, 2023 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 8.7% | 4.5% | Worse |
| Falls with major injury | 2.1% | 3.0% | Better |
| On antipsychotic medication | 35.2% | 14.5% | Worse |
| Urinary tract infections | 3.6% | 2.5% | Worse |
| ADL decline (daily activities) | 17.4% | 14.0% | Worse |
| Excessive weight loss | 2.6% | 7.5% | Better |
| New/worsened incontinence | 32.5% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of A is based on a score of 87 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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