Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lafayette Rehabilitation & Skilled Nursing during CMS and state inspections, most recent first.
The facility failed to provide a dignified dining experience by serving meals on trays in the dining rooms of two units. Observations showed meals left on trays, and a CNA served breakfast on a tray, leaving a resident to eat from it. Interviews with staff confirmed that meals should be removed from trays to avoid an institutional setting.
The facility failed to provide RN coverage for at least eight consecutive hours a day, seven days a week, for nine days in early 2024. The DON acknowledged the deficiency, noting that neither she nor the ADON, an LPN, provided the necessary coverage. This resulted in a one-star staffing rating due to the lack of compliance with RN coverage requirements.
A facility failed to provide a resident with the Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) when the resident was discharged from Medicare Part A skilled services. The resident, admitted with pneumonia and acute respiratory failure, did not receive the SNF ABN, which informs them of potential financial liability for non-covered services. Facility staff, including the Business Office Manager, Social Worker, DON, and MDS Nurse, were unaware of the requirement to issue the SNF ABN.
A facility failed to accurately code the MDS for a resident with a left hand contracture and Alzheimer's dementia. The MDS incorrectly showed no upper extremity deficits, despite previous assessments and care plans indicating impairments. The MDS Nurse decided not to code the contracture as an impairment, attributing the resident's dependence to cognitive issues rather than the contracture, and acknowledged prior MDS assessments were incorrect.
Failure to Provide Dignified Dining Experience
Penalty
Summary
The facility failed to provide a dignified dining experience for residents on two units, as observed by surveyors. The facility's policy on Dining/Nutrition Guidelines/Protocols, revised in November 2021, did not specify that meals should be served in a dignified manner. On multiple occasions, surveyors observed that meals served in the dining rooms on both the first and second floors were left on trays, rather than being properly served. A Certified Nurses Aide (CNA) was seen serving breakfast to a resident on a tray and then leaving the dining room, resulting in the resident eating from the tray. Interviews with Nurse #1 and the Director of Nursing confirmed that meals should be removed from trays to maintain a home-like environment, as serving meals on trays is considered institutional and undignified.
Failure to Maintain Required RN Coverage
Penalty
Summary
The facility failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week, for nine days during the period from January 1, 2024, to March 31, 2024. This deficiency was identified through a review of the facility's Payroll-Based Journal (PBJ) report, licensed nurse staff schedules, and punch cards. The facility did not have any staffing waivers in place to justify the lack of RN coverage. Specific dates were noted where RN coverage was either less than eight hours or completely absent, including January 1, January 27, January 28, February 3, February 4, February 17, March 2, March 16, and March 30, 2024. During an interview, the Director of Nursing (DON) acknowledged the deficiency and confirmed that the facility had triggered a one-star staffing rating due to the lack of RN coverage. The DON admitted that neither she nor the Assistant Director of Nursing (ADON), who is an LPN, provided the necessary RN coverage on the days in question. The DON was aware of the requirement for eight consecutive hours of RN coverage each day, seven days a week, but did not ensure compliance with this regulation.
Failure to Provide SNF ABN to Resident
Penalty
Summary
The facility failed to inform a resident of the potential liability for payment for non-covered services by not providing the Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN). This notice is necessary when a Medicare recipient no longer qualifies for Medicare Part A skilled services, and the resident has not exhausted all Medicare benefit days for that episode. The SNF ABN allows residents to decide if they wish to continue receiving services that may not be covered by Medicare and assume financial responsibility. In this case, the resident was admitted under a skilled Medicare A level of care with diagnoses including pneumonia and acute respiratory failure and was discharged from Medicare A skilled services without receiving the SNF ABN. Interviews with facility staff revealed a lack of awareness and implementation of the SNF ABN requirement. The Business Office Manager confirmed that the facility does not issue SNF ABN forms. The Social Worker, responsible for providing the Notice of Medicare Non-coverage (NOMNC), was unaware of the SNF ABN requirement and did not issue it to the resident. Additionally, the Director of Nursing (DON) and Minimum Data Set (MDS) Nurse were also unaware of the requirement, indicating a systemic issue in the facility's processes for informing residents of their financial responsibilities when Medicare coverage changes.
Inaccurate MDS Coding for Resident with Contracture
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessment for a resident, leading to a deficiency. The resident, admitted in June 2019, had diagnoses including contracture of the left hand and Alzheimer's dementia. The MDS dated [DATE] incorrectly indicated that the resident had no range of motion deficits in the upper extremities, despite previous MDS assessments and the current care plan noting impairments and a contracture of the left hand. During an interview, the MDS Nurse explained that she decided not to code the contracture as an impairment because it did not impact the resident's functional ability, attributing the resident's total dependence for activities of daily living to cognitive issues rather than the contracture. The nurse acknowledged that prior MDS assessments were coded incorrectly.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Marblehead
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Devereux Skilled Nursing & Rehabilitation Center | 0.1 mi | ★★★★★ | 0 | 0 |
| Salem Rehab Center | 1.5 mi | ★★★★★ | 24 | 0 |
| Abbott Skilled Nursing & Rehabilitation Center | 3 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of The North Shore | 3.3 mi | ★★★★★ | 8 | 0 |
| New England Homes For The Deaf, Inc | 4.2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.