Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
LAFAYETTE REHABILITATION & SKILLED NURSING
MARBLEHEAD, MA · 65 certified beds · Last Life Safety survey August 6, 2025
CMS Certification Number 225411 · first certified July 1990
Ownership
Operated by LME FAMILY HOLDINGS · For profit - Limited Liability company
- Ownership changed September 1, 2022 (change of ownership)to LAFAYETTE REHABILITATION AND SKILLED NURSING from LAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY, INC.
Position within MA
17 citations — more than 71% of the 341 certified nursing homes in MA. Compared within MA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 7 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window is open now: August 2026 to October 2026. This facility’s last Life Safety survey was August 2025. Facilities in MA are typically surveyed 12–15 months after the last one (median 13), measured over 556 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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How that compares
Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 17 |
| Median facility in MA | 11 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| August 9, 2023 | 5 |
| August 28, 2024 | 5 |
| August 6, 2025 | 7 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0161 | Use approved construction type or materials. | 3 | 2025-08-06 |
| K-0254 | Provide hallway or ground-level exits in all residents' rooms. | 3 | 2025-08-06 |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | 3 | 2025-08-06 |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | 3 | 2025-08-06 |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | 3 | 2025-08-06 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2025-08-06 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2025-08-06 |
What the citations cover
- Egress Deficiencies 12
- Construction Deficiencies 3
- Smoke Deficiencies 1
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Egress Deficiencies | 12 |
| Construction Deficiencies | 3 |
| Smoke Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
August 6, 2025 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (September 1, 2025) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (September 1, 2025) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Deficient, Provider has date of correction (September 1, 2025) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Deficient, Provider has date of correction (September 1, 2025) |
| K-0254 | Provide hallway or ground-level exits in all residents' rooms. | Deficient, Provider has date of correction (September 1, 2025) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (October 3, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (October 3, 2025) |
August 28, 2024 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (October 3, 2024) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (October 3, 2024) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Deficient, Provider has date of correction (October 3, 2024) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Deficient, Provider has date of correction (October 3, 2024) |
| K-0254 | Provide hallway or ground-level exits in all residents' rooms. | Deficient, Provider has date of correction (October 3, 2024) |
August 9, 2023 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Deficient, Provider has date of correction (September 5, 2023) |
| K-0254 | Provide hallway or ground-level exits in all residents' rooms. | Deficient, Provider has date of correction (September 5, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.