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LAFAYETTE REHABILITATION & SKILLED NURSING Inspection Report, Violations & Safety Grade (MARBLEHEAD, Massachusetts)

25 LAFAYETTE STREET, MARBLEHEAD, Massachusetts 01945

Phone: 7816314535

CMS Overall:5/5

Overview & Bed Count

Certified Beds
65
Avg Residents/Day
43.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Essex
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing5/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityMassachusetts AvgDifference
RN Hours per Resident per Day0.680.66+0.02
Total Nurse Hours per Resident per Day4.233.94+0.29
CMS Staffing Rating5/53.1/5-
Nursing Staff Turnover34.5%37.6%-

Health Citation History

9 health citations on record

DateCategoryDescriptionSeverity
2024-08-28Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2024-08-28Nursing and Physician Services DeficienciesHave 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.E – Moderate Harm Potential
2024-08-28Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2024-08-28Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2023-08-09Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-08-09Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2023-08-09Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2023-08-09Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2023-08-09Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.B – Minimal Harm Potential

Fire Safety Citation History

17 fire safety citations on record

DateCategoryDescriptionSeverity
2025-08-06Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2025-08-06Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2025-08-06Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.F – Moderate Harm Potential
2025-08-06Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.F – Moderate Harm Potential
2025-08-06Egress DeficienciesProvide hallway or ground-level exits in all residents' rooms.F – Moderate Harm Potential
2025-08-06Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-08-06Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-08-28Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2024-08-28Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2024-08-28Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.F – Moderate Harm Potential
2024-08-28Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.F – Moderate Harm Potential
2024-08-28Egress DeficienciesProvide hallway or ground-level exits in all residents' rooms.F – Moderate Harm Potential
2023-08-09Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2023-08-09Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2023-08-09Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.F – Moderate Harm Potential
2023-08-09Egress DeficienciesHave corridors or aisles that are unobstructed and are at least 8 feet in width.F – Moderate Harm Potential
2023-08-09Egress DeficienciesProvide hallway or ground-level exits in all residents' rooms.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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