CCN 225411 · Essex County, Massachusetts
Lafayette Rehabilitation & Skilled Nursing
25 Lafayette Street, Marblehead, MA 01945
Lafayette Rehabilitation & Skilled Nursing is a 65-bed for-profit nursing home in Marblehead, Massachusetts, first certified for Medicare or Medicaid in 1990. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 48.0 residents a day, about 74% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 65
- Average residents per day
- 48.0 (73.8% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Lafayette Care LLC
- Certified since
- Jul 1, 1990
- Chain or affiliated group
- Lme Family Holdings (15 facilities, chain average 2.1 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Massachusetts median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 65 at 1, 68 at 2, 62 at 3, 72 at 4, 71 at 5 | |
| Health inspections | 5 of 5 | ||
| Quality measures | 2 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.84 | 3.70 | 3.68 |
| RN hours per resident per day | 0.63 | 0.60 | 0.58 |
| Weekend nurse hours per resident per day | 3.78 | ||
| Nursing staff turnover | 53.1% | 37.7% | 44.9% |
| Occupancy (residents / beds) | 73.8% | 86.9% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 0 (Aug 6, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Lafayette Rehabilitation & Skilled Nursing meets that part today: 5 stars overall, 5 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Hirsch, NissonIndividual | Direct Ownership Interest | 8% | 09/01/2022 |
| Hirsch, ShmuelIndividual | Direct Ownership Interest | 29% | 09/01/2022 |
| Probst, SarahIndividual | Direct Ownership Interest | 15% | 09/01/2022 |
| Probst, SethIndividual | Direct Ownership Interest | 15% | 09/01/2022 |
| Lme Family Holdings LLCOrganization | Operational / Managerial Control | n/a | 09/01/2022 |
| Hirsch, NissonIndividual | Operational / Managerial Control | n/a | 09/01/2022 |
| Hirsch, ShmuelIndividual | Operational / Managerial Control | n/a | 09/01/2022 |
| Lahasky, EphramIndividual | Operational / Managerial Control | n/a | 09/01/2022 |
| Probst, SarahIndividual | Operational / Managerial Control | n/a | 09/01/2022 |
| Probst, SethIndividual | Operational / Managerial Control | n/a | 09/01/2022 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Sep 1, 2022 | Lafayette Care LLC | Lafayette Rehabilitation and Skilled Nursing Facility, Inc. |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.