Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.63 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
LAFAYETTE REHABILITATION & SKILLED NURSING has 65 certified beds in MARBLEHEAD, Massachusetts. The CMS overall rating is 5 of 5, compared with the Massachusetts average of 3.0. The CMS health inspection rating is 5 of 5, compared with the Massachusetts average of 3.0. The CMS staffing rating is 4 of 5. The latest standard health survey on Aug 6, 2025 lists 0 deficiencies, compared with the Massachusetts average of 6.4. Total nurse staffing is 3.84 hours per resident day in 2026Q1, compared with the Massachusetts average of 3.87.
Nearby facilities
- DEVEREUX SKILLED NURSING & REHABILITATION CENTER MARBLEHEAD
- ABBOTT SKILLED NURSING & REHABILITATION CENTER LYNN
- ADVINIACARE NEWBURYPORT NEWBURYPORT
- ALLIANCE HEALTH AT ROSEWOOD PEABODY
- ANDOVER FOREST POST ACUTE CARE CENTER NORTH ANDOVER
- ANDOVER MANOR REHAB AND NURSING ANDOVER
- ASPEN HILL REHABILIATION & HEALTHCARE CENTER HAVERHILL
- BAKER-KATZ SKILLED NURSING AND REHABILITATION CTR HAVERHILL
- BLUEBERRY HILL REHABILITATION AND HEALTHCARE CTR BEVERLY
- BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE) DANVERS
CMS nursing home
LAFAYETTE REHABILITATION & SKILLED NURSING
MARBLEHEAD, MA
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 225411.
At a glance
CMS research snapshot
CMS overall rating
5 of 5
CMS health inspection rating
5 of 5
CMS staffing rating
4 of 5
CMS quality-measure rating
2 of 5
CMS ownership-change history
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Current owners
- HIRSCH, NISSONIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST8% ownership interest
- HIRSCH, NISSONIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST8.33% ownership interest
- HIRSCH, SHMUELIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST29.17% ownership interest
- HIRSCH, SHMUELIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST29% ownership interest
- LME FAMILY HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST33.33% ownership interest
- ML FAMILY TREE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST33.33% ownership interest
- PROBST, SARAHIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST14.58% ownership interest
- PROBST, SARAHIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- PROBST, SETHIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- PROBST, SETHIndividual owner5% OR GREATER DIRECT OWNERSHIP INTEREST14.58% ownership interest
Operators
- HIRSCH, NISSONIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- HIRSCH, NISSONIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- HIRSCH, SHMUELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- HIRSCH, SHMUELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL29.17% ownership interest
- LAHASKY, EPHRAMIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LAHASKY, EPHRAMIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL33.33% ownership interest
- LME FAMILY HOLDINGS LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL33.33% ownership interest
- LME FAMILY HOLDINGS LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- PROBST, SARAHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL14.58% ownership interest
- PROBST, SARAHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- PROBST, SETHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- PROBST, SETHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL14.58% ownership interest
- HIRSCH, NISSONIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- HIRSCH, SHMUELIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL29.17% ownership interest
- LAHASKY, EPHRAMIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL33.33% ownership interest
- LME FAMILY HOLDINGS LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL33.33% ownership interest
- PROBST, SARAHIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL14.58% ownership interest
- PROBST, SETHIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL14.58% ownership interest
- HIRSCH, NISSONIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- HIRSCH, NISSONIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- HIRSCH, SHMUELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- HIRSCH, SHMUELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL29.17% ownership interest
- LAHASKY, EPHRAMIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- LAHASKY, EPHRAMIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL33.33% ownership interest
- LME FAMILY HOLDINGS LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Showing 25 of 30 relationships from CMS/PECOS evidence.
Managers
- BARBUZZI, GEORGEIndividual owner · CURRENTCONTRACTED MANAGING EMPLOYEE
- BARBUZZI, GEORGEIndividual owner · CURRENTCONTRACTED MANAGING EMPLOYEE
- BARBUZZI, GEORGEIndividual owner · HISTORICALCONTRACTED MANAGING EMPLOYEE
- BARBUZZI, GEORGEIndividual owner · UNKNOWNCONTRACTED MANAGING EMPLOYEE
- BARBUZZI, GEORGEIndividual owner · UNKNOWNCONTRACTED MANAGING EMPLOYEE
Enrollment organizations
- LAFAYETTE CARE LLCOrganization · CURRENTMedicare-enrolled legal organization
- LAFAYETTE CARE LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations
Historical
- HIRSCH, NISSONIndividual owner · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST8.33% ownership interest
- HIRSCH, SHMUELIndividual owner · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST29.17% ownership interest
- LME FAMILY HOLDINGS LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST33.33% ownership interest
- ML FAMILY TREE TRUSTOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST33.33% ownership interest
- PROBST, SARAHIndividual owner · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST14.58% ownership interest
- PROBST, SETHIndividual owner · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST14.58% ownership interest
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
UNKNOWN
- HIRSCH, NISSONIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST8% ownership interest
- HIRSCH, NISSONIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST8.33% ownership interest
- HIRSCH, SHMUELIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST29.17% ownership interest
- HIRSCH, SHMUELIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST29% ownership interest
- LME FAMILY HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST33.33% ownership interest
- ML FAMILY TREE TRUSTOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST33.33% ownership interest
- PROBST, SARAHIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- PROBST, SARAHIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST14.58% ownership interest
- PROBST, SETHIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- PROBST, SETHIndividual owner · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST14.58% ownership interest
Ownership change history
CMS ownership-change records
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2022-09-01.
- CMS type
- CHANGE OF OWNERSHIP
- Buyer legal entity
- LAFAYETTE CARE LLC
- Seller legal entity
- LAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY, INC.
- Effective date
- 2022-09-01
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 65
- Ownership descriptor
- For profit - Limited Liability company
- Medicare participation
- Yes
- Medicaid participation
- Yes
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 7816314535Verified public information · checked Aug 2026
CMS designations
Special Focus and abuse-icon status
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
Not currently SFF or candidate
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS abuse-icon designation
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1659090363 · enrollment O20220922000163
- NPI 1659090363 · enrollment O20220922000163
MDS quality measures
Individual CMS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 100.000000
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 100.000000
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 1.379310 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 25.563910
- Percentage of long-stay residents who lose too much weight (Long Stay): 3.333333
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 24.800000
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 35.555556 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 12.231861 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 21.052632 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.444950 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 2.142857 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 25.695118
- Percentage of long-stay residents with pressure ulcers (Long Stay): 8.898812 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 93.103448
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 2.272727 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 95.918367
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2025-08-06 · tag 0225 · scope/severity F — Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 2025-08-06 · tag 0161 · scope/severity F — Use approved construction type or materials.
- 2025-08-06 · tag 0211 · scope/severity F — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 2025-08-06 · tag 0232 · scope/severity F — Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- 2025-08-06 · tag 0254 · scope/severity F — Provide hallway or ground-level exits in all residents' rooms.
- 2025-08-06 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2025-08-06 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
- 2024-08-28 · tag 0161 · scope/severity F — Use approved construction type or materials.
- 2024-08-28 · tag 0211 · scope/severity F — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 2024-08-28 · tag 0225 · scope/severity F — Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 2024-08-28 · tag 0232 · scope/severity F — Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- 2024-08-28 · tag 0254 · scope/severity F — Provide hallway or ground-level exits in all residents' rooms.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Aug 6, 2025 cited 0 deficiencies.
View inspection evidenceOwnership
CMS-published records list 26 ownership or control parties.
CMS records show an ownership change effective September 2022.
View ownership evidenceChain context
CMS groups this facility with a chain covering 15 facilities across 4 states or territories.
View chain evidenceOwnership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- For profit - Limited Liability companyCMS
- Chain
- LME FAMILY HOLDINGSCMS identifies this facility as part of the LME FAMILY HOLDINGS chain.
- Related facilities
- 33Current CMS organization identity
- Ownership changes
- 1 recordedCMS enrollment records
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 2 CMS-reported ownership organizations
- CMS reports 21 individual ownership interests
- a CMS chain / common-control group
- recorded ownership-change events
Related facilities
33 currently connected nursing homes share this CMS organization identity with LME FAMILY HOLDINGS LLC.
- Average CMS overall rating
- 2 stars across 33 reporting facilities
- CMS monetary penalties
- 23 of 33 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 7 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 6 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 30 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $2,126,575
Ownership
Who CMS records show is connected to this facility
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
- Reported party records
- 26
- Organizations shown
- 5
- Individuals shown
- 21
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
HIRSCH, NISSON
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 8%
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
HIRSCH, SHMUEL
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 29%
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PROBST, SARAH
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PROBST, SETH
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
BARBUZZI, GEORGE
Individual · CONTRACTED MANAGING EMPLOYEE
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
HIRSCH, NISSON
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
HIRSCH, SHMUEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LAHASKY, EPHRAM
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LME FAMILY HOLDINGS LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across MA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PROBST, SARAH
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PROBST, SETH
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
HIRSCH, NISSON
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 8.33%
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HIRSCH, SHMUEL
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 29.17%
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LME FAMILY HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Sep 1, 2022
Other facilities connected through this exact CMS organization identity: 32 across IN, KS, MA, MD, MI, MN, MS, NE, NJ, OK, PA, TN, TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
PROBST, SARAH
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 14.58%
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
PROBST, SETH
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 14.58%
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
ML FAMILY TREE TRUST
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.33%
Association date reported to CMS: Sep 1, 2022
Other facilities connected through this exact CMS organization identity: 6 across MA, PA, TN.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
BARBUZZI, GEORGE
Individual · CONTRACTED MANAGING EMPLOYEE
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HIRSCH, NISSON
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HIRSCH, SHMUEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 29.17%
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LAHASKY, EPHRAM
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 33.33%
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LME FAMILY HOLDINGS LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 33.33%
Association date reported to CMS: Sep 1, 2022
Other facilities connected through this exact CMS organization identity: 32 across IN, KS, MA, MD, MI, MN, MS, NE, NJ, OK, PA, TN, TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
PROBST, SARAH
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 14.58%
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
PROBST, SETH
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 14.58%
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SCHLOSS, DEBORAH
Individual · OTHER
Association date reported to CMS: Sep 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LAFAYETTE CARE LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across MA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Ownership changes reported in CMS enrollment records
- CHANGE OF OWNERSHIPLAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY, INC. to LAFAYETTE CARE LLC
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Change of Ownership
- CMS dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
What this means
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS enrollment records show a change of ownership effective Sep 1, 2022. What operational or leadership changes followed that event?
- CMS records connect LME FAMILY HOLDINGS LLC to 33 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with LME FAMILY HOLDINGS
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 321 is a grouping identifier, not a legal organization.
- Facilities
- 15
- States and territories
- 4
- Average overall rating
- 2
- Average staffing rating
- 2.3
- Average total nurse HPRD
- 3.4
- Total fines
- 18
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 15 | 2 | 2.3 |
| Mon Jun | 15 | 2.1 | 2.2 |
| Fri May | 15 | 2.1 | 2.2 |
| Wed Apr | 15 | 2.2 | 2.2 |
| Sun Mar | 15 | 2.2 | 2.6 |
| Sun Feb | 15 | 2.3 | 2.7 |
Questions to ask
- CMS groups facilities in 4 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 18 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Aug 6, 2025
- Survey type
- Fire Safety Standard
- Linked findings
- 0
- Highest linked CMS classification
- No linked health-deficiency finding in the loaded record
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225411
- Source record locator
- csv-row:58935:ccn:225411
Aug 6, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Aug 6, 2025 — Health Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Aug 28, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Aug 28, 2024 — Health Standard — 4 linked findings
F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225411
- Source record locator
- csv-row:164479:ccn:225411
F0582 — Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225411
- Source record locator
- csv-row:164481:ccn:225411
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225411
- Source record locator
- csv-row:164482:ccn:225411
F0727 — Nursing and Physician Services Deficiencies
Have 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 28, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225411
- Source record locator
- csv-row:164480:ccn:225411
Aug 9, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Aug 9, 2023 — Health Standard — 5 linked findings
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Aug 31, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225411
- Source record locator
- csv-row:164487:ccn:225411
F0656 — Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 31, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225411
- Source record locator
- csv-row:164483:ccn:225411
F0658 — Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225411
- Source record locator
- csv-row:164484:ccn:225411
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225411
- Source record locator
- csv-row:164485:ccn:225411
F0759 — Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225411
- Source record locator
- csv-row:164486:ccn:225411
Tags appearing across inspections
- F0641 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Questions generated from the evidence above
- CMS records show F0641 in 2 inspections in the available record. What changes has the facility made to address this issue?
Facility history
Facility History
5 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Total nurse staffing decreasedTotal nurse staffing decreased from 4.17 to 3.84 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
- Health inspection completedNo linked health-deficiency findings were recorded for this survey.
2026
- Total nurse staffing decreased
Total nurse staffing decreased from 4.17 to 3.84 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
4.17 → 3.84
CMS · Reported in a source release · View related evidence
2025
- Health inspection completed
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2023
- Health inspection completed
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2022
- Ownership change recorded
An ownership change was recorded. New organization: LAFAYETTE CARE LLC.
LAFAYETTE REHABILITATION AND SKILLED NURSING FACILITY, INC. → LAFAYETTE CARE LLC
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
- Total nursing
- 3.839 reported hours per resident day
- RN categories
- 0.631 reported hours per resident day
- LPN/LVN categories
- 1.05 reported hours per resident day
- CNA
- 2.158 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.862 | 3.783 |
| RN categories | 0.792 | 0.233 |
Contract staff accounted for 2.8% of reported nursing hours included in this quarter calculation.
PBJ reports zero combined RN-category hours on 1 day with a positive MDS census in this quarter.
Reported RN-category hours per resident day were 0.007 lower than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.29 | 0.619 | 1.221 | 2.45 | 0% | 91 |
| 2025Q3 | 4.354 | 0.657 | 1.241 | 2.456 | 1.7% | 92 |
| 2025Q4 | 4.167 | 0.637 | 1.115 | 2.414 | 0.1% | 92 |
| 2026Q1 | 3.839 | 0.631 | 1.05 | 2.158 | 2.8% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
- PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 5-star overall rating.
- CMS reports a 5-star health inspection rating.
- CMS reports a 4-star staffing rating.
- CMS reports a 2-star quality-measure rating.
Trust participation
See something that needs correction?
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
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Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
See where this record came from
Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Change of Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Nursing Home Chain Performance Measures
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 97ecfad1-d3f1-4d42-b774-d74661d830bc
- Coverage
- Wed Jul
- Source updated
- Aug 12, 2026
- Retrieved
- Aug 16, 2026
- Supports
- CMS chain context, performance, and monthly history
Verified public facility information
- Source organization
- Public facility listing
- Dataset identifier
- commercial-corroboration:public-listing
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
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