Our Overall Rating by Medicare for 2019-2020:

Why We Rank Among the Best in Massachusetts

A best-in-class rating of five-out-of-five stars now ranks The Lafayette as one of the very top rehabilitation and long term care facilities in Massachusetts, an accomplishment we're proud of and are well positioned to maintain with our extremely low staff turnover and commitment to the very best care possible. The quality rating system comes from three metrics that we're evaluated on: Medicare.gov1) health inspections (which are performed by federal or state officials and are not announced in advance), 2) staffing levels (how many health care professionals are staffed to meet the needs of our residents), and 3) "Quality Measures".

Because we are part of the Medicare program, we regularly collect assessment information on all residents using a form called the Minimum Data Set. The information collected includes the residents' health, physical functioning, mental status, and general well-being. We take it upon ourselves to report this information to the U.S. government's Medicare program.

Medicare uses some of this information to measure the quality of certain aspects of nursing home care, like whether residents have gotten their flu shots, are in pain, or are losing weight. These measures of care are called "quality measures." Medicare posts each nursing home's scores for these quality measures on the Web site Nursing Home Compare. By comparing scores, people who are considering rehabilitation at a facility—or families who may decide to place a loved one in a long term care facility—can evaluate how facilities compare with one another.

We welcome that comparison, and feel it is a good thing for the overall quality of life of the elderly in general, and rehabilitation patients in particular. And, it helps underscore how hard we work to keep The Lafayette as one of the premier rehabilitation and long term care facilities in Massachusetts.

Residents making flower vases

Casual, friendly and engaging horticultural sessions give our residents an outlet for their creative instincts and an opportunity to socialize.

We Also Have A Five-Star Rating for RN Staffing

The Medicare "Nursing Home Compare" Five-Star Rating System is based on several different metrics—and one of the most important is staffing levels. The number of qualified, licensed health care professionals who are on staff at any given time to address the needs of residents—whether long term care residents or short term rehabilitation patients—is a key measure of how well any health care facility is devoting its resources to the best possible quality of life and medical outcomes for the residents and patients it serves.

During our most recent survey, The Lafayette Rehabilitation and Skilled Nursing Facility achieved a perfect Five Star rating for RN staffing. Medicare states that "By law, registered nurses (RNs) must assess nursing home residents' needs. RNs and licensed practical and vocational nurses (LPNs/LVNs) work together to plan care, implement care and treatment, and evaluate residents' outcomes. Nurses must be licensed in the state. RNs have between 2 and 6 years of education. LPNs/LVNs generally have 1 year of training." More information on how staffing levels are reported and factored into a facility's Overall Rating, is available here.