Dexter House Healthcare

Name: Dexter House Healthcare
Address: 120 MAIN STREET, Malden, MA, 02148, US
Telephone: 7813245600

120 Main Street, Malden, MA 02148 · Middlesex County · 130 certified beds · avg 95 residents/day · certified since Aug 7, 1967

Part of chain: NEXT STEP HEALTHCARE (14 facilities, chain avg rating 1.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.42

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 26, 2025	E · Potential for harm, repeated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Sep 26, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Sep 26, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 26, 2025	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Sep 26, 2025	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Sep 26, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Sep 26, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Sep 26, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Sep 26, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 2, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Oct 2, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 2, 2024	E · Potential for harm, repeated	The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames.
Oct 2, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Oct 2, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 2, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Oct 2, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 2, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 2, 2024	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Sep 28, 2023	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Sep 28, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 9).

Year	Citations	Worst severity that year
2023	2	F
2024	8	E
2025	10	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.42	3.89	3.95	bottom 27% in Massachusetts; bottom 33% in the U.S.
Registered Nurse hours	0.99	0.65	0.69	top 8% in Massachusetts; top 16% in the U.S.
Weekend total nurse staffing	3.10	3.51	3.50	bottom 30% in Massachusetts; bottom 36% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.78	0.46	0.48	top 8% in Massachusetts; top 12% in the U.S.
Total nursing staff turnover (%)	21.1	38.2	45.8	top 6% in Massachusetts; top 4% in the U.S.
RN turnover (%)	43.5	42.6	42.9	bottom 46% in Massachusetts; bottom 46% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.37, RN 0.98, weekend 3.05. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Berdzenishvili, Maya	Individual	Operational/Managerial Control	NOT APPLICABLE	11/27/2020
Berdzenishvili, Maya	Individual	ADP of the SNF	NOT APPLICABLE	11/27/2020
Dell'anno, Damian	Individual	Corporate Officer	NOT APPLICABLE	09/01/2017
Next Step Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2017
Next Step Healthcare LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/01/2025
Sauve, Joanne	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2017
Sauve, Joanne	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2017
Stephan, William	Individual	Corporate Officer	NOT APPLICABLE	09/01/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you coordinate and monitor care for residents who receive dialysis?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you explain health changes and treatment options to residents and their families?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Regalcare at Glen Ridge	1.4 mi	Medford, MA	★☆☆☆☆	1/5
Rehabilitation & Nursing Center at Everett (the)	1.6 mi	Everett, MA	★★★☆☆	4/5
The Massachusetts Veterans Home at Chelsea	2.1 mi	Chelsea, MA	★★★★☆	4/5
Leonard Florence Center for Living	2.2 mi	Chelsea, MA	★★★★★	5/5
Katzman Family Center for Living	2.3 mi	Chelsea, MA	★★★★★	5/5
Regalcare at Courtyard-Medford	2.3 mi	Medford, MA	★☆☆☆☆	1/5	abuseSFF
Lighthouse Rehabilitation and Healthcare Center	2.5 mi	Revere, MA	★★☆☆☆	2/5
Life Care Center of Stoneham	2.5 mi	Stoneham, MA	★★★★☆	3/5
Melrose Healthcare	2.6 mi	Melrose, MA	★☆☆☆☆	1/5	SFF
Medford Rehabilitation and Nursing Center	2.7 mi	Medford, MA	★★★☆☆	3/5
Elmhurst Healthcare (the)	2.7 mi	Melrose, MA	★★★★★	5/5
Highland Park Rehabilitation and Healthcare Center	3.0 mi	Chelsea, MA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Malden →

Facility data as of CMS processing date 2026-08-01. CCN 225137.

The Care File

Visit checklist — Dexter House Healthcare

120 Main Street, Malden, MA 02148 · 7813245600

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225137 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)