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Dexter House Healthcare
120 Main Street, Malden, MA 02148 (opens Google Maps) · Middlesex County · (781) 324-5600· 130 certified beds · avg 95 residents/day · certified since Aug 7, 1967 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: NEXT STEP HEALTHCARE (14 facilities, chain avg rating 1.7★)
3/5
Health inspection rating (on-site)
inspected Sep 26, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.42
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.
The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. F-0698
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. F-0759
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. F-0812
View all 20 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 26, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Sep 26, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0759 |
| Sep 26, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Sep 26, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Sep 26, 2025 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Sep 26, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Sep 26, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Sep 26, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0693 |
| Sep 26, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Sep 2, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0760 |
| Oct 2, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Oct 2, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0909 |
| Oct 2, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Oct 2, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Oct 2, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Oct 2, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Oct 2, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Oct 2, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide routine dental care and 24-hour emergency dental care for residents. · F-0790 |
| Sep 28, 2023 | F · Potential for more than minimal harm, widespread | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Sep 28, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 9).
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 0
2025
All citations: 10
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | F |
| 2024 | 8 | 0 | E |
| 2025 | 10 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMassachusetts averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.42
Massachusetts average: 3.89
U.S. average: 3.95
Registered Nurse hours
This facility: 0.99
Massachusetts average: 0.65
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.10
Massachusetts average: 3.51
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.37 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Dexter House Healthcare. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 8 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Next Step Healthcare — 14 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Elmhurst Healthcare (the) — Melrose, MA · overall 5/5
- Fall River Healthcare — Fall River, MA · overall 1/5
- Fitchburg Healthcare — Fitchburg, MA · overall 1/5
- Garden Place Healthcare — Attleboro, MA · overall 2/5
- Hermitage Healthcare (the) — Worcester, MA · overall 2/5
- Lee Healthcare — Lee, MA · overall 1/5
- Melrose Healthcare — Melrose, MA · overall 1/5SFF
- Norwood Healthcare — Norwood, MA · overall 1/5SFF
Listed by state, then facility name — not a ranking. Showing 8 of the 13 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Massachusetts midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 21% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 129 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 →
Other facilities in the same county
CMS records place this facility in Middlesex, MA — 72 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Eliot Center for Health and Rehabilitation — Natick, MA · overall 3/5
- Fairhaven Healthcare Center — Lowell, MA · overall 2/5
- Greenwood Nursing & Rehabilitation Center — Wakefield, MA · overall 5/5
- Lasell House — Newton, MA · overall 5/5
- Life Care Center of Acton — Acton, MA · overall 4/5
- Life Care Center of Merrimack Valley — Billerica, MA · overall 2/5
- Life Care Center of Nashoba Valley — Littleton, MA · overall 4/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 225137.
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