nursing home in Malden, MA

Dexter House Healthcare

120 Main Street, Malden, MA 02148 · (781) 324-5600

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★3
  • Staffing★★★★★4
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Dexter House Healthcare at a glance

Dexter House Healthcare is a 130-bed for-profit nursing home in Malden, Massachusetts (Middlesex County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the Massachusetts average of 3.

Residents receive about 3.4 hours of nursing care per day (1 of them from registered nurses), worse than the state average of 3.9 hours.

Its most recent standard health inspection (September 26, 2025) found 10 health citations. The Massachusetts average is 6.8.

It has not received a federal fine in the past three years.

Nursing staff turnover is 21.1% per year (state average 38.2%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
130
Certified for
Medicare and Medicaid
Chain / affiliated entity
Next Step Healthcare
Medicare-certified since
August 7, 1967
Resident/family council
Resident
County
Middlesex County
CMS Certification Number
225137

Ratings

MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53 / 53 / 5Average
Health inspection rating ⓘ (higher is better)3 / 53 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)4 / 53.1 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)4 / 53.3 / 53.6 / 5Average
Long-stay quality rating (higher is better)5 / 53.4 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)4 / 53 / 53.3 / 5Better

Staffing

This facility3.37 hrsMassachusetts average3.86 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.37 hrs3.86 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.98 hrs0.65 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)1.88 hrs2.25 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.05 hrs3.48 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)21.1%38.2%45.8%Better
Registered nurse turnover (yearly) (lower is better)43.5%42.6%42.9%Average
Administrators who left in the past year (lower is better)001Better

Inspections

This facility10Massachusetts average7U.S. average9
Health citations in the most recent inspection: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1079Worse
Citations from complaint investigations (latest cycle) (lower is better)113Better
Weighted health inspection score ⓘ (lower is better)4951.880.6Better

Penalties

This facility0Massachusetts average1U.S. average1
Fines in the past 3 years: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$34,265$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Certified beds130120107
Average residents per day959986
Occupancy73%82.1%80.9%

Long-stay residents

This facility3.3%Massachusetts average3.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.3%3.4%3.2%Average
Long-stay residents with pressure ulcers (lower is better)6.1%4.2%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)19.3%21.4%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)1.8%1.8%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0.7%0.8%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)5.8%16.4%13.9%Better
Long-stay residents whose walking worsened (lower is better)4.3%15.4%14.1%Better
Long-stay residents who lose too much weight (lower is better)3%5.1%5.2%Better
Long-stay residents with depressive symptoms (lower is better)3.9%15.5%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)18.4%19.5%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)27.1%21.2%19%Worse
Long-stay residents given a flu vaccine (higher is better)100%94.8%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)94.3%92.6%93.6%Average

Short-stay residents

This facility0%Massachusetts average1.4%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Massachusetts and U.S. averages
MeasureThis facilityMassachusetts avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.4%1.6%Better
Short-stay residents given a flu vaccine (higher is better)79%77.7%79.8%Average
Short-stay residents given a pneumonia vaccine (higher is better)68.4%78.3%82%Worse

Inspection citations

State inspectors cited this home for 20 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
September 26, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
F
Potential harm, widespread
Corrected December 15, 2025
September 26, 2025
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
F
Potential harm, widespread
Corrected December 15, 2025
September 26, 2025
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
F
Potential harm, widespread
Corrected December 15, 2025
September 26, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected December 15, 2025
September 26, 2025
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected December 15, 2025
September 26, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected December 15, 2025
September 26, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected December 15, 2025
September 26, 2025
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
E
Potential harm, pattern
Corrected October 8, 2025
September 26, 2025
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected October 8, 2025
September 26, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected October 8, 2025
September 26, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected October 8, 2025
September 26, 2025
Standard
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604
D
Potential harm, isolated
Corrected October 8, 2025
September 26, 2025
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected October 8, 2025
September 26, 2025
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected October 8, 2025
September 26, 2025
Standard
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected October 8, 2025
September 26, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected October 8, 2025
September 2, 2025
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected August 9, 2025
October 2, 2024
Fire safety
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies · Tag K0711
F
Potential harm, widespread
Corrected November 15, 2024
October 2, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected November 15, 2024
October 2, 2024
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
E
Potential harm, pattern
Corrected November 15, 2024
October 2, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
E
Potential harm, pattern
Corrected November 15, 2024
October 2, 2024
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected November 15, 2024
October 2, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected November 15, 2024
October 2, 2024
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected November 15, 2024
October 2, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected November 15, 2024
October 2, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
D
Potential harm, isolated
Corrected November 15, 2024
October 2, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected November 15, 2024
October 2, 2024
Standard
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental Deficiencies · Tag F0909
E
Potential harm, pattern
Corrected October 16, 2024
October 2, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected October 16, 2024
October 2, 2024
Standard
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · Tag F0790
D
Potential harm, isolated
Corrected October 16, 2024
October 2, 2024
Standard
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected October 16, 2024
October 2, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected October 16, 2024
October 2, 2024
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected October 16, 2024
October 2, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected October 16, 2024
October 2, 2024
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected October 16, 2024
September 28, 2023
Standard
Keep all essential equipment working safely.
Environmental Deficiencies · Tag F0908
F
Potential harm, widespread
Corrected October 11, 2023
September 28, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected October 11, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
BERDZENISHVILI, MAYA
Individual
adp of the snfNOT APPLICABLE11/27/2020
NEXT STEP HEALTHCARE LLC
Organization
adp of the snfNOT APPLICABLE07/01/2025
SAUVE, JOANNE
Individual
adp of the snfNOT APPLICABLE09/01/2017
DELL'ANNO, DAMIAN
Individual
corporate officerNOT APPLICABLE09/01/2017
STEPHAN, WILLIAM
Individual
corporate officerNOT APPLICABLE09/01/2017
BERDZENISHVILI, MAYA
Individual
operational/managerial controlNOT APPLICABLE11/27/2020
NEXT STEP HEALTHCARE LLC
Organization
operational/managerial controlNOT APPLICABLE09/01/2017
SAUVE, JOANNE
Individual
operational/managerial controlNOT APPLICABLE09/01/2017

Other nursing homes near Dexter House Healthcare

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    ★★★★★1Much below average
  2. Rehabilitation & Nursing Center at Everett (the)

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    ★★★★★3Average
  3. The Massachusetts Veterans Home at Chelsea

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    ★★★★★4Above average
  4. Leonard Florence Center for Living

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    • CMS high performer
    ★★★★★5Much above average
  5. Katzman Family Center for Living

    17 Lafayette Avenue, Chelsea, MA 02150 · 2.3 mi

    Non-profit · 123 beds · Part of Chelsea Jewish Lifecare

    • CMS high performer
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  6. Regalcare at Courtyard-Medford

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    For-profit · 224 beds · Part of Regalcare

    ★★★★★1Much below average

All nursing homes in Malden, MA · Compare side by side

Frequently asked questions

What is Dexter House Healthcare's rating?

Dexter House Healthcare has 3 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.

How many inspection citations did Dexter House Healthcare receive?

Its most recent standard health inspection found 10 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.

Does Dexter House Healthcare accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Dexter House Healthcare?

It is for profit - limited liability company and part of Next Step Healthcare. The ownership section on this page lists the owners and managers reported to CMS.

Where is Dexter House Healthcare and how do I contact it?

Dexter House Healthcare is at 120 Main Street, Malden, MA 02148. Phone: (781) 324-5600.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.