Massachusetts › Middlesex County › Malden
Dexter House Healthcare
120 Main Street, Malden, MA 02148
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Dexter House Healthcare, in Malden, Massachusetts, is certified for 130 beds under for-profit, limited liability company ownership and belongs to the Next Step Healthcare chain.
CMS gives it 3 of 5 stars overall, equal to the Massachusetts median; the health inspection rating is 3, staffing 4 and quality measures 4.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (10, 8, 2 by cycle, most recent first), none at the actual-harm level. That is 15.4 per 100 beds, fewer than the state median of 21.7.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (1.0 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 21.1%.
Compared with county, state and nation
| Measure | This facility | Middlesex Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 27 | 27 | 28.7 |
| Citations per 100 beds | 15.4 | 24.7 | 21.7 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.8 | 3.7 | 3.9 |
| RN hours per resident day | 1.0 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 21.1% | 33.0% | 37.7% | 45.8% |
| Fines listed | $0 | $8,512 | $0 | — |
County and state figures are medians across facilities (72 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Sep 2025, 2 Oct 2024.
Severity mix: D ×14 E ×5 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Sep 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 8 Oct 2025 |
| 26 Sep 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 8 Oct 2025 |
| 26 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Oct 2025 |
| 26 Sep 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 8 Oct 2025 |
| 26 Sep 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 8 Oct 2025 |
| 26 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 8 Oct 2025 |
| 26 Sep 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 8 Oct 2025 |
| 26 Sep 2025 | F0693 | 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. | D | Standard survey | 8 Oct 2025 |
| 26 Sep 2025 | F0761 | 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. | D | Standard survey | 8 Oct 2025 |
| 2 Sep 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 9 Aug 2025 |
| 2 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 Oct 2024 |
| 2 Oct 2024 | F0909 | 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. | E | Standard survey | 16 Oct 2024 |
| 2 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 Oct 2024 |
| 2 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 Oct 2024 |
| 2 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 16 Oct 2024 |
| 2 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 16 Oct 2024 |
| 2 Oct 2024 | F0761 | 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. | D | Standard survey | 16 Oct 2024 |
| 2 Oct 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 16 Oct 2024 |
| 28 Sep 2023 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 11 Oct 2023 |
| 28 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 11 Oct 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 21.1%, RNs 43.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.8% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.8% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.3% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.1% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.3% | 19.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: 120 Main Street Operator Llc. Chain: Next Step Healthcare (14 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Next Step Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2017 |
| Next Step Healthcare LLC | Adp of the snf | NOT APPLICABLE | 07/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Middlesex County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberjona Rehabilitation and Nursing Center | Winchester | 123 | 5 | 5 | 4 | 6 | 4.9 | — | 15 May 2024 |
| Bear Hill Healthcare and Rehabilitation Center | Stoneham | 169 | 5 | 4 | 3 | 27 | 16.0 | $16K | 15 Jan 2026 |
| Bethany Skilled Nursing Facility | Framingham | 169 | 5 | 5 | 5 | 4 | 2.4 | $9K | 26 Sep 2024 |
| Brookhaven At Lexington | Lexington | 49 | 5 | 5 | — | 4 | 8.2 | — | 22 Oct 2024 |
| Campion Health & Wellness, Inc | Weston | 70 | 5 | 5 | 5 | 1 | 1.4 | — | 12 Apr 2023 |
| Care One At Wilmington | Wilmington | 132 | 5 | 5 | 3 | 4 | 3.0 | — | 31 Jul 2025 |
| Carleton-Willard Village Retirement & Nursing Ctr | Bedford | 179 | 5 | 3 | 5 | 11 | 6.1 | $25K | 10 Jun 2025 |
| D'Youville Care For Advanced Therapy | Lowell | 33 | 5 | 5 | 4 | 5 | 15.2 | — | 9 Apr 2024 |
All 72 facilities in Middlesex County
Questions and answers
How many deficiencies has Dexter House Healthcare been cited for?
20 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Dexter House Healthcare been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Dexter House Healthcare compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates Dexter House Healthcare?
It is part of the Next Step Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Next Step Healthcare LLC. Individual owners and managers are not listed on this site.
When was Dexter House Healthcare last inspected?
The most recent survey or investigation in the CMS record is dated 26 Sep 2025; the most recent standard health survey was 26 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.