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Nursing HomeMedicaid

Dexter House Healthcare

Strong Medicare quality ratings; families often praise individual staff members noted for kindness. Still worth an in-person visit.

120 Main Street, Malden, MA 02148130 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
2.6/5

based on 38 Google reviews

5
4
3
2
1
Dexter House Healthcare Nursing Home in Malden, MA — Street View
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What this means for your family

While some families report positive rehab experiences, the recurring reports of hygiene issues and slow staff response times are significant red flags. If you choose this facility, ensure you have a plan for frequent, in-person monitoring of your loved one's care and hygiene needs.

Google Reviews

Google Reviews

38 reviews on Google
Dexter House Healthcare receives highly polarized feedback, with some families praising the staff's kindness and others reporting severe neglect and poor hygiene. Recurring complaints highlight issues with cleanliness, slow response times, and inconsistent medical care, while positive reviews often focus on individual staff members who provided attentive support during rehabilitation.

Quality Themes

Tap a score for details
Food3.0Staff4.0Clean2.0ActivitiesN/AMeds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Individual staff members noted for kindness
  • Supportive rehab therapy team
  • Some clean and well-maintained areas

Concerns

  • Facility cleanliness and odors (urine) (mentioned by 5 reviewers)
  • Slow or unresponsive nursing/CNA staff (mentioned by 6 reviewers)
  • Poor communication and lack of answers for families (mentioned by 3 reviewers)
  • Inconsistent medical standards and patient hygiene (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'16(3)'18(2)'21(4)'23(3)'25(2)'26(4)

Distribution · 40 analyzed

5
12
4
6
3
0
2
2
1
20

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed some concerns regarding facility cleanliness and odors in common areas; what is your current protocol for housekeeping and deep-cleaning schedules?
  • 2With the recent feedback regarding response times, could you walk me through how your nursing and CNA staff are alerted when a resident needs assistance?
  • 3Communication is very important to our family; what is the standard process for keeping family members updated on changes in a resident's health or care plan?
  • 4Given the recent staffing ratings, how do you ensure that consistent, high-quality hygiene and personal care are provided to every resident throughout the day?
  • 5Can you share how your rehab therapy team collaborates with the nursing staff to ensure a resident's progress is maintained during their daily routine?
  • 6What does a typical day look like for a resident here, and how do you encourage participation in activities to ensure they feel engaged and connected?

Personalized based on this facility's data


Key Review Excerpts

The staff at Dexter House are truly exceptional—attentive, compassionate, and deeply committed to the well-being of every resident.

Family member · 2026★★★★★

I was a patient at Dexter House Healthcare for rehabilitation for more than 4 weeks... I would like to express my sincere gratitude to all nurses and CNA, particulary to Marta, Julia, Patricia, Sam, physical therapists.

Rehab patient · 2023★★★★

My family member was in and out of the hospital 5 times consistently in a matter of a 2 months stay at this facility. They were not up to protocol when it came to simple medical standards at repositioning patients along with tube feeds/fluids.

Family member · 2026☆☆☆☆
Source: 38 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.95hrs
OK
Registered nurses for medical care
Total Nursing
3.26hrs
79%
All nurses + aides combined
Staff Turnover
22%
Lower is better (< 30% = good)
RN Turnover
42%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.7%
Better than Avg
Here
5.7%
US
14.4%
MA
16.9%
Middlesex
15.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
15.3%
MA
16.4%
Middlesex
13.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility16.0%
Mixed vs Avgs
Here
16.0%
US
15.4%
MA
21.3%
Middlesex
22.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.6%
Worse than Avg
Here
25.6%
US
19.4%
MA
21.4%
Middlesex
19.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
12.1%
MA
13.7%
Middlesex
12.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MA
94.8%
Middlesex
95.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility62.2%
Worse than Avg
Here
62.2%
US
81.8%
MA
77.6%
Middlesex
77.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility79.0%
Mixed vs Avgs
Here
79.0%
US
79.7%
MA
77.7%
Middlesex
76.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MA
1.3%
Middlesex
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Above state avg (8.9)
1 complaint-triggered

Dexter House has recurring issues across four surveys, with persistent problems in fire safety systems, medication management, and care planning. One family filed a complaint about medication errors in 2025. While the facility corrects deficiencies when cited, the same safety and medication issues keep reappearing, suggesting ongoing challenges with maintaining consistent standards across these critical areas.

Sep 26, 2025Routine
16
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

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.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0698Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Sep 2, 2025Complaint
1
0760Potential for harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Oct 2, 2024Routine
18
0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0909Potential for harm · PatternCorrected

Environmental Deficiencies

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.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0790Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

Sep 28, 2023Routine
2
0908Potential for harm · WidespreadCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dexter House Healthcare

Organization Type

for profit

Chain Affiliation

Chain Name

Next Step Healthcare

Chain Size

14 facilities nationwide

Chain avg rating: 1.9/5 · Rank 2 of 14

Ownership & Management

Key personnel

Dell'anno, DamianOfficer / DirectorStephan, WilliamOfficer / DirectorNext Step Healthcare LLCManagerBerdzenishvili, MayaManagerSauve, JoanneManager
Source: Medicare provider data

Contact

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References & Resources

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