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Strong Medicare quality ratings; public reviewers often praise individual staff members noted for kindness. Still worth an in-person visit.
based on 39 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record · Staff turnover reported at 22%
Dexter House Healthcare has a strong overall Medicare rating. RN hours meet the EveryPlace reference benchmark, which is one useful staffing signal to discuss during a visit. Public reviewers frequently mention: individual staff members noted for kindness and supportive rehab therapy team. Review the component ratings and current source records before deciding.
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
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Concerns
Rating Trends
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Distribution · 41 analyzed
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.”
“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.”
“There's nothing to like about this facility. They Left my aunt in her own filth. Her wounds on her back from a surgery (tumor removal) became infected.”
Total nursing hours are below the EveryPlace reference benchmark, though RN coverage meets its reference level. Ask how aides are staffed for daily tasks such as bathing and mobility.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
4
measures
2
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
Short-stay residents vaccinated for the flu
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Environmental Deficiencies
Keep all essential equipment working safely.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dexter House Healthcare
for profit
Next Step Healthcare
14 facilities nationwide
Chain avg rating: 1.9/5 · Rank 2 of 14
Key personnel
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