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Dexter House Healthcare

120 Main Street, Malden, MA 021487813245600Ownership: For profit - Limited Liability companyCertified beds: 130Avg. daily residents: 95Chain: Next Step Healthcare (14 facilities)County: Middlesex

The complete public record on Dexter House Healthcare, a Medicare & Medicaid–certified nursing home in Malden, Massachusetts, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. Massachusetts average: 3.0 stars.
Health inspection
★★★☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Dexter House Healthcare holds a 3-star overall rating, CMS’s middle tier. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.37 total nurse staff hours per resident per day
below the state average (3.86)
0.98 RN hours per resident per day
above the state average (0.65)
3.05 weekend nurse staff hours per resident per day
21.1% total nursing staff turnover
below the state average (38.2)
43.5% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

September 26, 2025 most recent standard health inspection
10 health deficiencies cited in the most recent inspection cycle
above the state average (7.2)
8 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

20 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
September 26, 20250698Provide safe, appropriate dialysis care/services for a resident who requires such services.E · Potential for more than minimal harm
September 26, 20250759Ensure medication error rates are not 5 percent or greater.E · Potential for more than minimal harm
September 26, 20250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm
September 26, 20250552Ensure that residents are fully informed and understand their health status, care and treatments.D · Potential for more than minimal harm
September 26, 20250604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D · Potential for more than minimal harm
September 26, 20250684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D · Potential for more than minimal harm
September 26, 20250686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D · Potential for more than minimal harm
September 26, 20250693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a…D · Potential for more than minimal harm
September 26, 20250761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.