Malden, MA

Dexter House Healthcare

4-star overall rating with 3-star inspections with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

120 Main Street, Malden, MA

(781) 324-5600

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

130

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Next Step Healthcare

Operator or chain grouping

Approved since

1967-08-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.04

Registered nurse staffing

LPN hours / resident day

0.45

Licensed practical nurse staffing

Aide hours / resident day

1.86

Nurse aide staffing

Weekend hours

3.04

Weekend nurse staffing

RN turnover

43%

Annual RN turnover

Total nurse turnover

28%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.8	1.9 1.1 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	0.5	1.5 1 pts better	1.8 1.3 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	88.9%	92.2% 3.3 pts worse	93.4% 4.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.8% 5.2 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	1.6%	3.5% 1.9 pts better	3.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	11.2%	12.0% 0.8 pts better	11.4% 0.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	3.8%	5.2% 1.4 pts better	5.4% 1.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.7%	19.2% 4.5 pts better	19.6% 4.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	13.4%	22.5% 9.1 pts better	16.7% 3.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	7.5%	17.7% 10.2 pts better	16.3% 8.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	4.8%	17.6% 12.8 pts better	14.9% 10.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	1.0% 0.8 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	1.3%	2.0% 0.7 pts better	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.0%	21.7% 4.3 pts worse	19.8% 6.2 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	7.7%	4.6% 3.1 pts worse	5.1% 2.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	61.9%	77.1% 15.2 pts worse	81.7% 19.8 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	7.5%	11.8% 4.3 pts better	12.0% 4.5 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.3% 1.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	79.0%	77.7% 1.3 pts better	79.7% 0.7 pts worse	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	13.0%	25.8% 12.8 pts better	23.9% 10.9 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-26 · Fire 2025-09-26

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 2 Health 2024-10-02 · Fire 2024-10-02

8 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-09-28 · Fire 2023-09-28

2 health deficiencies

Top issue: Environmental (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-26

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-12-15

F · Potential for more than minimal harm 2025-09-26

K222 · Egress Deficiencies

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.

Corrected 2025-12-15

F · Potential for more than minimal harm 2025-09-26

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-12-15

F · Potential for more than minimal harm 2025-09-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-12-15

F · Potential for more than minimal harm 2025-09-26

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-12-15

F · Potential for more than minimal harm 2025-09-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-12-15

F · Potential for more than minimal harm 2025-09-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-12-15

F · Potential for more than minimal harm 2024-10-02

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-02

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-02

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-02

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-02

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-02

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-02

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-02

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-26

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-08

E · Potential for more than minimal harm 2025-09-26

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-10-08

E · Potential for more than minimal harm 2025-09-26

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-26

F552 · Resident Rights Deficiencies

Health

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

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-26

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-26

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-26

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-26

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-26

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-02

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-08-09

E · Potential for more than minimal harm 2024-10-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-16

E · Potential for more than minimal harm 2024-10-02

F909 · Environmental Deficiencies

Health

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.

Corrected 2024-10-16

D · Potential for more than minimal harm 2024-10-02

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-10-16

D · Potential for more than minimal harm 2024-10-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-16

D · Potential for more than minimal harm 2024-10-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-10-16

D · Potential for more than minimal harm 2024-10-02

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-16

D · Potential for more than minimal harm 2024-10-02

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-10-16

D · Potential for more than minimal harm 2024-10-02

F790 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-16

F · Potential for more than minimal harm 2023-09-28

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-10-11

D · Potential for more than minimal harm 2023-09-28

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-10-11

Penalties and ownership

What sits behind the stars

Ownership

Next Step Healthcare LLC

5% Or Greater Direct Ownership Interest · Organization

100% 14 facilities 2017-09-01

Dell'anno, Damian

5% Or Greater Indirect Ownership Interest · Individual

50% 14 facilities 2017-09-01

Stephan, William

5% Or Greater Indirect Ownership Interest · Individual

50% 14 facilities 2017-09-01

Berdzenishvili, Maya

Operational/Managerial Control · Individual

0% 2 facilities 2020-11-27

Dell'anno, Damian

Corporate Officer · Individual

0% 14 facilities 2017-09-01

Next Step Healthcare LLC

Operational/Managerial Control · Organization

0% 14 facilities 2017-09-01

Sauve, Joanne

Operational/Managerial Control · Individual

0% 1 facilities 2017-09-01

Stephan, William

Corporate Officer · Individual

0% 14 facilities 2017-09-01

Nearby options

Other facilities in reach

Regalcare At Glen Ridge

Medford, MA

1-star overall rating with 1-star inspections with $286,020 in total fines with 14 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

Overall: 1 / 5
Health: 1 / 5
Staffing: 3 / 5
Fines: $286,020