About Dexter House Healthcare

Dexter House Healthcare is a nursing home in Malden, Massachusetts. Its capacity is 130 beds, above the Middlesex County median of 123 for nursing homes. It is run by a for-profit operator and is part of Next Step Healthcare. It is Medicare certified. Its public inspection record shows 20 citations, the most recent on September 26, 2025. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.37 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

2.0

Staffing

4.0

Quality measures

4.0

CMS Care Compare, October 2026.

Inspection history (20)

Records from September 2023 to September 2025.

September 26, 2025
Tag F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 8, 2025.
September 26, 2025
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 8, 2025.
September 26, 2025
Tag F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 8, 2025.
September 26, 2025
Tag F0759
Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 8, 2025.
September 26, 2025
Tag F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 8, 2025.
September 26, 2025
Tag 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 8, 2025.
September 26, 2025
Tag 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 8, 2025.
September 26, 2025
Tag F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 8, 2025.
September 26, 2025
Tag F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 8, 2025.
September 2, 2025
Tag F0760
Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 9, 2025.
October 2, 2024
Tag 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 16, 2024.
October 2, 2024
Tag F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 16, 2024.
October 2, 2024
Tag F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 16, 2024.
October 2, 2024
Tag 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 16, 2024.
October 2, 2024
Tag F0790
Provide routine and 24-hour emergency dental care for each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 16, 2024.
October 2, 2024
Tag F0658
Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 16, 2024.
October 2, 2024
Tag F0880
Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 16, 2024.
October 2, 2024
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 16, 2024.
September 28, 2023
Tag F0908
Keep all essential equipment working safely.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 11, 2023.
September 28, 2023
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 11, 2023.

See the source data on data.cms.gov

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

3.37 nurse hours per resident per day in Q2 2026, up from 3.26 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit - Limited Liability company

Part of Next Step Healthcare, a chain of 14 nursing homes.

Average CMS star ratings across the chain: 1.7 overall, 1.8 for health inspections, 2.6 for staffing, 2.3 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Massachusetts.

Nursing Homes

Massachusetts median$14,448/mo

Massachusetts cost breakdown

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