Nursing home
Dexter House Healthcare
120 Main Street, Malden, MA 02148 · Map
For profit - Limited Liability company · Part of Next Step Healthcare (14 facilities) · 130 certified beds
Dexter House Healthcare is a Medicare-certified nursing home in Malden, Massachusetts. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.34 hours per resident per day, below the Massachusetts average of 3.86. Its most recent inspection on Sep 26, 2025 cited 10 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Dexter House Healthcare compares
This facility vs. the Massachusetts and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Massachusetts avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.34 | 3.86 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 1.04 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.86 | 2.26 | 2.34 | below avg |
| Nursing staff turnover | 27.6% | 39.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 10.0 | 8.9 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the September 26, 2025 inspection was corrected by October 8, 2025
What inspectors found at Dexter House Healthcare
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 26, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Sep 26, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Sep 26, 2025 · Full report (PDF) - Potential for harm
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 · Sep 26, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Sep 26, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Sep 26, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Sep 26, 2025 · Full report (PDF) - Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 26, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Sep 26, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Sep 2, 2025 · Full report (PDF) - Potential for harm
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.
Environmental Deficiencies · Oct 2, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 2, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 120 Main Street
Malden, MA 02148 - CMS certification #
- 225137
- Ownership
- For profit - Limited Liability company
- Certified beds
- 130
- Avg residents/day
- 97.5
- Provider type
- Medicare and Medicaid
- First certified
- 1967-08-07
- Chain
- Next Step Healthcare (14 facilities)
- Setting
- Urban
Part of Next Step Healthcare
Next Step Healthcare operates 14 nursing facilities across the United States. View all Next Step Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Dexter House Healthcare using Google Maps.
Other public records
- Emergency In hurricane evacuation Zone B
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Melrosewakefield Healthcare, Melrose. 2.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Regalcare at Glen Ridge, Medford. 1.4 miles away, straight line.
- Nearest home health agency office
- Rite Time Homecare Services Inc, Malden. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 02148 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Wellington Circle Dialysis Center, Medford, 1.2 miles away, straight line (CMS rating 4 of 5 stars)
Fmc Medford Dialysis Center (Bma Medford), Medford, 2.1 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Kidney Care Chelsea, Chelsea, 2.2 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 20 Medicare hospices tell CMS they serve ZIP code 02148.
Legacy Lifecare Hospice And Palliative Care, office in Chelsea, 2.3 miles away, straight line
Beacon Hospice, An Amedisys Company, office in Charlestown, 2.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Visiting Nurse & Community Care, office in Arlington, 3.7 miles away, straight line - Nearest geriatric medicine practice
- Cambridge Public Health Commission, Everett. 1.6 miles away, straight line. 3 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Zone B on the Massachusetts hurricane evacuation zones. (Massachusetts Emergency Management Agency (via MassGIS), map updated May 22, 2026)
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane relatively low, inland flooding relatively low, coastal flooding very low, tornado very low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Dexter House Healthcare a good nursing home?
CMS gives Dexter House Healthcare an overall rating of 4 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Dexter House Healthcare staffed?
Dexter House Healthcare reports 3.34 total nurse hours per resident per day, compared with the Massachusetts average of 3.86.
Has Dexter House Healthcare had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Dexter House Healthcare have?
Dexter House Healthcare is certified for 130 beds.