82.9/100
Above average
120 Main Street, Malden, MA 02148
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: September 26, 2025 (10 months ago).
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Part of NEXT STEP HEALTHCARE, which operates 14 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| DELL'ANNO, DAMIAN | Individual | CORPORATE OFFICER | — |
| STEPHAN, WILLIAM | Individual | CORPORATE OFFICER | — |
| NEXT STEP HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| BERDZENISHVILI, MAYA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SAUVE, JOANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| NEXT STEP HEALTHCARE LLC | Organization | ADP OF THE SNF | — |
| BERDZENISHVILI, MAYA | Individual | ADP OF THE SNF | — |
| SAUVE, JOANNE | Individual | ADP OF THE SNF | — |
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Dexter House Healthcare holds an ElderGrade of B (82.9 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.37 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 20 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, Dexter House Healthcare is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.