Dexter House Healthcare: Staffing, Turnover, and Inspection Record
Dexter House Healthcare is a 130-bed for-profit nursing home in Malden, Massachusetts, part of Next Step Healthcare. In the CMS August 2026 release it reported 1.88 nurse aide hours per resident per day, 17% below the Massachusetts average of 2.26, and 21.1% nursing staff turnover (Massachusetts average 38.2%).
Dexter House Healthcare
120 Main StreetMalden, MA 02148
Middlesex County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Dexter House Healthcare, nurse aides logged 1.88 hours per resident per day, 17% below the Massachusetts average. With about 95 residents a day, that works out to roughly 178 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Massachusetts avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.88 | 2.26 | 2.32 |
| Licensed practical nurses | 0.52 | 0.95 | 0.86 |
| Registered nurses | 0.98 | 0.65 | 0.69 |
| All nursing staff | 3.37 | 3.86 | 3.86 |
| All nursing staff, weekends | 3.05 | 3.48 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
21.1% of nursing staff at Dexter House Healthcare left over the year CMS measured, against a Massachusetts average of 38.2% and a US average of 45.8%. Registered nurse turnover was 43.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 26, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 10 health deficiencies (Massachusetts average 7.2). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Dexter House Healthcare holds 3 of 5 overall; the Massachusetts average is 3.0.
About Dexter House Healthcare
- Ownership: For profit - Limited Liability company
- Chain: Next Step Healthcare, 14 homes
- Legal name: 120 Main Street Operator LLC
- Medicare and Medicaid certified since: Aug 7, 1967
- Councils: resident council
- Area: urban
Nursing homes near Dexter House Healthcare
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Regalcare at Glen Ridge Medford | 1.4 | 164 | 2.00 | 3.62 | 27.9% | 1 | $286,020 |
| Rehabilitation & Nursing Center at Everett (The) Everett | 1.6 | 183 | 2.07 | 3.45 | 22.1% | 3 | None |
| The Massachusetts Veterans Home at Chelsea Chelsea | 2.1 | 154 | 4.35 | 6.97 | — | 4 | None |
| Leonard Florence Center for Living Chelsea | 2.2 | 100 | 4.97 | 7.34 | 31.2% | 5 | None |
| Katzman Family Center for Living Chelsea | 2.3 | 123 | 2.61 | 4.01 | 23.8% | 5 | None |
| Regalcare at Courtyard-Medford Medford · SFF candidate · abuse citation | 2.3 | 224 | 2.25 | 3.76 | 27.4% | 1 | $165,163 |
| Lighthouse Rehabilitation and Healthcare Center Revere | 2.5 | 123 | 2.09 | 3.70 | 26.5% | 2 | $48,790 |
| Life Care Center of Stoneham Stoneham | 2.5 | 94 | 2.36 | 4.00 | 32.0% | 4 | $39,559 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.