Dexter House Healthcare — nursing home in Malden, MA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 130 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 94.8 CMS, MDS-derived
CMS Certification Number: 225137
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 7, 1967
Ownership type: For profit - Limited Liability company
Operator (legal business name): 120 Main Street Operator LLC
CMS chain: Next Step Healthcare 14 facilities
Phone: (781) 324-5600
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Sep 26, 2025

Citations

37

20 health · 17 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D18	E10	F9
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 225137
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 130
First approved: Aug 7, 1967
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Massachusetts.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Sep 26, 2025	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
Sep 26, 2025	Health	Health Standard	9	Potential harm	—	Open →
Sep 2, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Oct 2, 2024	Fire safety	Fire Safety Standard	10	Potential harm	—	Open →
Oct 2, 2024	Health	Health Standard	8	Potential harm	—	Open →
Sep 28, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Sep 28, 2023	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D18	E10	F9
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Sep 26, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 15, 2025
Sep 26, 2025	K-0222	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. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 15, 2025
Sep 26, 2025	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 15, 2025
Sep 26, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 15, 2025
Sep 26, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 15, 2025
Sep 26, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 15, 2025
Sep 26, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 15, 2025
Sep 26, 2025	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 8, 2025
Sep 26, 2025	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 8, 2025
Sep 26, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 8, 2025
Sep 26, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 8, 2025
Sep 26, 2025	F-0693	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 · Clinical care	D · Potential harm Isolated	Corrected Oct 8, 2025
Sep 26, 2025	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 8, 2025
Sep 26, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Oct 8, 2025
Sep 26, 2025	F-0761	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 · Medication management	D · Potential harm Isolated	Corrected Oct 8, 2025
Sep 26, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Oct 8, 2025
Sep 2, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Past non-compliance Aug 9, 2025	Complaint
Oct 2, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 15, 2024
Oct 2, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 15, 2024
Oct 2, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 15, 2024
Oct 2, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 15, 2024
Oct 2, 2024	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 15, 2024
Oct 2, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 15, 2024
Oct 2, 2024	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 15, 2024
Oct 2, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 15, 2024
Oct 2, 2024	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 15, 2024
Oct 2, 2024	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 15, 2024
Oct 2, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 16, 2024
Oct 2, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 16, 2024
Oct 2, 2024	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 16, 2024
Oct 2, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 16, 2024
Oct 2, 2024	F-0761	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 · Medication management	D · Potential harm Isolated	Corrected Oct 16, 2024
Oct 2, 2024	F-0790	Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 16, 2024
Oct 2, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Oct 16, 2024
Oct 2, 2024	F-0909	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 · Environment & life safety	E · Potential harm Pattern	Corrected Oct 16, 2024
Sep 28, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Oct 11, 2023
Sep 28, 2023	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 11, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 3.1

Quality measuresstate 3.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.37

State avg 3.94US avg 3.90

Registered nurse (RN)1.06

State avg 0.66US avg 0.69

Licensed practical nurse0.43

State avg 0.97US avg 0.86

Nurse aide1.88

State avg 2.31US avg 2.35

Weekend total nurse3.03

State avg 3.52US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.36 (case-mix index 1.40).

Staff turnover

Total nursing staff turnover18.9%

State avg 37.6%US avg 45.3%

Registered nurse turnover25.0%

State avg 42.7%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Sep 26, 2025
Cycle 1 health score: 48
Total weighted score: 47

Operating entity

120 Main Street Operator LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Next Step Healthcare

14 facilities in 1 states. CMS chain ID 371.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 1.7

Ownership disclosures

Disclosures

8

Organizations

1

Individuals

6

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Next Step Healthcare LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2017
Maya Berdzenishvili	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 27, 2020
Joanne Sauve	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2017
Damian Dell'anno	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 1, 2017
William Stephan	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 1, 2017
Next Step Healthcare LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2025
Maya Berdzenishvili	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 27, 2020
Joanne Sauve	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2017

Same chain in Massachusetts

All 13 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Hermitage Healthcare (the) 383 Mill Street, Worcester, MA 01602 CCN 225009	101	Aug 20, 2025	44	—
Wedgemere Healthcare 146 Dean Street, Taunton, MA 02780 CCN 225067	94	May 12, 2026	592 harm	$130k
Oakhill Healthcare 76 North Street, Middleboro, MA 02346 CCN 225145	123	Jun 2, 2026	51	—
Fitchburg Healthcare 1199 John Fitch Hwy, Fitchburg, MA 01420 CCN 225216	160	Feb 11, 2026	481 harm	$22k
Westborough Healthcare 8 Colonial Drive, Westborough, MA 01581 CCN 225242	117	Feb 25, 2026	391 harm	—
Garden Place Healthcare 193-195 Pleasant Street, Attleboro, MA 02703 CCN 225267	133	Dec 10, 2025	572 harm	$27k
Plymouth Harborside Healthcare 19 Obery Street, Plymouth, MA 02360 CCN 225284SFF Candidate	101	Jun 8, 2026	653 IJ6 harm	$291k
West Newton Healthcare 25 Armory Street, West Newton, MA 02465 CCN 225324	123	Jun 4, 2026	951 harm	$184k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 120 Main Street, Malden, MA 02148
ZIP: 02148
County: Middlesex County FIPS 25017
State: Massachusetts
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Regalcare at Glen Ridge 120 Murray Street, Medford, MA 02155 CCN 225523SFF Candidate	2.2 km	164	Jun 3, 2026	11111 harm	$286k
Rehabilitation & Nursing Center at Everett (the) 289 Elm Street, Everett, MA 02149 CCN 225300	2.6 km	183	Aug 7, 2025	51	—
The Massachusetts Veterans Home at Chelsea 100 Summit Ave, Chelsea, MA 02150 CCN 225110	3.5 km	154	Sep 19, 2025	34	—
Leonard Florence Center for Living 165 Captain's Row, Chelsea, MA 02150 CCN 225775	3.6 km	100	Jul 14, 2026	9	—
Katzman Family Center for Living 17 Lafayette Avenue, Chelsea, MA 02150 CCN 225451	3.7 km	123	Mar 11, 2026	17	—
Regalcare at Courtyard-Medford 200 Governors Avenue, Medford, MA 02155 CCN 225545	3.7 km	224	Apr 2, 2026	826 harm	$165k
Lighthouse Rehabilitation and Healthcare Center 204 Proctor Avenue, Revere, MA 02151 CCN 225297	4 km	123	Feb 20, 2026	511 harm	$32k
Life Care Center of Stoneham 25 Woodland Road, Stoneham, MA 02180 CCN 225732	4.1 km	94	Sep 17, 2025	435 harm	$9,620

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	225137	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	225137	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 225137

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction