Dexter House HealthCare

    120 Main St, Malden, MA 02148
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    2.5ยท55 reviews

    Caring staff; dignified end-of-life care

    I'm very pleased with this clean, calm facility and the genuinely caring, professional staff. CNAs Patricia, Jeff, Marta, Julia and Sam, nurses Eli and Kumari, director Rikki and the activity team were outstanding - excellent communication, coordinated in-house and outside care, and respectful, dignified treatment through recovery and end-of-life. Meals and activities were good; overall a warm, well-run place I recommend.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    2.49ยท(55)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.2
    • Staff

      2.6
    • Meals

      1.7
    • Amenities

      1.9
    • Value

      2.3

    Pros

    • Compassionate caregiving and nursing staff
    • Skilled rehabilitation and physical therapy services
    • Well-equipped therapy gym
    • Effective discharge and transition coordination
    • Attentive CNAs and standout individual caregivers
    • Engaging activities program and active activity director
    • Respectful end-of-life and palliative support
    • Clear communication in positive cases
    • Spacious, comfortable resident rooms for some residents

    Cons

    • Inconsistent medication administration and management
    • Inadequate staffing levels and slow responsiveness
    • Cleanliness and sanitation inconsistencies, including odor concerns in common areas
    • Gaps in wound care and infection-prevention practices
    • Food-service quality variability and limited menu options
    • Facility condition and maintenance lapses (furniture, fixtures, heating, connectivity)
    • Weak security and property safeguards, including allegations of theft and property mishandling
    • Poor administrative communication and case coordination
    • Variable rehabilitation session frequency and scheduling
    • Staff conduct and internal teamwork culture
    • Pest-control concerns in some units
    • Inconsistent physician availability and clinical oversight

    Summary of reviews

    Dexter House HealthCare elicits a mixed set of impressions across reviewers. Positively, many families and residents described individual staff members and teams who provided compassionate, respectful care. Rehabilitation services โ€” particularly physical therapy and the on-site therapy gym โ€” received favorable comments for producing good functional outcomes and supporting transitions back home. Several reviews highlighted attentive CNAs and nurses, coordinated discharge planning, meaningful end-of-life support, and an active activities program led by an engaged activity director.

    At the same time, a substantial portion of feedback raises operational concerns that affect day-to-day resident experience. Medication administration and timing were commonly cited as inconsistent, including issues with pain management and antibiotic prescribing. Staffing levels and responsiveness were described as uneven; reviewers cited delays in attending to residents, staff on extended breaks, and difficulty obtaining timely assistance. These patterns were linked by some families to repeated hospital transfers and unresolved clinical issues.

    Facility condition and environmental maintenance emerged repeatedly. Reviewers described aging furnishings, broken fixtures and equipment, heating and cold-room problems, and unresolved IT/connectivity issues. Cleanliness and sanitation inconsistencies were described, with odor concerns in common areas and lapses in incontinence-related care and bathing schedules. Relatedly, several reviews raised concerns about wound care and infection-prevention practices; these are serious clinical areas to review in person.

    Dining and nutrition impressions were mixed: a number of families described limited menu variety and low meal quality, while others reported acceptable options. Rehabilitation scheduling also varied โ€” therapy staff were often praised for skill, but session frequency and availability were sometimes described as insufficient relative to needs.

    Administration and culture issues were another recurring theme. Reviewers described problems with communication, appointment and paperwork handling, and perceived unresponsiveness from leadership. There were also concerns about staff conduct, teamwork, and internal reporting โ€” including allegations of property mishandling and theft โ€” which undermine family trust and warrant careful inquiry. Physician availability and clinical oversight were described as inconsistent in some cases, prompting families to arrange outside medical support.

    Notable patterns: positive experiences tend to emphasize individual caregivers, therapy staff, and coordinated transitions, whereas negative experiences cluster around systemic operational areas (medication management, staffing and responsiveness, environmental maintenance, infection control, and administrative communication). Prospective families should plan a detailed on-site review focusing on staffing ratios, medication-administration protocols, infection-prevention and wound-care procedures, security/property safeguards, therapy schedules, meal options, and recent facility maintenance. Asking for recent inspection reports, staffing rosters, and examples of care plans can help clarify whether the facilityโ€™s strengths align with a prospective residentโ€™s needs.

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    Medicare Ratings

    4ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Dexter House HealthCare

    Dexter House HealthCare is located at 120 Main St, Malden, MA, 02148.

    About Dexter House HealthCare

    Dexter House Healthcare is a large care facility with a capacity of 130 beds, operating as a for-profit LLC. The facility provides both short-term rehabilitation and long-term care services, catering to a wide range of resident needs. Dexter House Healthcare is not part of a continuing care retirement community, but it does participate in both Medicare and Medicaid programs. This ensures that it is accessible to individuals seeking rehabilitation following a hospital stay as well as those who require ongoing, supportive care. Residents can access post-acute recovery and extended nursing assistance in a setting designed to support medical and daily living needs.

    The care provided at Dexter House Healthcare addresses the diverse requirements of its residents. For short-term rehabilitation, the facility assists individuals recovering from hospitalizations due to incidents such as stroke, heart attack, infections, and accidental injuries. About 37.3% of these residents are able to return home after their stay, which highlights the focus on rehabilitation and recovery. The rate of falls resulting in major injury is relatively low, at 1.8%, while 7.3% of short-term stays result in infections that require hospitalization. Emergency room visits occur for around 6.7% of short-term residents, indicating the facilityโ€™s vigilance in monitoring and addressing acute medical needs as they arise.

    For those requiring long-term care, Dexter House Healthcare provides a stable environment intended to support residentsโ€™ independence as much as possible. Approximately 71.3% of long-term residents maintain the ability to move, eat, and look after themselves without significant help, underscoring the emphasis on maintaining self-sufficiency. The vaccination rate for influenza is remarkably high, with 99.4% of residents receiving the annual shot. Both short-term and long-term residents benefit from nurse staffing that averages about 3 hours and 25 minutes per resident each day. The consistency of staffing between weekends and weekdays is rated excellent, helping to ensure continuity of care throughout the week.

    Dexter House Healthcare has implemented routines and practices that prioritize resident health, safety, and well-being. Recent health inspections found areas requiring improvement, such as the procurement and preparation of food according to professional standards and the maintenance of essential equipment. The issues identified were classified as posing low potential for harm and have been addressed. Over the past three years, the facility has paid one fine, reflecting a proactive approach to enhancing quality and safety.

    Overall, Dexter House Healthcare focuses on providing comprehensive nursing and rehabilitation services. Its participation in major insurance programs and emphasis on medical and daily living support create a supportive environment for a range of needs, from temporary rehabilitation to long-term residence. With attention to nurse staffing, infection control, and resident well-being, Dexter House Healthcare aims to foster both recovery and independence among the residents in its care.

    People often ask...

    Dexter House HealthCare offers assisted living, memory care, and skilled nursing.

    The full address for this community is 120 Main St, Malden, MA 02148.

    No, Dexter House HealthCare does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Dexter House HealthCare. The information above has not been verified or approved by the owner or operator. For exact information, please contact Dexter House HealthCare directly. There is no cost for this service. We are compensated by the community you select.

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