Dexter House HealthCare

    120 Main St, Malden, MA, 02148
    2.4 · 51 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Mostly neglectful care with exceptions

    I had a deeply mixed but mostly negative experience. I witnessed theft of belongings, safety and security lapses, neglect (left soiled, slow pain management, wound/ infection issues), improper medication timing, call buttons ignored, pervasive urine/rodent/cleanliness problems, cold/limited food, and dishonest/unresponsive administration. At the same time a number of staff were exceptional - CNAs Patricia and Jeff, nurses Eli and Kumari, Marta, Julia, Sam and some therapists provided compassionate, professional care. I can't recommend this facility without constant family oversight; it needs major accountability and staffing changes.

    Pricing

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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

    2.39 · 51 reviews

    Overall rating

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

      2.1
    • Staff

      2.6
    • Meals

      1.5
    • Amenities

      1.9
    • Value

      2.3

    Pros

    • Several staff described as compassionate, respectful, and caring
    • Specific CNAs and nurses praised by name for outstanding care
    • Some physical and rehabilitation therapists rated effective and helpful
    • On-site gym and therapy resources noted as excellent
    • Coordinated communication with outside care and good care transitions
    • Positive end-of-life and reminiscence care experiences reported
    • Engaging activities led by an Activity Director and available programs
    • Clean, pleasant rooms and calm positive vibe reported by some families
    • Improvements reported under newer ownership/staff in recent years
    • Steady, attentive care experiences noted by some families

    Cons

    • Widespread reports of neglectful care and inattentive staff
    • Frequent complaints about dirty, outdated facility and smells of urine
    • Allegations of medication errors: wrong timing, over-sedation, omissions
    • Reports that call buttons were ignored or turned off
    • Reports of patients being sedated or given inappropriate medications
    • Theft from residents (wallets/personal belongings) alleged
    • Food quality frequently described as poor, cold, or 'prison-quality'
    • Inconsistent rehabilitation (insufficient sessions or ineffective therapy)
    • Unprofessional, rude, or hostile staff attitudes mentioned repeatedly
    • Administration described as unresponsive, dishonest, or evasive
    • Safety incidents: falls, repeat falls, and inadequate fall prevention
    • Poor wound care and infection concerns, including MRSA allegations
    • Rodent sightings and general pest concerns reported
    • Rooms and furniture old, mismatched, broken (beds, lights, chairs)
    • Inconsistent cleanliness: feces/urine odors, soiled residents left unattended
    • Staffing problems: overworked, understaffed, staff covering for each other
    • Bullying and toxic work culture alleged among staff
    • Nursing staff allegedly withholding or spooning medications improperly
    • Mixed population concerns (dementia patients mixed with other disorders)
    • IT/maintenance problems: non-working Wi‑Fi and unresolved repairs
    • Poor accountability: excuses, lack of follow-through, and misinformation
    • Limited food options and no alternatives for disliked meals
    • Cold rooms, inadequate heating or environmental discomfort
    • Parking and access problems reported by visitors
    • Polarized experiences: some report excellent care while many urge avoidance

    Summary review

    The reviews for Dexter House HealthCare present a deeply polarized and troubling portrait: a minority of reviewers describe compassionate, professional, and effective care, while a substantial portion recount neglect, safety risks, and unacceptable facility conditions. Positive reports typically single out individual caregivers—CNAs, nurses, and some physical therapists—who provided respectful, attentive, and sometimes exceptional hands-on care. Several reviewers praised specific staff by name, cited successful therapy outcomes and transitions home, noted effective coordination with outside providers, and described meaningful end-of-life and activity programming. A few reviewers also reported recent improvements tied to ownership or staffing changes.

    However, the dominant themes are negative and systemic. Many families report poor hygiene and sanitation throughout the building: persistent urine and feces odors, reports of rodents, filthy bathrooms, stained or mismatched furniture, broken fixtures, and a general sense that the facility is old and not well-maintained. These conditions are not isolated complaints; multiple accounts describe repeated, unresolved maintenance and cleanliness issues and a pervasive impression that the physical environment compromises resident dignity and safety.

    Care quality and clinical safety are the most alarming areas raised. Numerous reviewers report medication mishandling (missed doses, improper timing, overuse of sedatives or antibiotics, and disturbing accounts of nurses 'spooning' or otherwise improperly administering medications). There are direct allegations that call buttons were ignored or even turned off, staff on breaks left residents unattended, and aides left residents soiled or in filth. Several reviewers described serious medical consequences—falls, infected surgical wounds, rehospitalizations, MRSA concerns, and one account saying a parent 'almost died'—leading some to urge immediate regulatory action or closure. These reports indicate both acute incidents and chronic lapses in basic nursing care and oversight.

    Staff behavior and facility culture are presented as highly inconsistent. While some staff are praised as compassionate and professional, many reviewers characterize caregivers as rude, aloof, lazy, or dishonest. Repeated complaints allege theft from residents, staff covering for one another, bullying, and a 'gang mentality' that discourages accountability. Reviewers frequently blame understaffing and burnout—citing overworked nurses who cannot answer questions, slow responsiveness to pain or toileting needs, and management that minimizes or excuses failures. Several accounts name unhelpful or unresponsive managers and directors, with specific complaints about administrative dishonesty, missed appointments, and failure to investigate or remedy incidents.

    Dining and amenities receive mixed assessments: some reviewers call the food 'horrible' or 'prison-quality' with limited options, cold meals, and no alternatives, while others report acceptable or good food. Rehab and therapy services are similarly mixed—some reviewers praise the gym and therapists for producing good outcomes, whereas others report insufficient therapy sessions, ineffective rehabilitation, or a desire for more frequent/ intensive therapy. Additional practical issues include non-working Wi‑Fi, parking problems, limited shower access, and uncomfortable or broken furniture that can affect recovery (e.g., an uncomfortable chair after knee surgery).

    Taken together, the reviews suggest a facility with pockets of very good caregiving overwhelmed by systemic problems in cleanliness, safety, staffing, and management oversight. The pattern is highly polarized: families who encounter the engaged, attentive staff members report gratitude and positive outcomes, while many others report neglect, medical errors, theft, and environment-related health risks. For prospective families this means outcomes may depend heavily on which staff are on duty, the level of family involvement, and recent changes in ownership or leadership. Several reviewers recommended avoiding the facility or requesting regulatory inspection, while a smaller number strongly recommended Dexter House due to specific staff and therapy strengths. Any decision should weigh these polarized experiences, ask for documentation of staff ratios, infection-control practices, incident history, and conduct in-person visits at different times of day to observe staffing, cleanliness, meal service, and responsiveness.

    Location

    Map showing location of Dexter House HealthCare

    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 facility’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 residents’ 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.

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