SNF
DEXTER HOUSE HEALTHCARE
CCN: 225137 · MALDEN, MA 02148 · Middlesex County
Overview
- Address
- 120 MAIN STREET, MALDEN, MA 02148
- Phone
- 7813245600
- Certified beds
- 130
- Avg daily residents
- 98 (75% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1967-08-07
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.34 | 3.98 | 3.24 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.04 | 0.70 | 1.00 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.45 | 0.88 | 0.43 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.86 | 2.40 | 1.81 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.48 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.01 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.04
hrs / resident / day
RN (weekend)
0.80
hrs / resident / day
Total nurse (adjusted, weekend)
2.94
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
27.6%
annual
RN turnover
42.9%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.41
higher acuity than avg
Case-Mix Index Ratio
1.02
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-09-26 | 10 | 9 | 1 | 52 | 1 | 52 |
| Cycle 2/3 (prior) | 2024-10-02 | 8 | 8 | 0 | 40 | 1 | 40 |
Total weighted health score
49.0
lower is better
Deficiencies (20)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
20 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-09-26 | 2025-10-08 |
| 0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-09-26 | 2025-10-08 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-26 | 2025-10-08 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-09-26 | 2025-10-08 |
| 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. | D | 2025-09-26 | 2025-10-08 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2025-09-26 | 2025-10-08 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-09-26 | 2025-10-08 |
| 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. | D | 2025-09-26 | 2025-10-08 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-09-26 | 2025-10-08 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2025-09-02 | 2025-08-09 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-02 | 2024-10-16 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-10-02 | 2024-10-16 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-10-02 | 2024-10-16 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-02 | 2024-10-16 |
| 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. | D | 2024-10-02 | 2024-10-16 |
| 0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2024-10-02 | 2024-10-16 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-10-02 | 2024-10-16 |
| 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. | E | 2024-10-02 | 2024-10-16 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-09-28 | 2023-10-11 |
| 0908 | Keep all essential equipment working safely. | F | 2023-09-28 | 2023-10-11 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 5.0% Medicaid 50.0% Other 44.9%
Operating performance
Operating Margin
0.8%
Total Margin
4.4%
Occupancy Rate
75.6%
Cost per Resident Day
$30
Revenue & costs
Net Patient Revenue
$11.3M
Total Costs
$980K
Net Income
$518K
Balance sheet
Total Assets
$5.7M
Total Liabilities
$4.7M
Fund Balance
$993K
Current Ratio
0.37
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: NEXT STEP HEALTHCARE
- Chain ID
371- Facilities in chain
- 14
- Legal business name
- 120 MAIN STREET OPERATOR LLC
Chain-average star ratings (for peer context)
Overall
1.9
Health
1.9
Staffing
2.1
QM
2.6
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| NEXT STEP HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/01/2017 |
| NEXT STEP HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2017 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| DELL'ANNO, DAMIAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/01/2017 |
| STEPHAN, WILLIAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 09/01/2017 |
| BERDZENISHVILI, MAYA | OPERATIONAL/MANAGERIAL CONTROL | since 11/27/2020 |
| SAUVE, JOANNE | OPERATIONAL/MANAGERIAL CONTROL | since 09/01/2017 |
| DELL'ANNO, DAMIAN | CORPORATE OFFICER | since 09/01/2017 |
| STEPHAN, WILLIAM | CORPORATE OFFICER | since 09/01/2017 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $30 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.37 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 50.0% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 5.0% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $517,721 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $11,256,958 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 75.6% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 0.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $5,711,761 | metrics.total_assets |
| Cost Report | Total Costs ($) | $979,508 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $992,891 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $4,718,870 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 4.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.43265 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.80561 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.00440 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.24266 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.94243 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 97.5 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.88387 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.40217 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.69668 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.98272 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.51035 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 1.9 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 1.9 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 371 | Chain ID |
| Provider Information | Chain Name | NEXT STEP HEALTHCARE | Chain Name |
| Provider Information | City/Town | MALDEN | City/Town |
| Provider Information | CMS Certification Number (CCN) | 225137 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Middlesex | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1967-08-07 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 42.4192 | Latitude |
| Provider Information | Legal Business Name | 120 MAIN STREET OPERATOR LLC | Legal Business Name |
| Provider Information | Location | 120 MAIN STREET,MALDEN,MA,02148 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -71.066 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 130 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 14 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.41090 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.02414 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 120 MAIN STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | DEXTER HOUSE HEALTHCARE | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 090 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 52 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 1 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 9 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-09-26 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 52 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 10 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 8 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-10-02 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 40 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 40 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 8 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.80422 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 42.9 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.48238 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.44630 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.86257 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.00520 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.03608 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.34495 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 5 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | MA | State |
| Provider Information | Telephone Number | 7813245600 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.03525 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 27.6 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 49.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 02148 | ZIP Code |