Average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Dexter House Healthcare during CMS and state inspections, most recent first.
A resident with ESRD, heart failure, and BPH had a M/W/F dialysis schedule, but nursing did not ensure ordered cardiac meds were timed around dialysis. The MAR showed repeated omissions of metoprolol ER and isosorbide mononitrate ER, documented as out of facility on dialysis days, while the resident reported BP drops during dialysis and the NP and DON stated the meds should be administered around the dialysis schedule.
Medication administration errors exceeded the 5% threshold, with three nurses making four errors in 25 observed opportunities. A nurse gave a resident the wrong form of multiple vitamin, another nurse administered the wrong form of aspirin and crushed a do-not-crush ER med, and a third nurse gave enoxaparin IM instead of subcutaneously as ordered.
Improper Food Storage and Labeling in Kitchen: The facility failed to follow food storage and handling practices when surveyors found mold-like bell peppers, cucumbers, and cantaloupe in the kitchen, along with opened or prepared items that were missing required labels or dates, including crackers, chocolate frosting, shredded cheese, pre-poured juice, and applesauce past its use-by date. The FSD stated prepared and opened foods should be labeled with the item name and two dates, and said the produce should have been discarded.
A resident with dementia and psychotic disorder had active orders for Risperdal and Fluoxetine, but the psychotropic consent forms were signed by the resident even though the health care proxy had been invoked due to severe cognitive impairment. The DON stated the resident should not have been signing medication consents when the proxy was invoked.
Failure to Assess Bed Bolsters as a Restraint: A resident with severe cognitive impairment and significant ADL assistance needs had bolsters placed on both sides of the bed to keep the resident in bed. Surveyors observed the bolsters under the sheet while the resident was sleeping and eating in bed, and later found them beside the bed on fall mats. The chart had no order or restraint assessment for the bolsters, and staff said the bolsters were used because the resident was a fall risk and tried to get out of bed.
A resident with a non-pressure wound to the left first toe had ordered wound care from the wound MD, including A+D ointment, gauze, and gauze roll daily and PRN. Surveyors observed the toe wound on multiple occasions with no treatment in place, and the TAR only showed check marks instead of the ordered wound parameters. The ADON said the order had been entered incorrectly, and the DON said the treatment orders should have been followed.
A resident with intact cognition, pressure injury risk, and an unstageable heel injury was observed in bed with both feet directly on the mattress and no device or pillow used to offload the feet. The care plan directed heels to be offloaded in bed, and the wound doctor recommended off-loading and aggressive offloading/repositioning for the left heel injury, but the physician orders did not include an offloading order. Nursing leadership stated the resident’s feet should be elevated in bed and the wound doctor’s recommendations and care plan should be followed.
Tube feeding formula was left open and undated for one resident, and another resident’s enteral feeding bag had no label or start date/time while the pump was running. The residents had feeding tubes and orders for scheduled enteral nutrition, and staff confirmed that tube feeding bags should be labeled and dated.
Medication Found on Hallway Floor: A large white pill was observed behind a broken radiator in the hallway on the B unit, outside a resident's room and easily accessible to residents on the unit. The nurse thought it may have been Atorvastatin but could not confirm, and the DON later stated that medication found on the hallway floor should be identified and destroyed.
A nurse administered Epinephrine instead of Glucagon to a resident with diabetes who was experiencing hypoglycemia and unable to take oral glucose. The error occurred after the nurse was unable to access the medication room and obtained emergency medications from another unit, mistakenly selecting the EpiPen despite reviewing Glucagon instructions. The resident did not have an order for Epinephrine, and the error was discovered the following day.
A nurse failed to clean and disinfect shared equipment, including a glucometer and a portable vital sign device, between resident uses. The glucometer was used in multiple rooms without cleaning, and the vital sign device lacked disinfectant wipes. The nurse acknowledged the oversight, and the Assistant Director of Nurses confirmed the requirement for cleaning shared equipment.
The facility failed to identify and minimize bed entrapment risks, particularly for a resident with dementia, where a significant gap was found between the headboard and mattress. The facility did not conduct routine inspections for 72 beds without side rails, leaving potential entrapment risks unaddressed. Staff interviews revealed a lack of policies for bed safety and entrapment prevention.
Two residents in the facility did not receive a dignified dining experience as staff members were observed standing over them while providing feeding assistance, contrary to the facility's policy. One resident with a traumatic brain injury and another with dementia were both in bed, and staff did not adjust the bed to be at eye level, as confirmed by the ADON.
The facility failed to implement a care plan for a resident by not keeping the call light within reach, as observed on multiple occasions. Additionally, the facility did not develop a care plan for another resident with a history of suicide attempts, despite documentation of this history. Interviews with staff revealed a lack of awareness and expected care planning for these issues.
A resident with diabetes did not receive insulin as ordered by the physician due to multiple instances of non-administration by the nursing staff. The resident's blood sugar levels, documented in September, indicated the need for insulin according to a sliding scale, but the required doses were not given. The facility's policy mandates that medications be administered as prescribed, which was not followed in this case.
The facility failed to provide necessary meal assistance to two residents with cognitive and physical impairments, despite care plans indicating the need for supervision and total assistance. Observations showed residents left alone with untouched meals, and staff interviews revealed inconsistencies in understanding residents' needs.
A facility failed to securely store medications, as a resident's prescribed lotion was repeatedly found on their roommate's bedside table. Despite the facility's policy requiring medications to be locked away, the lotion was left unattended. Nursing staff confirmed the resident did not self-administer medications, and the Assistant DON acknowledged the lapse in policy adherence.
A resident with moderate cognitive impairment and a cancer diagnosis reported ill-fitting dentures, but the facility failed to schedule or document follow-up dental care. Staff interviews revealed communication lapses, with a CNA not informing the nurse of the resident's complaints, and the nurse being unaware of any follow-up appointments. The ADON expected documentation of appointment refusals and implementation of dentist recommendations, highlighting a failure in ensuring necessary dental care.
Dialysis Resident’s Cardiac Medications Were Not Scheduled Around Treatment
Penalty
Summary
Provide safe, appropriate dialysis care/services for a resident who required such services was not met for Resident #95, who was admitted with diagnoses including acute on chronic diastolic heart failure, end stage renal disease, and benign prostate hypertrophy. The resident’s most recent MDS indicated cognitive intactness with a BIMS score of 14 out of 15 and that dialysis was required. The record showed the resident had a new dialysis schedule of Monday, Wednesday, and Friday, with dialysis ordered for 6:00 A.M. on those days. The facility failed to ensure nursing scheduled medications around the resident’s dialysis days. Physician orders showed metoprolol succinate ER 12.5 mg was to be given at 8:00 A.M. on Monday, Wednesday, Friday, and Sunday, and isosorbide mononitrate ER 15 mg was to be given daily at 8:00 A.M. The September 2025 MAR showed multiple instances when both medications were not administered and were documented as out of facility on dialysis days. The resident stated blood pressure sometimes dropped below 100 during dialysis and that blood pressure medications should not be given prior to dialysis. The NP stated the medications should be administered around the dialysis schedule, and the DON stated the cardiac medications were important and should be given around the dialysis schedule, noting nurses should have updated providers and obtained new orders aligned with the resident’s dialysis schedule.
Medication Administration Errors Exceeded 5 Percent
Penalty
Summary
The facility failed to ensure it was free from a medication error rate greater than 5%, with three nurses making four errors out of 25 observed medication administration opportunities for a 16% error rate. During observations and record review, Nurse #1 administered a standard multiple vitamin to Resident #70 even though the physician’s order was for one tablet of multiple vitamins with minerals, and she stated the correct product was not on her medication cart or available in the medication storage room. The DON stated nursing should have obtained the correct multiple vitamins. For Resident #46, Nurse #2 administered the incorrect form of aspirin by crushing and giving enteric coated aspirin when the order was for aspirin 81 mg chewable tablet, and she also crushed Carbidopa-Levodopa ER 50-200 mg despite the medication card stating, “HIGH ALERT, DO NOT CRUSH OR CHEW.” For Resident #34, Nurse #3 administered enoxaparin 40 mg intramuscularly into the right vastus lateralis muscle, holding the skin taut and injecting into the muscle, even though the physician’s order directed subcutaneous administration. Nurse #3 stated she should have given the injection subcutaneously into the abdomen, and the DON agreed that it should have been administered subcutaneously.
Improper Food Storage and Labeling in Kitchen
Penalty
Summary
The facility failed to properly follow food storage and food handling practices to prevent the risk of foodborne illness in accordance with professional standards for food service safety. Review of the facility policy titled Food and Supply Storage indicated that refrigerated time/temperature control for safety food prepared on site and held longer than 24 hours should be labeled with the common name, preparation date, and use-by date, and that food exceeding its use-by date or spoiled should be discarded. During the initial kitchen walkthrough, the surveyor observed a box of bell peppers with white and black spots resembling mold and soft to the touch, a box of three cucumbers covered in white spots resembling mold and shriveled and very soft to the touch, and a container of cantaloupe with a melon that had a dark black spot resembling mold and was very soft to the touch. The surveyor also observed a container labeled [NAME] Crackers with no packaged date or use-by date, a container of Chocolate Frosting with only one date of 9/20, an opened bag of shredded cheese with only one date of 9/16, three pre-poured jugs of what resembled juice with no labels or dates, and a container of Apple Sauce with a use-by date of 9/22. On re-visit, the mold-like produce and the improperly dated container of Chocolate Frosting were still present. The Foodservice Director stated that prepared and opened foods should be labeled with what they are and have two dates, and said the produce should have been discarded after observing it with the surveyor.
Failure to Obtain Proper Psychotropic Medication Consent
Penalty
Summary
The facility failed to obtain informed consent from the responsible party for one resident receiving psychotropic medications. Review of the facility policy on psychotropic medication stated that written informed consent from the resident or legally authorized individual is required before administration. The resident was admitted with diagnoses including dementia and psychotic disorder with delusions, and the MDS showed severe cognitive impairment with a Brief Interview for Mental Status score of 3 out of 15. Physician orders showed active prescriptions for Risperdal and Fluoxetine, but the psychotropic consent forms for both medications were signed by the resident rather than the resident’s health care proxy. The health care proxy had been invoked because the resident could no longer make his or her own decisions due to dementia, and the DON stated that the resident should not be signing medication consents when the proxy is invoked.
Failure to Assess Bed Bolsters as a Restraint
Penalty
Summary
The facility failed to ensure a resident was assessed for and free from restraints when Resident #84 had bolsters placed on both sides of the bed from the head to the foot of the bed to keep the resident in bed. Resident #84 was admitted in April 2025 with diagnoses including an unspecified fracture of the right humerus, type 2 diabetes mellitus, and Alzheimer's disease. The most recent MDS showed severe cognitive impairment, with a BIMS score of 1 out of 15, and the resident required substantial to maximum assistance with activities of daily living and partial to moderate assistance when transferring out of bed. Survey observations showed the bolsters in place under the resident's sheet while the resident was sleeping in bed and again while eating breakfast in bed, and later the bolsters were found beside the bed on top of fall mats. The physician's orders did not include an order for bed bolsters, and the care plan identified only a scoop mattress requested by the family, not bed bolsters. The medical record did not show an assessment for the use of any restraint, including bed bolsters or the scoop mattress. Staff interviews indicated the bolsters were used because the resident was a fall risk and tried to get out of bed, and the ADON and DON stated a restraint assessment should have been completed before the bolsters were used.
Failure to Implement Ordered Wound Treatment and Document Parameters
Penalty
Summary
The facility failed to ensure treatment orders were implemented as written for a resident with a non-pressure wound of the left first toe. The resident was admitted in July 2025 with diagnoses including a left femur fracture and COPD, had intact cognition with a BIMS score of 15 out of 15, and was assessed as being at risk for pressure ulcers/injuries with unhealed skin issues. A wound evaluation by the wound doctor on 9/23/25 identified a non-pressure wound of the left first toe with trauma/injury as the etiology and ordered A+D ointment, gauze sponge, and gauze roll dressing daily and as needed for 30 days. Survey observations on 9/24/25, 9/25/25, and 9/26/25 showed the resident in bed with the left foot visible and a scabbed, open area about the size of a dime on the left first toe, with no treatment in place. The physician's order for the left first toe also required documentation of wound parameters and change every shift, but the September 2025 Treatment Administration Record only showed check marks and did not document the ordered parameters. During interview, the ADON stated the wound doctor’s treatment should have been implemented and said the order had been entered incorrectly, leaving no place for staff to document wound progress. The DON stated the treatment orders should be followed and the order needed to be updated so treatment parameters could be documented.
Failure to Offload Heels for Resident with Pressure Injury
Penalty
Summary
The facility failed to follow the wound doctor’s recommendations and the resident’s plan of care for pressure ulcer management for Resident #110. The resident was admitted in July 2025 with diagnoses including a left femur fracture and chronic obstructive pulmonary disease. The most recent MDS indicated intact cognition with a BIMS score of 15 out of 15, risk for pressure ulcer/injury development, existing unhealed pressure ulcers/injuries including one unstageable pressure ulcer, and a need for staff assistance with all activities of daily living. Observations on 9/24/25 and 9/25/25 showed the resident lying in bed with both feet directly on the mattress, with no pillow or device present to offload the feet, while the right foot was wrapped in a bandage. The care plan dated 7/17/25 directed staff to follow MD orders for skin care and treatments and to keep heels offloaded when in bed. The Norton Scale dated 9/23/25 identified the resident as at risk for pressure ulcers, and the wound doctor’s 9/23/25 evaluation documented an unstageable deep tissue injury with an etiology of pressure on the left heel and recommended off-loading and aggressive offloading/repositioning. The physician’s orders did not include an order for the resident to offload the feet. During interviews, Nurse #1, the ADON, and the DON stated the resident’s feet should be elevated in bed and the wound doctor’s recommendations and care plan should be followed.
Tube Feeding Formula Left Unlabeled and Undated
Penalty
Summary
Enteral nutrition via gastrostomy tube was not provided according to professional standards for two residents because tube feeding formula was left open without being labeled or dated. One resident was admitted with diagnoses including cerebral infarction, diabetes, and dysphagia, and the most recent MDS showed the resident was cognitively intact, did not eat, had a feeding tube in place, and required tube feeding. On observation, an open bottle of tube feeding was seen without a date, and the surveyor later observed a nurse administer tube feeding from that opened, undated bottle at the bedside. The physician’s order directed bolus Glucerna 1.2 five times daily. A second resident was admitted with diagnoses including acute and chronic respiratory failure with hypoxia, dysphagia, and hemiplegia/hemiparesis, and the MDS indicated severe cognitive impairment, tube feeding therapy, and dependence on staff for all ADLs. The surveyor observed the resident receiving enteral nutrition with the pump running, but the tube feeding bag had no identification of the formula or the date and time it was started. The resident’s orders included Nutren 2.0 at 35 ml/hr for 18 hours daily and free water flushes every hour during the feeding period. Staff interviews confirmed that tube feeding bags should be labeled and dated, and the DON stated all tube feeding bags need to be labeled and dated so staff know what the solution is and when it was hung.
Medication Found on Hallway Floor
Penalty
Summary
The facility failed to properly store and dispose of medication on one unit when a large white pill was found on the floor behind a broken radiator in the hallway on the B unit. During observation on 9/24/25 at 8:55 A.M., the pill was located outside the door to one resident's room and was easily accessible to residents wandering on the unit. The surveyor notified the nurse on the unit, who said the medication looked like Atorvastatin, but she could not be positive it was that medication. The nurse stated she would dispose of the medication immediately. During an interview on 9/26/25 at 10:09 A.M., the DON said that if a medication is found on the floor in the hallway, the nurse should try to identify where the pill came from and then destroy it, and that there should not be a medication on the floor in the hallway.
Medication Error: Epinephrine Administered Instead of Glucagon
Penalty
Summary
A significant medication error occurred when a nurse administered Epinephrine instead of Glucagon to a resident who was experiencing hypoglycemia. The resident, who had a history of diabetes, hypertension, and a recent femur fracture, was found to have a low blood glucose level of 59 mg/dl and was unable to take oral glucose. The nurse, after being unable to access the medication room on her unit, obtained emergency medications from another unit. She was handed both Glucagon and an EpiPen by another nurse, and despite reading the instructions for Glucagon, mistakenly administered the EpiPen. The nurse did not realize the error until the following day when informed by the facility administrator. The facility's medication administration policy required staff to verify the right resident, medication, dosage, time, and route before administration. The resident did not have a physician's order for Epinephrine, only for Glucagon to be given intramuscularly for blood sugar less than 70 mg/dl if unresponsive or unable to swallow. The error was identified through review of records and staff interviews, and the Director of Nursing confirmed that the nurse failed to ensure the correct medication was administered.
Infection Control Breach in Equipment Cleaning
Penalty
Summary
The facility failed to adhere to infection control standards during the cleaning of shared resident equipment, specifically the glucometer and portable vital sign device. During a medication observation on the Dolphin Lane unit, a surveyor noted that a nurse did not clean or disinfect the glucometer between uses as it was carried in and out of multiple residents' rooms. The glucometer, a handheld device used to measure blood glucose levels, was not cleaned between each resident use or before being returned to the medication cart. Additionally, the same nurse did not clean the portable vital sign device between uses. This device, which measures pulse, blood pressure, temperature, and oxygen saturation, was observed being wheeled in and out of residents' rooms without being disinfected. The portable device also lacked the necessary cleaners or disinfectant wipes on its bracket shelf. During interviews, the nurse admitted to not disinfecting the equipment, and the Assistant Director of Nurses confirmed that shared equipment should be cleaned before use with another resident.
Failure to Identify and Minimize Bed Entrapment Risks
Penalty
Summary
The facility failed to identify and minimize areas of possible entrapment in resident beds, specifically for one resident and across multiple beds. For one resident, who was admitted with dementia and adult failure to thrive, a significant gap was observed between the headboard and mattress, which was wide enough to allow a human head to become entrapped. This gap was identified in Zone 7, as defined by the FDA's guidance on bed entrapment zones. The Maintenance Director confirmed that the bed had never been measured for entrapment risk, and the facility's Entrapment Log did not indicate any measurements had been taken for this resident's bed. The facility also failed to conduct routine inspections of all bed frames and mattresses to identify possible areas of entrapment for 72 resident beds. The Maintenance Director admitted that inspections were only conducted on beds with side rails, leaving beds without side rails uninspected for potential entrapment risks, particularly in Zone 7. The facility lacked a process to inspect, monitor, or identify possible entrapment for beds without side rails, and the Entrapment Log did not show any measurements for these beds since 2019. Interviews with various staff members, including the Maintenance Director, Nurse, Assistant Director of Nursing, Administrator, and Director of Clinical Operations, revealed a lack of policies related to bed inspections, bed safety, or entrapment. Staff acknowledged that there should never be a gap wide enough to fit a human head between the head or footboard and the mattress end, but they were unable to provide information on how the facility ensured bed gaps were identified and minimized for all beds. The facility's failure to monitor and address these gaps was evident, as no policies or procedures were in place to prevent such deficiencies.
Failure to Provide Dignified Dining Experience
Penalty
Summary
The facility failed to provide a dignified dining experience for two residents, as observed by surveyors. Resident #1, who was admitted with a traumatic brain injury and has impaired upper extremity range of motion, was observed on two separate occasions receiving feeding assistance from a staff member who was standing over the resident. The resident was in bed, and the staff member did not adjust the bed to ensure they were at eye level with the resident, which is contrary to the facility's policy on resident rights. Similarly, Resident #34, who has a diagnosis of dementia and moderate cognitive impairment, was also observed receiving feeding assistance in a manner that did not respect their dignity. The staff member was standing over the resident while providing assistance, without raising the bed to be at eye level. The Assistant Director of Nursing confirmed that staff should be at eye level with residents during feeding assistance, indicating a failure to adhere to the facility's policy on treating residents with dignity and respect.
Failure to Implement and Develop Care Plans for Residents
Penalty
Summary
The facility failed to implement the care plan for a resident who was admitted with diagnoses of weakness and unsteadiness on feet. The care plan, dated December 2021, included an intervention to keep the call light within reach. However, observations on multiple occasions revealed that the call light was draped over the overbed light and out of the resident's reach. Interviews with the Assistant Director of Nursing and the Administrator confirmed that call lights should be within reach at all times, indicating a failure to adhere to the care plan. Additionally, the facility did not develop a care plan for another resident with a history of suicide attempts, despite this being documented in a behavioral health group note. The resident, admitted with diagnoses including cancer, manic depression, and schizophrenia, had a documented history of jumping out of a window in a nursing home. Interviews with a nurse, the social worker, and the Assistant Director of Nursing revealed that they were unaware of the resident's history and expected a care plan to be developed to address this issue, highlighting a lapse in communication and care planning.
Failure to Administer Insulin as Ordered
Penalty
Summary
The facility failed to ensure that medications were administered as ordered for a resident with diabetes, leading to a deficiency in medication administration. The resident, who was admitted in April 2024, had severe cognitive impairment and required assistance with daily activities. The physician's orders specified a sliding scale for insulin administration based on the resident's blood sugar levels. However, the Medication Administration Record for September 2024 showed multiple instances where the resident's blood sugar levels warranted insulin administration, but no insulin was documented as given. Specifically, on several occasions, the resident's blood sugar levels were recorded, but the corresponding insulin doses were not administered as per the sliding scale order. For example, on 9/3/24, the resident had a blood sugar level of 200, but no insulin was documented. Similar omissions occurred on 9/8/24, 9/13/24, and 9/22/24, where the resident's blood sugar levels indicated the need for insulin, yet no insulin was administered. Additionally, on 9/9/24 and 9/29/24, there were no blood sugar levels or insulin administration documented. During an interview, the Assistant Director of Nursing and the Administrator acknowledged that medications should be administered according to the physician's orders.
Failure to Assist Residents with Meals
Penalty
Summary
The facility failed to provide necessary assistance with meals for two residents, leading to deficiencies in care. Resident #21, who was admitted with conditions such as cerebral infarction, malnutrition, and dysphagia, required supervision or assistance with eating. Observations revealed that Resident #21 was left alone with meal trays, often with eyes closed and food untouched, without staff supervision or assistance. Despite the care plan indicating the need for supervision, staff interviews confirmed that Resident #21 was not consistently monitored during meals. Similarly, Resident #59, diagnosed with dementia and malnutrition, was observed without the required assistance during meals. The care plan specified total assistance with eating, yet Resident #59 was left alone with meal trays, and staff were not present to provide necessary help. Family members reported having to assist with meals due to the lack of staff support. Staff interviews showed a misunderstanding of Resident #59's needs, with some CNAs incorrectly stating that the resident did not require assistance. The Assistant Director of Nursing and the Administrator acknowledged that care plans should be followed, and staff should be present to cue residents during meals. However, the observations and interviews indicated a failure to adhere to these care plans, resulting in inadequate assistance for residents who were unable to eat independently.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored in a safe and secure manner, specifically for a resident who had moderately intact cognition. The resident was prescribed Ammonium Lactate 12% lotion to be applied to their feet every evening. However, the lotion was repeatedly observed by a surveyor on the bedside table of the resident's roommate, indicating it was left unattended and not stored securely as required by the facility's policy. The facility's policy mandates that medications, including those for external use, should be stored separately and securely, and not left in residents' rooms. Despite this, the lotion was observed on multiple occasions over two days on the roommate's bedside table. Interviews with nursing staff confirmed that the resident did not self-administer medications, and the nursing staff were responsible for administering the lotion. The Assistant Director of Nursing acknowledged that all medications should be locked in the medication or treatment carts, highlighting a lapse in adherence to the facility's medication storage policy.
Failure to Provide Routine and Emergency Dental Care
Penalty
Summary
The facility failed to provide routine and 24-hour emergency dental care for a resident who had voiced concerns about ill-fitting dentures. The resident, who was admitted with a diagnosis including cancer and had moderate cognitive impairment, reported that their dentures did not fit well and expressed a desire to have them adjusted. Despite the resident's complaints, the facility did not schedule or document any follow-up dental appointments after the initial visit where the dentures were provided, and recommendations for follow-up appointments were made. Interviews with staff revealed a breakdown in communication and follow-through regarding the resident's dental care needs. A CNA acknowledged being aware of the resident's complaints but did not inform the nurse, assuming the nurse was already aware. The nurse, however, was not informed of the resident's issues with the dentures and was unaware of any scheduled follow-up appointments. The Assistant Director of Nursing expected that any refusal of dental appointments would be documented and that the dentist's recommendations would be implemented, indicating a failure in the facility's processes to ensure the resident received necessary dental care.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,284 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Malden
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regalcare At Glen Ridge | 1.4 mi | ★★★★★ | 35 | 0 |
| Rehabilitation & Nursing Center At Everett (the) | 1.6 mi | ★★★★★ | 0 | 0 |
| The Massachusetts Veterans Home At Chelsea | 2.1 mi | ★★★★★ | 3 | 0 |
| Leonard Florence Center For Living | 2.2 mi | ★★★★★ | 2 | 0 |
| Katzman Family Center For Living | 2.3 mi | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Dexter House Healthcare.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.