Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Memory Lane Of Dexter during CMS and state inspections, most recent first.
The facility failed to maintain sanitary conditions in food storage and distribution, with multiple expired food items and improperly stored goods found in the kitchen. Observations revealed unsanitary conditions, including sticky residues and food crumbs. Interviews with the Dietary Manager and Administrator confirmed that expired foods were not discarded as expected, and cleaning was not completed as required.
The facility failed to attempt gradual dose reductions (GDR) for four residents prescribed psychotropic medications, as required by their policy. These residents, with various diagnoses including dementia and psychosis, were on medications such as quetiapine and risperidone. There was no documentation of GDR attempts or contraindications. Interviews with staff revealed that GDRs were expected quarterly, but the facility did not adhere to its policy, resulting in the deficiency.
The facility exceeded the acceptable medication error rate, reaching 6.9%, due to improper insulin administration. Two residents were affected when a CMT failed to prime insulin pens before injections, contrary to facility policy. The CMT misunderstood the priming instructions, which were clarified by the Administrator and DON.
The facility failed to maintain an effective pest control program, with numerous gnats observed in the dry goods storage room, including on food items and the floor. Staff attempted to address the issue by pouring a mixture down the drain, and the pest control company sprayed the area, but the infestation persisted.
Unsanitary Food Storage and Expired Items in Kitchen
Penalty
Summary
The facility failed to store and distribute food under sanitary conditions, which increased the risk of cross-contamination and food-borne illness for all residents served from the kitchen. Observations revealed multiple expired food items in the dry goods storage room, including prune juice, beef base, and pudding mixes. Additionally, there were opened and unsealed packages of graham cracker crumbs, puree bread mix, panko bread crumbs, and various gravy mixes, all of which were improperly stored. The kitchen also contained expired chocolate milk and cottage cheese. The presence of onion peelings, sticky residues, and food crumbs further indicated unsanitary conditions. Interviews with the Dietary Manager (DM) and the Administrator confirmed that expired foods were not discarded as expected, and the cleaning of the dry goods storage room was not completed as required. The DM acknowledged inheriting some expired food items upon taking over the role and stated that these items had not been used but would be discarded. The Administrator expressed the expectation that expired food items should be disposed of on or before their expiration dates.
Failure to Attempt Gradual Dose Reductions for Psychotropic Medications
Penalty
Summary
The facility failed to attempt gradual dose reductions (GDR) for four residents who were prescribed psychotropic medications, as required by their policy. The policy mandates that GDRs and non-pharmacological interventions be attempted unless clinically contraindicated. However, for Residents #2, #3, #30, and #33, there was no documentation of attempted GDRs or contraindications for their medications, which included quetiapine, mirtazapine, and risperidone. Resident #2 had diagnoses including unspecified dementia, psychotic disturbance, Alzheimer's disease, and major depressive disorder, with prescriptions for quetiapine and mirtazapine. Resident #3 was diagnosed with unspecified dementia, psychosis, and anxiety, and was prescribed risperidone. Resident #30 had Alzheimer's disease and hallucinations, with a prescription for quetiapine. Resident #33 had unspecified psychosis and Alzheimer's disease, with multiple prescriptions for quetiapine. In all cases, there was no evidence of GDR attempts or documented contraindications. Interviews with facility staff, including the pharmacist and the Administrator, revealed that GDRs were expected to be conducted quarterly, with the last review in October 2024. The pharmacist indicated that they work closely with the facility psychiatrist on medication dosing. Despite these expectations, the facility did not adhere to its policy, resulting in the deficiency noted by surveyors.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent during medication administration, resulting in an error rate of 6.9%. This deficiency affected two residents out of a sample of two. The errors were related to the administration of insulin using pen-type devices, where the Certified Medication Technician (CMT) did not prime the insulin pens before administering the medication. This step is crucial as it ensures the pen is working correctly and the correct dose is delivered. Resident #30 was administered seven units of insulin lispro for a blood sugar level of 280 without priming the pen, as per the physician's order. Similarly, Resident #267 received eight units of Fiasp for a blood sugar level of 311 without the pen being primed. The CMT involved stated that they were instructed to prime the pen only when first opened, not before each injection. The facility's Administrator and Director of Nursing later confirmed that they expected staff to prime the insulin pen before each injection, indicating a lapse in adherence to the facility's medication administration policy.
Inadequate Pest Control in Food Storage Area
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by the presence of numerous gnats in the dry goods storage room. Observations on two separate occasions revealed multiple gnats crawling and flying around the storage area, including on the floor, above onions stored in an open plastic bin, and on various food items such as plastic resealable bags of pasta, a plastic bag containing angel food cake, and a loaf of sandwich bread. Additionally, a 25-pound box of powdered sugar was found with its lid and inner plastic bag open, attracting gnats. Dead gnats were also observed on the floor in front of a crate holding a plastic tote containing a bag of hushpuppy mix. Interviews with facility staff indicated a lack of effective measures to address the gnat infestation. The Dietary Manager mentioned that they had attempted to eliminate the gnats by pouring a mixture of cider vinegar and dishwashing liquid down the floor drain, suspecting it as the source of the gnats. The Administrator expressed an expectation for the kitchen and food storage areas to be pest-free and noted that the pest control company had visited the facility to spray for gnats. However, the ongoing presence of gnats suggests that the facility's pest control measures were inadequate at the time of the survey.
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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.
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Nursing homes near Dexter
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cypress Point-skilled Nursing By Americare | 0.4 mi | ★★★★★ | 7 | 0 |
| Crowley Ridge Care Center | 1.6 mi | ★★★★★ | 0 | 0 |
| Prairie View Skilled Nursing | 6.9 mi | ★★★★★ | 0 | 0 |
| Winchester Nursing Center, Inc | 8.4 mi | ★★★★★ | 0 | 0 |
| Aspire Senior Living Malden | 14.9 mi | ★★★★★ | 0 | 0 |
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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.