Dexter House Healthcare
DEXTER HOUSE HEALTHCARE in MALDEN, MA — inspection on September 2, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
error until the following day, when the Administrator called her.
During an interview on 09/02/25 at 01:52 P.M., The Director of Nurses (DON) said Nurse #1 should have ensured she administered the correct medication but did not.On 09/02/25, the Facility was found to be in Past Non-Compliance and presented the Surveyor with a plan of correction, with an effective date of 08/09/25, which addressed the area(s) of concern as evidenced by:A. 08/08/25, Resident #2 was readmitted to the Facility and had no ill effects as a result of the medication error that occurred on 08/07/25.B. 08/08/25, The ADON conducted a medication administration skills observation with Nurse #1.C. 08/08/25, The Ad-Hoc Quality Assurance Performance Improvement Action Plan indicated the Facility Leadership developed a plan to correct the deficient practice and ensure that residents were free from significant medication errors.D. 08/08/25, The DON and ADON educated all licensed staff on medication administration best practices, with focus on the Emergency Supply Kit review.E. 08/08/25, The DON and ADON began random medication pass observations with licensed staff.F.
The DON and/or ADON will conduct ongoing weekly medication pass observations for four weeks.G.
Results of the weekly medication pass observations will be reviewed at QAPI by the DON and/or ADON.H.
The DON and/or ADON will continue to conduct annual and PRN medication competencies for all licensed staff.I.
The DON/designee are responsible for overall compliance.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.