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Complaint Investigation

Dexter House Healthcare

Inspection Date: September 2, 2025
Total Violations 1
Facility ID 225137
Location MALDEN, MA
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Inspection Findings

F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

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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📋 Inspection Summary

DEXTER HOUSE HEALTHCARE in MALDEN, MA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MALDEN, MA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from DEXTER HOUSE HEALTHCARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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