Dexter House Healthcare

In the surveyor’s words

From the most serious findings on record at Dexter House Healthcare, in the surveyor’s own words.

• Actual harm, isolatedF692Sep 15, 2022

  Based on observation, interviews and record review, the facility failed to identify and address a significant weight loss for 1 Resident (#23) and a significant weight gain for 1 Resident (#21) out of a total sample of 22 Residents. Findings include: Review of the facility policy titled Weight measurement revised May 2018 indicated the following: *All residents with significant weight changes will have verification of weight measurement for accuracy and documentation purposes. […]

• No harm, potential for more than minimal, widespreadF908Sep 28, 2023

  Based on interview and observation, the facility failed to ensure its laundry room dryer drums, which processed all of the Facility residents' clothing and linens, were free of debris and maintained in safe operating condition, for two of two functioning dryers. Findings include: On 9/28/23 at 8:45 A.M., the surveyor observed three dryers, located in the laundry room. The center of the interior drums of Dryer #1 and Dryer #3 were scorched and covered in debris and what appeared to be melted plastic. During an interview with the Director of Laundry Services on 9/28/23 at 8:46 A.M., he said the facility only had two functioning dryers (Dryer #1 and Dryer #3). The Director of Laundry Services said Dryer #2 was not functioning because it needed replacement parts. […]

• No harm, potential for more than minimal, widespreadF812Sep 15, 2022

  Based upon observation and interview the facility failed to ensure (1) supplies used in food preparation were stored properly (2) food was stored properly in the refrigerator and (3) staff handled food properly to prevent contamination, while preparing breakfast for the entire facility. Findings include: The facility policy titled Food and Supply Storage, revised 6/2018, indicated that food, non food items and supplies used in food preparation and service shall be stored in such a manner as to maintain safety and sanitation of the food or supply for human consumption as outlines in the Federal Drug Administration Food Code, state regulations, and city/county health code. […]

• No harm, potential for more than minimal, patternF698Sep 26, 2025

  Based on record review, and interviews, the facility failed to provide care and services consistent with professional standards of practice for one Resident (#95) who required renal dialysis (a life sustaining treatment that helps the body remove extra fluids and waste products from the blood when the kidneys are not able to) out of a total sample of 25 residents. Specifically, for Resident #95 the facility failed to ensure nursing scheduled medications around his/her dialysis days. Findings include: Review of the facility policy titled, End Stage Renal Disease, dated as revised July 2023, indicated the facility assures that each resident receives care and services for provision of hemodialysis and/or peritoneal dialysis consistent with professional standards of practice. […]

• No harm, potential for more than minimal, patternF759Sep 26, 2025

  Based on observations, interviews, and record reviews for three Residents (#70, #46, and #34) out of five residents observed, the facility failed to ensure it was free from a medication error rate of greater than 5%. Three out of four nurses observed made four errors out of 25 opportunities resulting in a medication error rate of 16%. Specifically,a.) For Resident #70, Nurse #1 administered the incorrect form of multiple vitamin.b.) For Resident #46, Nurse #2 administered the incorrect form of aspirin, and she did not follow manufacture's recommendations and crushed a medication that indicated do not crush. […]