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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeMassachusettsThe Center at Advocate

The Center at Advocate

111 Orient Avenue, East Boston, MA 021286175692100
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
2/5
Beds
190
certified
3 fine(s) totaling $84,593

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 190 certified beds with an average of 160.2 residents per day (84% occupancy)

• Last health inspection found 17 deficiencies (inspected Jun 5, 2025)

• Has been fined a total of $84,593 across 3 fine(s)

• Total nursing staff: 3.30 hours per resident per day

• Staff turnover rate: 44.2%

The Center at Advocate is a 1-star Medicare and Medicaid certified nursing home in East Boston, Massachusetts with 190 certified beds. It has been operating since 1990. The facility scored below average compared to Massachusetts facilities.

Beds
190
Avg Residents/Day
160.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 1, 1990
Sprinklers
Yes
Council
Resident
County
Suffolk
Last Inspection
Jun 5, 2025
Deficiencies (Cycle 1)
17
Weighted Score
150.8
Infection Citations
0

Deficiency Citations (66)

F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 19, 2025Corrected: NoCycle: 1
F0553Potential for Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: Apr 23, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Apr 23, 2025Corrected: NoCycle: 1
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 23, 2025Corrected: NoCycle: 1
F0700Potential for Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey: Apr 23, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Apr 23, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Apr 23, 2025Corrected: NoCycle: 1
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Jun 5, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jun 5, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Jun 5, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jun 5, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Jun 5, 2025Corrected: NoCycle: 1
F0699Potential for Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey: Jun 5, 2025Corrected: NoCycle: 1
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Jun 5, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jun 5, 2025Corrected: NoCycle: 1
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Nov 4, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jun 10, 2024Corrected: NoCycle: 2
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Jun 10, 2024Corrected: NoCycle: 2
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jun 10, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jun 10, 2024Corrected: NoCycle: 2
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Jun 10, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jun 10, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jun 10, 2024Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jun 10, 2024Corrected: NoCycle: 2
F0688Actual Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Jun 10, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 10, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Jun 10, 2024Corrected: NoCycle: 2
F0698Potential for Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey: Jun 10, 2024Corrected: NoCycle: 2

+ 36 more deficiencies

Total Fines
$84,593
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineApr 23, 2025
$15,316
FineApr 26, 2023
$15,593
FineJun 10, 2024
$53,684

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.00 hrs
National avg: 2.35 hrs
LPN0.90 hrs
National avg: 0.86 hrs
RN0.39 hrs
National avg: 0.68 hrs
Total Nursing3.30 hrs
National avg: 3.89 hrs
Weekend Total2.96 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
44.2%
RN Turnover
55.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
CARE NETWORK SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 1, 2025
APFELBAUM, NAFTALIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
NEVILLE, ANNEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 5, 2025
NBH BANK5% OR GREATER MORTGAGE INTERESTOrganizationN/AMar 1, 2025

Frequently Asked Questions

What is the CMS rating for The Center at Advocate?▾
The Center at Advocate has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
Has The Center at Advocate had any health inspection violations?▾
The Center at Advocate had 17 deficiency citations in its most recent health inspection (Jun 5, 2025). The facility has been fined a total of $84,593 across 3 fine(s).
What are the staffing levels at The Center at Advocate?▾
The Center at Advocate provides 3.30 total nursing staff hours per resident per day, including 0.39 RN hours, 0.90 LPN hours, and 2.00 nurse aide hours. The total staff turnover rate is 44.2%.
How many beds does The Center at Advocate have?▾
The Center at Advocate has 190 certified beds with an average of 160.2 residents per day, resulting in approximately 84% occupancy. The facility is For profit - Limited Liability company owned.