THE CENTER AT ADVOCATE
111 ORIENT AVENUE, EAST BOSTON, MA 02128 · CCN 225413
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 190
- Avg residents/day
- 160.2
- Phone
- 6175692100
Inspection history vs Massachusetts & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Massachusetts avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-05 | 17 | 8.9 | 9.5 | +8.1 worse |
| 2 | 2024-06-10 | 29 | 10.0 | 9.8 | +19.0 worse |
| 3 | 2023-04-26 | 20 | 12.7 | 9.3 | +7.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 5 |
| Resident assessment and care planning | 5 |
| Resident rights | 4 |
| Pharmacy service | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.30 | 44.2% |
| RN staffing (reported) | 0.39 | 55.0% |
| Total nurse staffing (adjusted) | 3.35 | — |
Fines & penalties
- Total fines
- $84,593
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Inspection citations (66)3 immediate jeopardy4 actual harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-12-19 · Health · corrected 2025-11-21
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-19 · Health · corrected 2026-02-11
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-12-19 · Health · corrected 2026-02-11
Potential for more than minimal harm
- DF0585Honor 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.2025-06-05 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-05 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-06-05 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-05 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-05 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2025-06-05 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0761Ensure 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.2025-06-05 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-06-05 · Health · corrected 2025-06-30
Potential for more than minimal harm
- DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-04-23 · Health · corrected 2025-05-21
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-23 · Health · corrected 2025-05-21
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-23 · Health · corrected 2025-05-21
Actual harm
- DF0700Try 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.2025-04-23 · Health · corrected 2025-05-21
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-04-23 · Health · corrected 2025-03-29
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-23 · Health · corrected 2025-05-21
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-04 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0584Honor 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.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- GF0688Provide 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.2024-06-10 · Health · corrected 2024-06-27
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- FF0730Observe each nurse aide's job performance and give regular training.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- JF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-06-10 · Health · corrected 2024-06-27
Immediate jeopardy
- JF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2024-06-10 · Health · corrected 2024-06-27
Immediate jeopardy
- GF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-06-10 · Health · corrected 2024-06-27
Actual harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- EF0761Ensure 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.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- JF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-06-10 · Health · corrected 2024-06-27
Immediate jeopardy
- DF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-06-10 · Health · corrected 2024-06-27
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-04-26 · Health · corrected 2023-05-22
Potential for minimal harm
- BF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2023-04-26 · Health · corrected 2023-05-22
Potential for minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-26 · Health · corrected 2023-05-22
Actual harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-04-26 · Health · corrected 2023-05-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CARE NETWORK SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 |
| APFELBAUM, NAFTALI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 |
| NEVILLE, ANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-05 |
| NBH BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2025-03-01 |
Other facilities in EAST BOSTON
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.