Starfile

Starfile / Massachusetts

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.

CycleInspection dateThis facilityMassachusetts avgNational avgvs state
12025-06-05178.99.5+8.1 worse
22024-06-102910.09.8+19.0 worse
32023-04-262012.79.3+7.3 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care5
Resident assessment and care planning5
Resident rights4
Pharmacy service2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.3044.2%
RN staffing (reported)0.3955.0%
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

  1. 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

  2. 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

  3. DF0880Provide and implement an infection prevention and control program.2025-12-19 · Health · corrected 2026-02-11

    Potential for more than minimal harm

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-23 · Health · corrected 2025-05-21

    Potential for more than minimal harm

  14. 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

  15. 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

  16. DF0760Ensure that residents are free from significant medication errors.2025-04-23 · Health · corrected 2025-03-29

    Potential for more than minimal harm

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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

  23. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-06-10 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

  31. 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

  32. 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

  33. 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

  34. 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

  35. 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

  36. 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

  37. DF0759Ensure medication error rates are not 5 percent or greater.2024-06-10 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  38. DF0760Ensure that residents are free from significant medication errors.2024-06-10 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  39. 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

  40. 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

  41. 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

  42. 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

  43. 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

  44. EF0880Provide and implement an infection prevention and control program.2024-06-10 · Health · corrected 2024-06-27

    Potential for more than minimal harm

  45. 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

  46. 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

  47. 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

  48. 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

  49. 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

  50. 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

  51. 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

  52. DF0610Respond appropriately to all alleged violations.2023-04-26 · Health · corrected 2023-05-22

    Potential for more than minimal harm

  53. 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

  54. 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

  55. 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

  56. 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

  57. 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

  58. 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

  59. 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

  60. 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

  61. 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

  62. 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

  63. 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

  64. DF0791Provide or obtain dental services for each resident.2023-04-26 · Health · corrected 2023-05-22

    Potential for more than minimal harm

  65. 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

  66. 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

OwnerTypeRolePercentSince
CARE NETWORK SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2025-03-01
APFELBAUM, NAFTALIIndividualOPERATIONAL/MANAGERIAL CONTROL2025-03-01
NEVILLE, ANNEIndividualOPERATIONAL/MANAGERIAL CONTROL2025-03-05
NBH BANKOrganization5% OR GREATER MORTGAGE INTEREST2025-03-01

Other facilities in EAST BOSTON

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.