THE CENTER AT ADVOCATE
THE CENTER AT ADVOCATE is a 190-bed nursing home in EAST BOSTON, Massachusetts. CMS has certified it for Medicare and Medicaid since 1990-07-01. It averages 157.8 residents a day.
What harm was found in the violations cited at THE CENTER AT ADVOCATE?
CMS lists 66 health-inspection deficiencies for THE CENTER AT ADVOCATE since 2023-04-26, 46 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-12-19.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-19 | F0561, F0658, F0880 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program. | D |
| 2025-06-05 | F0585, F0656, F0658, F0677, F0686, F0699, F0761, F0842 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide care or services that was trauma informed and/or culturally competent. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-04-23 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-04-23 | F0553, F0558, F0700, F0760, F0842 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Reasonably accommodate the needs and preferences of each resident. / 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. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-11-04 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-06-10 | F0740, F0742, F0835 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide 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. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J |
| 2024-06-10 | F0688, F0745 | 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. / Provide medically-related social services to help each resident achieve the highest possible quality of life. | G |
| 2024-06-10 | F0730, F0882 | Observe each nurse aide's job performance and give regular training. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2024-06-10 | F0656, F0726, F0761, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / 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. / Provide and implement an infection prevention and control program. | E |
| 2024-06-10 | F0550, F0584, F0607, F0609, F0645, F0657, F0677, F0689, F0690, F0698, F0699, F0759, F0760, F0805, F0838, F0842, F0919 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Conduct 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2023-04-26 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-04-26 | F0607, F0609, F0812 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-04-26 | F0552, F0580, F0600, F0610, F0656, F0677, F0684, F0685, F0690, F0695, F0697, F0757, F0791, F0808 | Ensure that residents are fully informed and understand their health status, care and treatments. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide or obtain dental services for each resident. / Ensure 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. | D |
| 2023-04-26 | F0623, F0625 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify 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. | B |
Why was THE CENTER AT ADVOCATE fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-04-23 | Fine | $15,316 |
| 2024-06-10 | Fine | $53,684 |
How is THE CENTER AT ADVOCATE staffed relative to the MA average?
| Measure | This facility | MA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.28009 | 3.86193 |
| Total nursing staff turnover (%) | 41.5 | 38.2 |
| Average number of residents per day | 157.8 | 98.5 |
Who owns THE CENTER AT ADVOCATE?
THE CENTER AT ADVOCATE is registered with CMS as For profit - Limited Liability company, operates under the legal business name THE CENTER AT ADVOCATE LLC.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | MA 1 HOLDCO OPCO LLC | since 03/01/2025 |
| INDIRECT OWNERSHIP INTEREST | ADVOCATE OPCO TRUST, BRASS MA TRUST, BSD ELM TRUST, OFG MAGENTA LLC, SUPPORT OPCO DESCENDANTS TRUST, TJA HC HOLDINGS LLC, APFELBAUM, NAFTALI, GELBWACHS, GITTELL, RABINOWITZ, DEVORAH, SALZMAN, DAVID | since 03/01/2025 |
| 5% OR GREATER MORTGAGE INTEREST | NBH BANK | since 03/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | CARE NETWORK SERVICES LLC, APFELBAUM, NAFTALI, NEVILLE, ANNE | since 03/01/2025 |
| ADP OF THE SNF | 111 ORIENT PROPCO LLC, ASMA 1 LLC, BH 1 MA LLC, CARE NETWORK SERVICES LLC, TWOMAGNETS LLC, APFELBAUM, NAFTALI, GELBWACHS, GITTELL, LIKHI, RISHI, NEVILLE, ANNE, RABINOWITZ, DEVORAH | since 03/01/2025 |
Were you or a family member harmed at THE CENTER AT ADVOCATE?