The Center at Advocate
Nursing Home · East Boston, MA
CMS certification number225413
Contact & location
111 Orient AvenueEast Boston, MA 02128
Suffolk County
- Phone
- (617) 455-6115
- ZIP code
- 02128 – all care providers
Facility details
- Certified beds
- 190
- Residents per day
- 157.8 (83% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- The Center at Advocate LLC
- Medicare certified since
- July 1, 1990
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.28 (state 3.86 · U.S. 3.86)
- Registered nurses (RN)
- 0.38 (state 0.65 · U.S. 0.69)
- Licensed practical nurses
- 0.99 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.90 (state 2.26 · U.S. 2.32)
- Weekend total
- 2.95 (state 3.48 · U.S. 3.42)
- Nursing staff turnover
- 41.5 (state 38.2 · U.S. 45.8)%
- RN turnover
- 44.4 (state 42.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- June 5, 2025
- Health deficiencies (last cycle)
- 11.0 (state 7.2 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 66 health · 12 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-12-19 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-21 |
| 2025-12-19 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-11 |
| 2025-12-19 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-11 |
| 2025-06-05 | 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. F0585 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-06-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-06-05 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-06-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-06-05 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-06-05 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-06-05 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-06-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-30 |
| 2025-04-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-05-21 |
| 2025-04-23 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-21 |
| 2025-04-23 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-21 |
| 2025-04-23 | 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. F0700 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-21 |
| 2025-04-23 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-29 |
| 2025-04-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-21 |
| 2024-11-04 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-06-10 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2024-06-27 |
| 2024-06-10 | 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. F0742 · Quality of Life and Care Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2024-06-27 |
| 2024-06-10 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2024-06-27 |
| 2024-06-10 | 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. F0688 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-06-27 |
| 2024-06-10 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2024-06-27 |
| 2024-06-10 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | 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. F0726 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | 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. F0838 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-06-10 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2023-04-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2023-05-22 |
| 2023-04-26 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-22 |
| 2023-04-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-22 |
| 2023-04-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-22 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $69,000 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-23 | Fine | $15,316 |
| 2024-06-10 | Fine | $53,684 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| NBH Bank (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| 111 Orient Propco LLC (organization) | Administrator · NOT APPLICABLE | |
| Apfelbaum, Naftali (individual) | Administrator · NOT APPLICABLE | |
| Asma 1 LLC (organization) | Administrator · NOT APPLICABLE | |
| BH 1 Ma LLC (organization) | Administrator · NOT APPLICABLE | |
| Care Network Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Gelbwachs, Gittell (individual) | Administrator · NOT APPLICABLE | |
| Likhi, Rishi (individual) | Administrator · NOT APPLICABLE | |
| Neville, Anne (individual) | Administrator · NOT APPLICABLE | |
| Rabinowitz, Devorah (individual) | Administrator · NOT APPLICABLE | |
| Twomagnets LLC (organization) | Administrator · NOT APPLICABLE | |
| Ma 1 Holdco Opco LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Advocate Opco Trust (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Apfelbaum, Naftali (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Brass Ma Trust (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| BSD Elm Trust (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Gelbwachs, Gittell (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Ofg Magenta LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Rabinowitz, Devorah (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Salzman, David (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Support Opco Descendants Trust (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Tja HC Holdings LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Apfelbaum, Naftali (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Care Network Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Neville, Anne (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of The Center at Advocate?
The Center at Advocate has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Massachusetts.
How many beds does The Center at Advocate have?
It has 190 certified beds and cares for about 158 residents per day.
Has The Center at Advocate been fined?
Yes. CMS lists 2 penalties totaling $69,000 in the last three years.
What is the phone number of The Center at Advocate?
(617) 455-6115. The facility is located at 111 Orient Avenue, East Boston, MA 02128.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.