The Center at Advocate
111 Orient Avenue · East Boston, MA · 02128 · 6174556115
190 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.29 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 2 · $69,000 |
Inspection citations (66 in the current record)
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Potential for harm · D December 19, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · D December 19, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 11, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 19, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 11, 2026 · Infection Control
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Potential for harm · D June 5, 2025
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.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · D June 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025
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.
Corrected June 30, 2025 · Pharmacy Service
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Potential for harm · D June 5, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Actual harm · G April 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 21, 2025 · Quality of Life and Care
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Potential for harm · D April 23, 2025 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected May 21, 2025 · Resident Rights
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Potential for harm · D April 23, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected May 21, 2025 · Resident Rights
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Potential for harm · D April 23, 2025 · found via complaint
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.
Corrected May 21, 2025 · Quality of Life and Care
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Potential for harm · D April 23, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 29, 2025 · Pharmacy Service
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Potential for harm · D April 23, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 4, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 20, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J June 10, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected June 27, 2024 · Quality of Life and Care
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Immediate jeopardy · J June 10, 2024
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.
Corrected June 27, 2024 · Quality of Life and Care
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Immediate jeopardy · J June 10, 2024
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected June 27, 2024 · Administration
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Actual harm · G June 10, 2024
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.
Corrected June 27, 2024 · Quality of Life and Care
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Actual harm · G June 10, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected June 27, 2024 · Quality of Life and Care
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Potential for harm · D June 10, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 27, 2024 · Resident Rights
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Potential for harm · D June 10, 2024
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.
Corrected June 27, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 23, 2025 | Fine | $15,316 |
| June 10, 2024 | Fine | $53,684 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225413 · certified since July 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.