30/100
Poor
111 Orient Avenue, East Boston, MA 02128
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
7 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$69,000 in federal fines
CMS has fined this facility across 2 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: June 5, 2025 (1 year ago).
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| MA 1 HOLDCO OPCO LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| ADVOCATE OPCO TRUST | Organization | INDIRECT OWNERSHIP INTEREST | — |
| BRASS MA TRUST | Organization | INDIRECT OWNERSHIP INTEREST | — |
| BSD ELM TRUST | Organization | INDIRECT OWNERSHIP INTEREST | — |
| OFG MAGENTA LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| SUPPORT OPCO DESCENDANTS TRUST | Organization | INDIRECT OWNERSHIP INTEREST | — |
| TJA HC HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| APFELBAUM, NAFTALI | Individual | INDIRECT OWNERSHIP INTEREST | — |
| GELBWACHS, GITTELL | Individual | INDIRECT OWNERSHIP INTEREST | — |
| RABINOWITZ, DEVORAH | Individual | INDIRECT OWNERSHIP INTEREST | — |
| SALZMAN, DAVID | Individual | INDIRECT OWNERSHIP INTEREST | — |
| NBH BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
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The Center At Advocate holds an ElderGrade of F (30 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.28 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 7 of the 66 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, The Center At Advocate is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.