# The Center at Advocate

The Center at Advocate is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in East Boston, MA, CMS Certification Number 225413, with 190 certified beds and about 156 residents per day. CMS rates it 1/5 overall (health inspections 1/5, staffing 3/5, quality measures 2/5).

## Key facts
- Status: Active CMS certification
- Address: 111 Orient Avenue, East Boston, MA 02128 (Suffolk County)
- Ownership type: For profit - Limited Liability company

- Operator (legal business name): [The Center at Advocate LLC](https://carefield.site/operator/op-the-center-at-advocate-llc)
- CMS chain: not part of a CMS-reported chain

- Phone: 6174556115
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/225413

## Inspection record
10 inspections in the CMS window (latest 2026-07-30); 82 citations (70 health, 12 fire safety); 4 at actual harm and 3 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2024-06-10 — [F-0740](https://carefield.site/deficiency/cms-f0740) Ensure each resident must receive and the facility must provide necessary behavioral health care and services. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected
- 2024-06-10 — [F-0742](https://carefield.site/deficiency/cms-f0742) 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. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected
- 2024-06-10 — [F-0835](https://carefield.site/deficiency/cms-f0835) Administer the facility in a manner that enables it to use its resources effectively and efficiently. — scope/severity J (Immediate jeopardy to resident health or safety); Corrected
- 2025-04-23 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2024-06-10 — [F-0688](https://carefield.site/deficiency/cms-f0688) 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. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected
- 2024-06-10 — [F-0745](https://carefield.site/deficiency/cms-f0745) Provide medically-related social services to help each resident achieve the highest possible quality of life. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected
- 2023-04-26 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected
- 2026-07-30 — [F-0580](https://carefield.site/deficiency/cms-f0580) Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-07-30 — [F-0656](https://carefield.site/deficiency/cms-f0656) Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-07-30 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-07-30 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-12-19 — [F-0561](https://carefield.site/deficiency/cms-f0561) Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. — scope/severity D (No actual harm, potential for more than minimal harm); Past non-compliance; complaint survey
- 2025-12-19 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-12-19 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-06-05 — [E-0004](https://carefield.site/deficiency/cms-e0004) Develop and maintain an Emergency Preparedness Program (EP). — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-06-05 — [E-0039](https://carefield.site/deficiency/cms-e0039) Conduct testing and exercise requirements. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-06-05 — [K-0311](https://carefield.site/deficiency/cms-k0311) Have an enclosure around a vertical opening shaft. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-06-05 — [K-0351](https://carefield.site/deficiency/cms-k0351) Install an approved automatic sprinkler system. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-06-05 — [K-0361](https://carefield.site/deficiency/cms-k0361) Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-06-05 — [K-0914](https://carefield.site/deficiency/cms-k0914) Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- …and 62 more on the source page.

## Penalties
- 2025-04-23 — Civil money penalty (fine): $15,316
- 2024-06-10 — Civil money penalty (fine): $53,684

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.47242 (state avg 3.93743, US 3.90085)
- RN: 0.44632
- Nursing staff turnover: 43%

## Owners and managers of record (CMS disclosures)
- [Ma 1 Holdco Opco LLC](https://carefield.site/owner/org-ma-1-holdco-opco-llc) — Direct owner, since 2025-03-01
- [Advocate Opco Trust](https://carefield.site/owner/org-advocate-opco-trust) — Indirect owner, since 2025-03-01
- [Brass Ma Trust](https://carefield.site/owner/org-brass-ma-trust) — Indirect owner, since 2025-03-01
- [Bsd Elm Trust](https://carefield.site/owner/org-bsd-elm-trust) — Indirect owner, since 2025-03-01
- [Ofg Magenta LLC](https://carefield.site/owner/org-ofg-magenta-llc) — Indirect owner, since 2025-03-01
- [Support Opco Descendants Trust](https://carefield.site/owner/org-support-opco-descendants-trust) — Indirect owner, since 2025-03-01
- [Tja Hc Holdings LLC](https://carefield.site/owner/org-tja-hc-holdings-llc) — Indirect owner, since 2025-03-01
- Naftali Apfelbaum — Indirect owner, since 2025-03-01
- Gittell Gelbwachs — Indirect owner, since 2025-03-01
- Devorah Rabinowitz — Indirect owner, since 2025-03-01
- David Salzman — Indirect owner, since 2025-03-01
- [Care Network Services LLC](https://carefield.site/owner/org-care-network-services-llc) — Operational / managerial control, since 2025-03-01
- Naftali Apfelbaum — Operational / managerial control, since 2025-03-01
- Anne Neville — Operational / managerial control, since 2025-03-05

## Nearby nursing homes
- [Highland Park Rehabilitation and Healthcare Center](https://carefield.site/facility/cms-225557) — 1.7 km, CMS overall 1/5
- [Katzman Family Center for Living](https://carefield.site/facility/cms-225451) — 2.2 km, CMS overall 5/5
- [The Massachusetts Veterans Home at Chelsea](https://carefield.site/facility/cms-225110) — 2.4 km, CMS overall 4/5
- [Lighthouse Rehabilitation and Healthcare Center](https://carefield.site/facility/cms-225297) — 2.8 km, CMS overall 2/5
- [Leonard Florence Center for Living](https://carefield.site/facility/cms-225775) — 3.2 km, CMS overall 5/5
- [Rehabilitation & Nursing Center at Everett (the)](https://carefield.site/facility/cms-225300) — 3.6 km, CMS overall 4/5
- [North End Rehabilitation and Healthcare Center](https://carefield.site/facility/cms-225506) — 5 km, CMS overall 2/5
- [Dexter House Healthcare](https://carefield.site/facility/cms-225137) — 5.9 km, CMS overall 2/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225413&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225413&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225413&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225413&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225413&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225413&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-225413 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.