Federal inspection record · CMS data as of October 1, 2026
The Center At Advocate
111 Orient Avenue, East Boston, MA · (617) 455-6115
- Certified beds
- 190
- Residents per day
- 156
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1990
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
The Center At Advocate carries 142.75 inspection points. That is fewer than 4% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
70 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (7)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
-
J
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.
-
J
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
G
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.
-
G
Provide medically-related social services to help each resident achieve the highest possible quality of life.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care17D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
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.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide or obtain dental services for each resident.
Resident Assessment and Care Planning13E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights11D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
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.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- B
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.
Pharmacy Service6E
- D
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.
- D
Ensure that residents are free from significant medication errors.
- E
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Freedom from Abuse, Neglect, and Exploitation6E
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary3E
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
Nursing and Physician Services2F
- F
Observe each nurse aide's job performance and give regular training.
- E
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.
Administration1D
- D
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.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2025-06-05
15 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2024-06-10
35 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (11 deficiencies)
2023-04-26
20 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 28 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 28 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 39% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$69,000 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-23 | Fine | $15,316 |
| 2024-06-10 | Fine | $53,684 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts worse | 2.6 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 1.5 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better | 96.8% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts better | 98.1% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 4.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms25.9 pts worse | 43.3% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight7.6 pts worse | 12.6% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8 pts better | 11.5% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts worse | 23.0% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.9 pts better | 10.0% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.3 pts better | 10.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 1.4% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 1.7% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.7 pts worse | 29.1% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts worse | 6.4% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.8 pts better | 90.7% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better | 8.9% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5 pts worse | 73.1% | 78.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.7 pts better | 22.0% | 25.7% | 23.4% |
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Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 111 Orient Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Advocate Opco Trust | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Apfelbaum, Naftali | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Apfelbaum, Naftali | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Apfelbaum, Naftali | Adp Of The SNF · Individual | 0% | 1 facilities |
| Asma 1 LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Bh 1 Ma LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Brass Ma Trust | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Bsd Elm Trust | Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Care Network Services LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Care Network Services LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Gelbwachs, Gittell | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Gelbwachs, Gittell | Adp Of The SNF · Individual | 0% | 1 facilities |
| Likhi, Rishi | Adp Of The SNF · Individual | 0% | 6 facilities |
| Ma 1 Holdco Opco LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Nbh Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 10 facilities |
| Neville, Anne | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Neville, Anne | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ofg Magenta LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Rabinowitz, Devorah | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Rabinowitz, Devorah | Adp Of The SNF · Individual | 0% | 1 facilities |
| Salzman, David | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Support Opco Descendants Trust | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Tja Hc Holdings LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Twomagnets LLC | Adp Of The SNF · Organization | 0% | 57 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have an enclosure around a vertical opening shaft.
- F
Install an approved automatic sprinkler system.
- F
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Miscellaneous3F
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems2F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have proper medical gas storage and administration areas.
·
Other homes nearby
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Highland Park Rehabilitation And Healthcare Center
Chelsea, MA · Marquis Health Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 8 min
- Fines
- $0
-
Katzman Family Center for Living
Chelsea, MA · Chelsea Jewish Lifecare
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 3 min
- Fines
- $0
-
The Massachusetts Veterans Home At Chelsea
Chelsea, MA
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 8 h 18 min
- Fines
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