01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-05 | 11 | 2025-06-05 | 7 |
| Cycle 2 | 2024-06-10 | 35 | 2024-06-10 | 1 |
| Cycle 3 | 2023-04-26 | 20 | 2023-04-26 | 4 |
CMS CCN 2254132026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Center At Advocate
111 Orient Avenue · East Boston, MA 02128 · Suffolk County
Certified beds190CMS provider file
Recent citation rows78current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
78 rows in the current release
7 rows carry G–L scope/severity codes; 3 carry J–L. 13 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-19 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Past Non-Compliance · 2025-11-21 · complaint2025-12-19 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-02-11 · complaint2025-12-19 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-02-11 · complaint2025-06-05 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2025-07-202025-06-05 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-07-202025-06-05 · HEALTHF0585Severity D · isolated; 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.
Correction field: Deficient, Provider has date of correction · 2025-06-302025-06-05 · HEALTHF0656Severity D · isolated; 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.
Correction field: Deficient, Provider has date of correction · 2025-06-302025-06-05 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-06-302025-06-05 · HEALTHF0677Severity D · isolated; 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.
Correction field: Deficient, Provider has date of correction · 2025-06-302025-06-05 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-06-302025-06-05 · HEALTHF0699Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Correction field: Deficient, Provider has date of correction · 2025-06-302025-06-05 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-06-302025-06-05 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-302025-06-05 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2025-07-202025-06-05 · FIREK0351Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2025-07-202025-06-05 · FIREK0361Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Correction field: Deficient, Provider has date of correction · 2025-07-202025-06-05 · FIREK0914Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2025-07-202025-06-05 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-07-202025-04-23 · HEALTHF0553Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Correction field: Deficient, Provider has date of correction · 2025-05-21 · complaint2025-04-23 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-05-21 · complaint2025-04-23 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-05-21 · complaint2025-04-23 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-05-21 · complaint2025-04-23 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Past Non-Compliance · 2025-03-29 · complaint2025-04-23 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-05-21 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-04-23 | Fine | $15,316 | 0 |
| 2024-06-10 | Fine | $53,684 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MA 1 HOLDCO OPCO LLCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2025
- ADVOCATE OPCO TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2025
- BRASS MA TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2025
- BSD ELM TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2025
- OFG MAGENTA LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2025
- SUPPORT OPCO DESCENDANTS TRUSTOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2025
- TJA HC HOLDINGS LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2025
- APFELBAUM, NAFTALIIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2025
- GELBWACHS, GITTELLIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2025
- RABINOWITZ, DEVORAHIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2025
- SALZMAN, DAVIDIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/01/2025
- NBH BANKOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 03/01/2025
- CARE NETWORK SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2025
- APFELBAUM, NAFTALIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/01/2025
- NEVILLE, ANNEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/05/2025
- 111 ORIENT PROPCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/01/2025
- ASMA 1 LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/01/2025
- BH 1 MA LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.28per resident day
RN hours0.38per resident day
Weekend nurse hours2.95per resident day
Staff turnover41.5%CMS reported field
06 / LOCAL RECORDS
Open the Massachusetts ledger →Other published facilities nearby
No second facility in the same city met the directory rule.