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Nursing home report

THE CENTER AT ADVOCATE

EAST BOSTON, MA · Medicare-certified · 190 beds

Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall

THE CENTER AT ADVOCATE (EAST BOSTON, MA) has a 1 out of 5 overall rating, with a 1-star health inspection rating, 2-star staffing and quality ratings, and reported nurse staffing below the federal benchmark (3.28 vs 4.1 hours per resident per day). It also has $15,316 in fines in the last 24 months and a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.2801 hrs/resident/day

Quality measures

Last inspection: December 19, 2025Penalties, last 24 months: $15,316recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2801.

Staffing detail

Registered nurses
0.38
Licensed practical nurses
0.99
Nurse aides
1.90
Weekend nursing
2.95

Hours per resident per day.

Total staff turnover: 42%
Registered nurse turnover: 44%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

15.4%23.4%Worsening

Residents with a fall causing major injury

4.3%2.8%Improving

Residents with pressure ulcers (bedsores)

9.1%5%Improving

Residents with a urinary tract infection

0%0.7%Worsening

Residents who lost too much weight

8.4%7.9%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

18.6%11.7%Improving

Residents whose ability to walk got worse

21.2%10.8%Improving

Long-stay residents on antianxiety or sleep medication

10.3%10.9%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0.5%0.4%No change

Residents with new or worsening incontinence

28.7%31.5%Worsening

Residents with depressive symptoms

26.1%29.3%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

95%97.2%Improving

Short-stay residents given the seasonal flu vaccine

95.8%

Short-stay residents given the pneumonia vaccine

96%90.3%Worsening

What the inspectors found

The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited June 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 740 — 42 CFR §483.40 — S/S: J

The home failed to provide appropriate treatment and support for a resident with mental health, adjustment, or trauma-related needs. Cited June 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 742 — 42 CFR §483.40 — S/S: J

The home failed to run its operations effectively and efficiently using its available resources. Cited June 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited June 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 688 — 42 CFR §483.25(c) — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $15,316 was recorded.

  5. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $53,684 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $69,000 in total fines.

  • Federal fine

    Apr 23, 2025

    $15,316
  • Federal fine

    Jun 10, 2024

    $53,684

Operator & ownership

Recent ownership change · Mar 1, 2025

Now operated by The Center at Advocate LLC, previously Advocate Healthcare of East Boston LLC.

Ownership
For profit - Limited Liability company
Occupancy
157.8 residents on an average day (83% of 190 beds)
Resident voice
Resident council
Medicare history
Certified for 36 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.