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Nursing home report

THE CENTER AT ADVOCATE

EAST BOSTON, MA · Medicare-certified · 190 beds

Needs attention
For-profit
1 of 5 overall

The Center at Advocate in East Boston has a 1 out of 5 overall rating, with 1 star for health inspections, 2 stars for staffing, and 2 stars for quality measures. It reports 3.29 nurse staffing hours per resident per day versus the federal benchmark of 4.1, has had $69,000 in fines in the last 24 months, and has a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.2918 hrs/resident/day

Quality measures

Last inspection: December 19, 2025Penalties, last 24 months: $69,000recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2918.

Staffing detail

Registered nurses
0.42
Licensed practical nurses
0.96
Nurse aides
1.91
Weekend nursing
3.02

Hours per resident per day.

Total staff turnover: 44%
Registered nurse turnover: 53%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

19.5%Worsening

Residents with a fall causing major injury

4.4%Worsening

Residents with pressure ulcers (bedsores)

7.5%Improving

Residents with a urinary tract infection

1.2%Steady

Residents who lost too much weight

11.6%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

15.7%Improving

Residents whose ability to walk got worse

15.1%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

11.8%Worsening

Short-stay residents newly given an antipsychotic

1%Worsening

Residents with a long-term catheter

2.3%Steady

Residents with new or worsening incontinence

30.2%Improving

Residents with depressive symptoms

41.3%Improving

Long-stay residents given the seasonal flu vaccine

100%Steady

Long-stay residents given the pneumonia vaccine

97.8%Worsening

Short-stay residents given the seasonal flu vaccine

95.8%Steady

Short-stay residents given the pneumonia vaccine

95.6%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

Ownership
For profit - Limited Liability company
Occupancy
158.8 residents on an average day (84% of 190 beds)
Resident voice
Resident council
Medicare history
Certified for 35 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.