The Center at Advocate
A nursing home in East Boston, Massachusetts 02128
111 Orient Avenue, East Boston, Massachusetts 02128. (617) 455-6115.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 15 health citations at the latest inspection cycle Massachusetts average: 6.4
- 3.47 nurse hours per resident per day Massachusetts average: 3.94
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
15 health citations at the latest inspection cycle
The Massachusetts average is 6.4.
Last standard inspection Jun 5, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard inspection on Jun 10, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
50 citations in 6 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 50 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 14 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 30, 2026: complaint inspection4 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 19, 2025: complaint inspection3 citations
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide and implement an infection prevention and control program.
Jun 5, 2025: standard inspection8 citations
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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.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide care or services that was trauma informed and/or culturally competent.
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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.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 23, 2025: complaint inspection6 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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Reasonably accommodate the needs and preferences of each resident.
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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.
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Ensure that residents are free from significant medication errors.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 4, 2024: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
Jun 10, 2024: standard inspection28 citations
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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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.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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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.
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Provide care or services that was trauma informed and/or culturally competent.
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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.
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Observe each nurse aide’s job performance and give regular training.
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Ensure medication error rates are not 5 percent or greater.
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Ensure that residents are free from significant medication errors.
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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.
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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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.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
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Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 1, 1990.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 190 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $69,000 in all.
- No Medicare payment denials in the last three years.
- 14 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Apr 23, 2025 | Fine | $15,316 |
| Jun 10, 2024 | Fine | $53,684 |
Who does the caring?
3.47 nurse hours per resident per day
The Massachusetts average is 3.94.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Massachusetts average |
|---|---|---|
| Nurse hours per resident per day | 3.47 | 3.94 |
| Of which registered nurses | 0.45 | 0.66 |
| At weekends | 3.07 | 3.52 |
| Nursing staff turnover | 43% | 37.6% |
| Registered nurse turnover | 38.9% | 42.7% |
| Administrators who left | 0 | Not given |
Who owns it?
- Ma 1 Holdco Opco LLC owns 100% directly since Mar 1, 2025.
- Care Network Services LLC runs it.
- 14 owners or officers are people: David Salzman (owns a share through other companies, 33%); Naftali Apfelbaum (owns a share through other companies, 30%); Gittell Gelbwachs (owns a share through other companies, 17.5%); Devorah Rabinowitz (owns a share through other companies, 17.5%); A person CMS lists without a name (owns a share through other companies, 1%); Rishi Likhi (additional disclosable party (controls, leases property to, or provides services to the home)); Naftali Apfelbaum (runs it (operational or managerial control)); Naftali Apfelbaum (additional disclosable party (controls, leases property to, or provides services to the home)); Gittell Gelbwachs (additional disclosable party (controls, leases property to, or provides services to the home)); Anne Neville (runs it (operational or managerial control)); Anne Neville (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Devorah Rabinowitz (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Ma 1 Holdco Opco LLC | Owns a share directly | 100% | Mar 1, 2025 |
| Nbh Bank | Holds 5% or more of the mortgage | 82.4% | Mar 1, 2025 |
| Tja HC Holdings LLC | Owns a share through other companies | 30% | Mar 1, 2025 |
| Support Opco Descendants Trust | Owns a share through other companies | 17.5% | Mar 1, 2025 |
| Advocate Opco Trust | Owns a share through other companies | 17.5% | Mar 1, 2025 |
| Brass Ma Trust | Owns a share through other companies | 16.5% | Mar 1, 2025 |
| Bsd Elm Trust | Owns a share through other companies | 16.5% | Mar 1, 2025 |
| Ofg Magenta LLC | Owns a share through other companies | 2% | Mar 1, 2025 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 | |
| Care Network Services LLC | Runs it (operational or managerial control) | Mar 1, 2025 | |
| Care Network Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 | |
| Twomagnets LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 | |
| Asma 1 LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 | |
| 111 Orient Propco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 | |
| Bh 1 Ma LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Massachusetts average 3.3).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 5.0 miles, this one had the 3rd most health citations at the latest inspection cycle (15; the middle value was 7.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| The Center at Advocate This nursing home | 15 | |
| Highland Park Rehabilitation and Healthcare Center | 1.0 | 16 |
| Katzman Family Center for Living | 1.4 | 0 |
| The Massachusetts Veterans Home at Chelsea | 1.5 | 3 |
| Lighthouse Rehabilitation and Healthcare Center | 1.8 | 6 |
| Leonard Florence Center for Living | 2.0 | 3 |
| Rehabilitation & Nursing Center at Everett (The) | 2.3 | 6 |
| North End Rehabilitation and Healthcare Center | 3.1 | 4 |
| Dexter House Healthcare | 3.6 | 9 |
| Saugus Center | 4.1 | 19 |
| Chestnut Woods Rehabilitation and Healthcare Ctr | 4.7 | 10 |
| Regalcare at Glen Ridge | 5.0 | 14 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.