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The Center at Advocate, East Boston, MA: 1 star rating, fined $69,000 across 2 fines

The Center at Advocate in East Boston, MA is owned by Ma 1 HOLDCO OPCO LLC, is rated 1 of 5 stars by Medicare, and was fined $69,000 across 2 fines in the three years to October 1, 2026. CMS lists 50 health citations from inspections in that time, the latest survey on July 30, 2026, and 6 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Massachusetts
Address
111 Orient Avenue, East Boston, MA 02128
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
2 of 5
Certified beds
190
Residents per day
156 on average
Ownership type
For profit, limited liability company
Legal business name
The Center at Advocate LLC
Fines
$69,000 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
50, of which 6 with actual harm or immediate jeopardy
Latest survey
July 30, 2026
CMS Certification Number
225413
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
April 23, 2025Fine$15,316Not listeddata.cms.gov
June 10, 2024Fine$53,684Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 30, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 7, 2026data.cms.gov
July 30, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 7, 2026data.cms.gov
July 30, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 7, 2026data.cms.gov
July 30, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 7, 2026data.cms.gov
December 19, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 11, 2026data.cms.gov
December 19, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 11, 2026data.cms.gov
December 19, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceNovember 21, 2025data.cms.gov
June 5, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
June 5, 2025F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
June 5, 2025F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
June 5, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
June 5, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
June 5, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
June 5, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
June 5, 2025F585Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2025data.cms.gov
April 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMay 21, 2025data.cms.gov
April 23, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 21, 2025data.cms.gov
April 23, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceMarch 29, 2025data.cms.gov
April 23, 2025F700Try 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: isolated, no actual harm, potential for more than minimal harmCorrectedMay 21, 2025data.cms.gov
April 23, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 21, 2025data.cms.gov
April 23, 2025F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 21, 2025data.cms.gov
November 4, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
June 10, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.J: isolated, immediate jeopardyCorrectedJune 27, 2024data.cms.gov
June 10, 2024F745Provide medically-related social services to help each resident achieve the highest possible quality of life.G: isolated, actual harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F742Provide 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: isolated, immediate jeopardyCorrectedJune 27, 2024data.cms.gov
June 10, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.J: isolated, immediate jeopardyCorrectedJune 27, 2024data.cms.gov
June 10, 2024F688Provide 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: isolated, actual harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F838Conduct 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F730Observe each nurse aide's job performance and give regular training.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F584Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
June 10, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 11 individual or personal trusts (4 owners, 2 managers, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Ma 1 HOLDCO OPCO LLCDirect ownerNot listedMarch 1, 2025data.cms.gov
Advocate OPCO TrustIndirect ownerNot listedMarch 1, 2025data.cms.gov
Brass Ma TrustIndirect ownerNot listedMarch 1, 2025data.cms.gov
BSD Elm TrustIndirect ownerNot listedMarch 1, 2025data.cms.gov
Ofg Magenta LLCIndirect ownerNot listedMarch 1, 2025data.cms.gov
Support OPCO Descendants TrustIndirect ownerNot listedMarch 1, 2025data.cms.gov
Tja HC Holdings LLCIndirect ownerNot listedMarch 1, 2025data.cms.gov
Care Network Services LLCOperational or managerial controlNot listedMarch 1, 2025data.cms.gov
NBH BankMortgage interestNot listedMarch 1, 2025data.cms.gov
111 Orient PROPCO LLCAdditional disclosable partyNot listedMarch 1, 2025data.cms.gov
Asma 1 LLCAdditional disclosable partyNot listedMarch 1, 2025data.cms.gov
BH 1 Ma LLCAdditional disclosable partyNot listedMarch 1, 2025data.cms.gov
Care Network Services LLCAdditional disclosable partyNot listedMarch 1, 2025data.cms.gov
Twomagnets LLCAdditional disclosable partyNot listedMarch 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.