The Center At Advocate has received an F grade based on CMS data, with a score of 4/100 — placing it among the lowest-rated nursing facilities in Massachusetts. Families considering this East Boston facility should carefully review its inspection history and quality metrics.
Staffing levels are a potential concern at The Center At Advocate, with 3.30 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 66 deficiencies at The Center At Advocate, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.30 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.39 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.90 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.00 | 2.4 | Below Average |
| Weekend Total Nursing | 2.96 | 3.8 | Below Average |
| Weekend RN Hours | 0.35 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0561 Severity DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Dec 18, 2025 · Resident Rights Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Dec 18, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Dec 18, 2025 · Infection Control Deficiencies
- Tag 0585 Severity DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt eJun 4, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jun 4, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 7.3% | 4.5% | Worse |
| Falls with major injury | 4.3% | 3.0% | Worse |
| On antipsychotic medication | 23.1% | 14.5% | Worse |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 23.6% | 14.0% | Worse |
| Excessive weight loss | 12.3% | 7.5% | Worse |
| New/worsened incontinence | 30.7% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $84,593
How This Grade Was Calculated
This facility's grade of F is based on a score of 4 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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