The Center at Advocate
Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other Massachusetts homes, so a star here does not mean what it means in another state.
Staffing
Where the benchmark comes from
Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.
What inspectors found
Inspectors visit every nursing home and write up what they find. This home has 66 findings on record going back to 2023, 10 of them after someone filed a complaint. Of the 66, 46 are from the last three years.
The 7 serious findings here
Accidents and supervision
The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.
The home fixed this on May 21, 2025.
Medicare’s wording
Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Behavioral health services not provided
The home did not arrange the specialist behavior and mental health services a resident needed.
The home fixed this on June 27, 2024.
Medicare’s wording
Federal tag F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Poorly run
The home was not managed in a way that let it provide proper care.
The home fixed this on June 27, 2024.
Medicare’s wording
Federal tag F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Not helping residents move
The home did not give a resident the care they needed to keep or improve how well they could move, where the decline was not for a medical reason.
The home fixed this on June 27, 2024.
Medicare’s wording
Federal tag F688Provide 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.
Treatment for mental illness missed
The home did not treat a resident who was struggling to adjust or cope emotionally.
The home fixed this on June 27, 2024.
Medicare’s wording
Federal tag F742Provide 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.
No counseling or practical help
The home did not provide the counseling or practical help a resident needed, such as arranging services from outside.
The home fixed this on June 27, 2024.
Medicare’s wording
Federal tag F745Provide medically-related social services to help each resident achieve the highest possible quality of life.
Accidents and supervision
The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.
The home fixed this on May 22, 2023.
Medicare’s wording
Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything on record
329 of the 341 nursing homes in Massachusetts have fewer findings of harm or immediate jeopardy on record than this one.
What these levels mean
JImmediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.
GActual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.
The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.
The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.
This home has 1 finding under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home does not currently carry it.
What you can do
Numbers only go so far. These are two things most families do not know they can do.
Ask for today’s staffing sheet
Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.
Call the ombudsman before you decide
Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.
Where this comes from
Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 225413.
What these numbers do not say
Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.
The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.
Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.