Nursing Home Alerts

The Center at Advocate

111 Orient Avenue, East Boston, MA 02128

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The Center at Advocate is a nursing home in East Boston, Massachusetts. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(617) 455-6115
Last standard health inspection
June 5, 2025 (1 year ago)
Certified beds
190
Residents per day, on average
155.8
Ownership type
For profit - Limited Liability company
Legal business name
The Center at Advocate LLC
Chain
Not listed by CMS
Takes part in
Medicare and Medicaid

More health citations than the Massachusetts average (70 vs 28).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  2. 4 citations

    Health inspection on July 30, 2026

    CMS lists this as a complaint inspection.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on September 7, 2026.

      CMS has cited this home for F0580 2 times since 2023.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on September 7, 2026.

      CMS has cited this home for F0656 4 times since 2023.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on September 7, 2026.

      CMS has cited this home for F0658 4 times since 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on September 7, 2026.

      CMS has cited this home for F0689 4 times since 2023.

    See this home on CMS Care Compare

  3. CMS update of February 25, 2026

    • Fine

      CMS changed the fine from April 23, 2025 from $15,015 to $15,316.

  4. 3 citations

    Health inspection on December 19, 2025

    CMS lists this as a complaint inspection.

    • Citation F0561. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

      CMS lists it as corrected on November 21, 2025.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on February 11, 2026.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on February 11, 2026.

      CMS has cited this home for F0880 2 times since 2024.

    See this home on CMS Care Compare

  5. CMS update of November 20, 2025

    • Changed ownership in the last 12 months

      CMS no longer shows a change of ownership in the past 12 months.

    • Name

      CMS lists a new legal business name for this home.

  6. CMS update of July 30, 2025

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Changed ownership in the last 12 months

      CMS records show a change of ownership in the past 12 months.

  7. CMS update of June 25, 2025

    • Name

      CMS lists a new legal business name for this home.

  8. 8 citations

    Health inspection on June 5, 2025

    CMS lists this as a standard inspection.

    • Citation F0585. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 30, 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on June 30, 2025.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on June 30, 2025.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on June 30, 2025.

      CMS has cited this home for F0677 3 times since 2023.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on June 30, 2025.

    • Citation F0699. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care or services that was trauma informed and/or culturally competent.

      CMS lists it as corrected on June 30, 2025.

      CMS has cited this home for F0699 2 times since 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 30, 2025.

      CMS has cited this home for F0761 2 times since 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on June 30, 2025.

      CMS has cited this home for F0842 3 times since 2024.

    See this home on CMS Care Compare

  9. 7 citations

    Fire safety inspection on June 5, 2025

    CMS lists this as a standard inspection.

    • Citation E0004. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

      CMS lists it as corrected on July 20, 2025.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on July 20, 2025.

    • Citation K0311. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have an enclosure around a vertical opening shaft.

      CMS lists it as corrected on July 20, 2025.

    • Citation K0351. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on July 20, 2025.

    • Citation K0361. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

      CMS lists it as corrected on July 20, 2025.

    • Citation K0914. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      CMS lists it as corrected on July 20, 2025.

    • Citation K0923. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on July 20, 2025.

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  10. CMS update of April 30, 2025

    • Name

      CMS lists a new name for this home. It was ADVOCATE HEALTHCARE OF EAST BOSTON, LLC.

  11. 6 citations

    Health inspection on April 23, 2025

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    51 of 341 Massachusetts homes (15%) got a citation at the actual harm level in 2025.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on May 21, 2025.

    • Citation F0553. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow resident to participate in the development and implementation of his or her person-centered plan of care.

      CMS lists it as corrected on May 21, 2025.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on May 21, 2025.

    • Citation F0700. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 21, 2025.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on March 29, 2025.

      CMS has cited this home for F0760 2 times since 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on May 21, 2025.

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  12. Fine

    April 23, 2025 (1 year ago)

    CMS fine of $15,316 on April 23, 2025.

    See this home on CMS Care Compare

  13. 1 citation

    Health inspection on November 4, 2024

    CMS lists this as a complaint inspection.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on December 20, 2024.

    See this home on CMS Care Compare

  14. CMS update of October 30, 2024

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  15. CMS update of September 26, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

  16. 28 citations

    Health inspection on June 10, 2024

    CMS lists this as a standard inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    12 of 341 Massachusetts homes (4%) got a citation at the immediate jeopardy level in 2024.

    • Citation F0740. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0742. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0835. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Administer the facility in a manner that enables it to use its resources effectively and efficiently.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0688. Severity G: actual harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0745. Severity G: actual harm, isolated.

      The rule CMS cited: Provide medically-related social services to help each resident achieve the highest possible quality of life.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0730. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Observe each nurse aide's job performance and give regular training.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0882. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0726. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0607. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on June 27, 2024.

      CMS has cited this home for F0607 2 times since 2023.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on June 27, 2024.

      CMS has cited this home for F0609 2 times since 2023.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on June 27, 2024.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on June 27, 2024.

      CMS has cited this home for F0690 2 times since 2023.

    • Citation F0698. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0699. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care or services that was trauma informed and/or culturally competent.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0805. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0838. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on June 27, 2024.

    • Citation F0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on June 27, 2024.

    See this home on CMS Care Compare

  17. 1 citation

    Fire safety inspection on June 10, 2024

    CMS lists this as a standard inspection.

    • Citation K0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on July 1, 2024.

      CMS has cited this home for K0761 2 times since 2023.

    See this home on CMS Care Compare

  18. Fine

    June 10, 2024 (2 years ago)

    CMS fine of $53,684 on June 10, 2024.

    See this home on CMS Care Compare

  19. CMS update of January 31, 2024

    • CMS abuse icon

      CMS removed its abuse icon from this home.

    • Staffing

      Total nurse staffing reported to CMS went from 3.5 to 3.1 hours per resident per day.

  20. 20 citations

    Health inspection on April 26, 2023

    CMS lists this as a standard inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    52 of 341 Massachusetts homes (15%) got a citation at the actual harm level in 2023.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0607. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0609. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0552. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0685. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assist a resident in gaining access to vision and hearing services.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0697. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe, appropriate pain management for a resident who requires such services.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0757. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0791. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide or obtain dental services for each resident.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0808. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0623. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      CMS lists it as corrected on May 22, 2023.

    • Citation F0625. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

      CMS lists it as corrected on May 22, 2023.

    See this home on CMS Care Compare

  21. 4 citations

    Fire safety inspection on April 26, 2023

    CMS lists this as a standard inspection.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on May 26, 2023.

    • Citation K0354. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

      CMS lists it as corrected on May 26, 2023.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on May 26, 2023.

    • Citation K0761. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on May 26, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was The Center at Advocate last inspected?

CMS lists June 5, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does The Center at Advocate have?

CMS lists 70 health citations since April 26, 2023. CMS also calls these deficiencies.

Has The Center at Advocate been fined?

CMS lists 2 fines in the past three years, $69,000 in total.

What is the CMS star rating of The Center at Advocate?

Its CMS overall star rating is 1 of 5.

Is The Center at Advocate a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.