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Advocate Healthcare Of East Boston, Llc

📍 111 Orient Avenue, East-boston, MA 02128 📞 (617) 569-2100 🛏️ 190 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

June 10, 2024 Health Inspection

Fines and Penalties by Year

2022 1 penalties totaling $9,750

$9,750
Feb 3, 2022

Fine

2021 3 penalties totaling $17,838

$7,433
Dec 2, 2021

Fine

$655
Jul 26, 2021

Fine

$9,750
Feb 4, 2021

Fine

2020 1 penalties totaling $9,750

$9,750
Dec 15, 2020

Fine

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Health Violations by Year

2025 6 violations

Tag 0553 D Apr 23, 2025

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: May 21, 2025
Tag 0558 D Apr 23, 2025

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: May 21, 2025
Tag 0689 G Apr 23, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 21, 2025
Tag 0700 D Apr 23, 2025

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.

✓ Corrected: May 21, 2025
Tag 0760 D Apr 23, 2025

Ensure that residents are free from significant medication errors.

✓ Corrected: Apr 23, 2025
Tag 0842 D Apr 23, 2025

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

✓ Corrected: May 21, 2025

2024 28 violations

Tag 0550 D Jun 10, 2024

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

✓ Corrected: Jun 27, 2024
Tag 0584 D Jun 10, 2024

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.

✓ Corrected: Jun 27, 2024
Tag 0607 D Jun 10, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jun 27, 2024
Tag 0609 D Jun 10, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 27, 2024
Tag 0645 D Jun 10, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Jun 27, 2024
Tag 0656 E Jun 10, 2024

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

✓ Corrected: Jun 27, 2024
Tag 0657 D Jun 10, 2024

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

✓ Corrected: Jun 27, 2024
Tag 0677 D Jun 10, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Jun 27, 2024
Tag 0688 G Jun 10, 2024

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.

✓ Corrected: Jun 27, 2024
Tag 0689 D Jun 10, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 27, 2024
Tag 0690 D Jun 10, 2024

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

✓ Corrected: Jun 27, 2024
Tag 0698 D Jun 10, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: Jun 27, 2024
Tag 0699 D Jun 10, 2024

Provide care or services that was trauma informed and/or culturally competent.

✓ Corrected: Jun 27, 2024
Tag 0726 E Jun 10, 2024

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.

✓ Corrected: Jun 27, 2024
Tag 0730 F Jun 10, 2024

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Jun 27, 2024
Tag 0740 J Jun 10, 2024

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Jun 27, 2024
Tag 0742 J Jun 10, 2024

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.

✓ Corrected: Jun 27, 2024
Tag 0745 G Jun 10, 2024

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Jun 27, 2024
Tag 0759 D Jun 10, 2024

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jun 27, 2024
Tag 0760 D Jun 10, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Jun 27, 2024
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2023 20 violations

Tag 0552 D Apr 26, 2023

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: May 22, 2023
Tag 0580 D Apr 26, 2023

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

✓ Corrected: May 22, 2023
Tag 0600 D Apr 26, 2023

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

✓ Corrected: May 22, 2023
Tag 0607 E Apr 26, 2023

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: May 22, 2023
Tag 0609 E Apr 26, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 22, 2023
Tag 0610 D Apr 26, 2023

Respond appropriately to all alleged violations.

✓ Corrected: May 22, 2023
Tag 0623 B Apr 26, 2023

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

✓ Corrected: May 22, 2023
Tag 0625 B Apr 26, 2023

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.

✓ Corrected: May 22, 2023
Tag 0656 D Apr 26, 2023

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

✓ Corrected: May 22, 2023
Tag 0677 D Apr 26, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 22, 2023
Tag 0684 D Apr 26, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: May 22, 2023
Tag 0685 D Apr 26, 2023

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: May 22, 2023
Tag 0689 G Apr 26, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: May 22, 2023
Tag 0690 D Apr 26, 2023

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

✓ Corrected: May 22, 2023
Tag 0695 D Apr 26, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: May 22, 2023
Tag 0697 D Apr 26, 2023

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: May 22, 2023
Tag 0757 D Apr 26, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: May 22, 2023
Tag 0791 D Apr 26, 2023

Provide or obtain dental services for each resident.

✓ Corrected: May 22, 2023
Tag 0808 D Apr 26, 2023

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.

✓ Corrected: May 22, 2023
Tag 0812 E Apr 26, 2023

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

✓ Corrected: May 22, 2023

2022 13 violations

Tag 0550 D Feb 3, 2022

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

✓ Corrected: Mar 14, 2022
Tag 0584 E Feb 3, 2022

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.

✓ Corrected: Mar 14, 2022
Tag 0604 D Feb 3, 2022

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Mar 14, 2022
Tag 0640 B Feb 3, 2022

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

✓ Corrected: Mar 14, 2022
Tag 0657 D Feb 3, 2022

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

✓ Corrected: Mar 14, 2022
Tag 0685 D Feb 3, 2022

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Mar 14, 2022
Tag 0686 D Feb 3, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Mar 14, 2022
Tag 0740 D Feb 3, 2022

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Mar 14, 2022
Tag 0758 D Feb 3, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Mar 14, 2022
Tag 0761 D Feb 3, 2022

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.

✓ Corrected: Mar 14, 2022
Tag 0791 D Feb 3, 2022

Provide or obtain dental services for each resident.

✓ Corrected: Mar 14, 2022
Tag 0804 D Feb 3, 2022

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Mar 14, 2022
Tag 0880 D Feb 3, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 14, 2022
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2021 3 violations

Tag 0604 D Dec 21, 2021

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Jan 24, 2022
Tag 0600 G Dec 2, 2021

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

✓ Corrected: Dec 3, 2021
Tag 0880 D Feb 4, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 16, 2021

2020 21 violations

Tag 0880 D Dec 15, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 21, 2020
Tag 0880 D Jun 22, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 7, 2020
Tag 0558 D Feb 6, 2020

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Nov 5, 2020
Tag 0609 D Feb 6, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Nov 5, 2020
Tag 0610 D Feb 6, 2020

Respond appropriately to all alleged violations.

✓ Corrected: Nov 5, 2020
Tag 0623 D Feb 6, 2020

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

✓ Corrected: Nov 5, 2020
Tag 0625 D Feb 6, 2020

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.

✓ Corrected: Nov 5, 2020
Tag 0656 D Feb 6, 2020

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

✓ Corrected: Nov 5, 2020
Tag 0658 D Feb 6, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Nov 5, 2020
Tag 0677 D Feb 6, 2020

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Nov 5, 2020
Tag 0684 D Feb 6, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Mar 6, 2020
Tag 0685 D Feb 6, 2020

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Nov 5, 2020
Tag 0690 D Feb 6, 2020

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

✓ Corrected: Nov 5, 2020
Tag 0695 D Feb 6, 2020

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Nov 5, 2020
Tag 0761 E Feb 6, 2020

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.

✓ Corrected: Nov 5, 2020
Tag 0773 D Feb 6, 2020

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Nov 5, 2020
Tag 0804 D Feb 6, 2020

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Nov 5, 2020
Tag 0842 D Feb 6, 2020

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

✓ Corrected: Nov 5, 2020
Tag 0880 D Feb 6, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 5, 2020
Tag 0641 D Jan 16, 2020

Ensure each resident receives an accurate assessment.

✓ Corrected: Jan 31, 2020
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2019 4 violations

Tag 0760 D Aug 27, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: Oct 10, 2019
Tag 0582 D Feb 21, 2019

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Mar 15, 2019
Tag 0761 D Feb 21, 2019

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.

✓ Corrected: Mar 15, 2019
Tag 0812 D Feb 21, 2019

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

✓ Corrected: Mar 15, 2019

2017 10 violations

Tag 0225 D Nov 7, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Dec 10, 2017
Tag 0241 D Nov 7, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Dec 10, 2017
Tag 0279 D Nov 7, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 10, 2017
Tag 0281 D Nov 7, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Dec 10, 2017
Tag 0328 D Nov 7, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Dec 10, 2017
Tag 0431 D Nov 7, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Dec 10, 2017
Tag 0441 D Nov 7, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Dec 10, 2017
Tag 0203 D Sep 22, 2017

Provide timely notification to the resident before transfer or discharge.

✓ Corrected: Oct 27, 2017
Tag 0225 D Sep 22, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Oct 27, 2017
Tag 0226 D Sep 22, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Oct 27, 2017
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