THE CENTER AT ADVOCATE – EAST BOSTON, MA

CMS Verified | 2026-03-01

The Center At Advocate

111 ORIENT AVENUE, East Boston, MA 2128
(617) 569-2100
190 beds
All East Boston facilities
1.0*
Overall
1.0*
Health Inspection
2.0*
Quality Care
2.0*
Staffing
55.72
Score /100
#13135
National Rank

#13135
of 14703 facilities
National
10.7% position
#311
of 341 in MA
State Rank
#21
of 22 in Suffolk
County Rank
#1
of 1 in East Boston
City Rank
#1
of 1 in ZIP 2128
ZIP Rank






About The Center At AdvocateThe Center At Advocate is located at 111 Orient Avenue, East Boston, MA, reachable at (617) 569-2100. This For profit – Limited Liability company facility operates 190.0 certified beds and serves an average of 160 residents per day. Medicare and Medicaid services have been provided since 1990-07-01. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

The Center At Advocate

Address

111 Orient Avenue, East Boston, MA 2128

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 190 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 19 fine(s) over 5 years
5-Year Trend
Declining over 5 years
55.72
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#13135 of 14703 nationally – #311 of 341 in Massachusetts

Who Is This Facility Best For?

The Center At Advocate may be considered for families with limited options in East Boston, MA, but its lower CMS ratings suggest careful due diligence is warranted. Families prioritizing high RN coverage should discuss staffing schedules directly with the facility, as registered nurse hours have trended downward in recent years.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

1 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightThe Center At Advocate currently provides 3 hours 18 minutes of total nurse staffing per resident per day, including 24 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. RN hours per resident have declined from 43 min/day (2022) to 24 min/day (2026) — a trend families should be aware of. Total nursing staff turnover stands at 44.2% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 18 minutes
Nurse Aide Hours2 hours
Licensed Practical Nurse (LPN) Hours54 minutes
Registered Nurse (RN) Hours24 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 58 minutes
Weekend Registered Nurse (RN) Hours21 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 3 fine(s) totaling $84,593. 8 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 3
Total Fines Amount $84593.0
Payment Denials 0
Total Penalties 3
Abuse Flag on Record N
Total Weighted Health Survey Score 150.75 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#13,135
of 14,703
National
Bottom 11%
#311
of 341
MA State
Bottom 10% in MA
#21
of 22
️ Suffolk County
#21 of 22
#1
of 1
️ East Boston
Best in city
#1
of 1
ZIP 2128
Best in ZIP

Nationally, The Center At Advocate ranks 13135th out of 14,703 facilities (composite score: 55.7/100), placing it in the bottom 25% nationwide. Within MA, it ranks 311th out of 341 nursing homes. For 2026 staffing: total nurse hours rank #11,121 nationally and RN hours rank #11,017 nationally (#293 in MA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MA State Rank Note
2022 3.21 #10,262 / 14,703 #269 / 341 Below average
2023 3.31 #9,500 / 14,703 #252 / 341 Below average
2024 3.09 #11,948 / 14,703 #308 / 341 ⚠️ Bottom 25%
2025 3.63 #7,588 / 14,703 #189 / 341 Below average
2026 3.30 #11,121 / 14,703 #292 / 341 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MA State Rank Note
2022 0.72 #4,833 / 14,703 #125 / 341 Above average
2023 0.66 #5,153 / 14,703 #139 / 341 Above average
2024 0.81 #3,174 / 14,703 #72 / 341 Top 25%
2025 0.64 #5,650 / 14,703 #137 / 341 Above average
2026 0.39 #11,017 / 14,703 #293 / 341 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

The Center At Advocate is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1990-07-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (617) 569-2100 or your local Medicaid office to verify current eligibility.

The Center At Advocate holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (2★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 55.7/100, placing it #13135 of 14703 facilities nationally and #311 of 341 in Massachusetts. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at The Center At Advocate receives a reported average of 3 hours 18 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 24 minutes; Licensed Practical Nurse (LPN) — 54 minutes; Nurse Aide — 2 hours. On weekends, total nurse staffing is 2 hours 58 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 44.2%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 3 fine(s) totaling $84,593. 8 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 3 fine(s) totaling $84,593, and 0 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 150.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, The Center At Advocate ranks 13135th out of 14,703 facilities (composite score: 55.7/100), placing it in the bottom 25% nationwide. Within MA, it ranks 311th out of 341 nursing homes. For 2026 staffing: total nurse hours rank #11,121 nationally and RN hours rank #11,017 nationally (#293 in MA). Our composite quality score of 55.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in East Boston, visit: https://nursinghomesnearme.org/massachusetts/east-boston/

Contact and Location

ADR
Address

111 ORIENT AVENUE, East Boston, MA 2128
Get directions on Google Maps

TEL
LLC
Legal Name

THE CENTER AT ADVOCATE LLC

MAP

Facility Details

Number of Certified Beds 190
Average Residents / Day 160 (84% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Suffolk County, MA
City East Boston, MA
ZIP Code 2128
Approved Since July 1, 1990
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 225413
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org