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.
#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.
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).
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/
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.