Nursing home
The Center at Advocate
111 Orient Avenue, East Boston, MA 02128 · Map
For profit - Limited Liability company · 190 certified beds
The Center at Advocate is a Medicare-certified nursing home in East Boston, Massachusetts. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.30 hours per resident per day, below the Massachusetts average of 3.86. Its most recent inspection on Jun 5, 2025 cited 17 deficiencies.
- 3 fines totaling $84,593In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Center at Advocate compares
This facility vs. the Massachusetts and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Massachusetts avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.30 | 3.86 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.39 | 0.65 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.00 | 2.26 | 2.34 | below avg |
| Nursing staff turnover | 44.2% | 39.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 17.0 | 8.9 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $84,593, 3 total penalties.
What inspectors found at The Center at Advocate
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Dec 19, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jun 5, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jun 5, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jun 5, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 23, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 111 Orient Avenue
East Boston, MA 02128 - CMS certification #
- 225413
- Ownership
- For profit - Limited Liability company
- Certified beds
- 190
- Avg residents/day
- 160.2
- Provider type
- Medicare and Medicaid
- First certified
- 1990-07-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Center at Advocate using Google Maps.
Other public records
- Emergency In hurricane evacuation Zone B
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Massachusetts General Hospital, Boston. 3.8 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Highland Park Rehabilitation and Healthcare Center, Chelsea. 1.0 mile away, straight line.
- Nearest home health agency office
- Commonwealth Clinical Services Inc, Winthrop. 1.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 02128 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Kidney Care Chelsea, Chelsea, 1.7 miles away, straight line (CMS rating 2 of 5 stars)
Massachusetts General Hospital - Dialysis, Boston, 3.8 miles away, straight line (has a shift starting after 5 pm)
Dialysis Clinic, Inc. (Dci Boston), Boston, 4.0 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 13 Medicare hospices tell CMS they serve ZIP code 02128.
Legacy Lifecare Hospice And Palliative Care, office in Chelsea, 2.0 miles away, straight line
Beacon Hospice, An Amedisys Company, office in Charlestown, 3.4 miles away, straight line (CMS family survey rating 3 of 5 stars)
All Care Hospice Inc, office in Lynn, 5.8 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Cambridge Public Health Commission, Everett. 2.1 miles away, straight line. 3 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Zone B on the Massachusetts hurricane evacuation zones. (Massachusetts Emergency Management Agency (via MassGIS), map updated May 22, 2026)
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, coastal flooding relatively low, wildfire very low, tornado relatively low, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is The Center at Advocate a good nursing home?
CMS gives The Center at Advocate an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Center at Advocate staffed?
The Center at Advocate reports 3.30 total nurse hours per resident per day, compared with the Massachusetts average of 3.86.
Has The Center at Advocate had inspection problems?
Its most recent CMS inspection cited 17 deficiencies.
How many beds does The Center at Advocate have?
The Center at Advocate is certified for 190 beds.