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Medicare-certifiedSkilled Nursing

The Center at Advocate

East Boston, MassachusettsMedicare inspection record
(617) 455-6115

About The Center at Advocate

The Center at Advocate provides compassionate skilled nursing and rehabilitation care in East Boston, Massachusetts. Our experienced team supports recovery with personalized treatment plans, helping residents regain strength and independence after hospitalization or injury.

Community at a glance

Capacity

190 residents

Location

East Boston, MA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

111 ORIENT AVENUE, East Boston, Massachusetts 02128

(617) 455-6115

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on June 5, 2025, state inspectors cited 15 health deficiencies (the Massachusetts average is 6.8).

Nurses and nurse aides spend 3 hours 17 minutes with each resident a day, below the Massachusetts average of 3 hours 52 minutes.

Medicare fined The Center at Advocate 2 times in the last three years, $69,000 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 17 minutesBelow the Massachusetts average
Registered nurse time per resident, per day23 minutesBelow the Massachusetts average
Nursing staff who left in the past year42%Above the Massachusetts average

Inspections

50 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 30, 2026 · Complaint investigation · 4 citations

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

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintPlan to fix it accepted
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintPlan to fix it accepted
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintPlan to fix it accepted
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintPlan to fix it accepted

December 19, 2025 · Complaint investigation · 3 citations

  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Feb 11, 2026
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintAlready fixed by Nov 21, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 11, 2026
June 5, 2025 · Standard inspection · 8 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 30, 2025
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 30, 2025
  • Provide care or services that was trauma informed and/or culturally competent.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 30, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 30, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 30, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 30, 2025
April 23, 2025 · Complaint investigation · 6 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 21, 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 21, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 21, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 21, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintAlready fixed by Mar 29, 2025
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 21, 2025
November 4, 2024 · Complaint investigation · 1 citation+
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 20, 2024
June 10, 2024 · Standard inspection · 28 citations+
  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Immediate danger to residents, a few residents (level J)AdministrationCorrected Jun 27, 2024
  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected Jun 27, 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.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected Jun 27, 2024
  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jun 27, 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.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jun 27, 2024
  • Observe each nurse aide's job performance and give regular training.

    Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Jun 27, 2024
  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Jun 27, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 27, 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Jun 27, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 27, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jun 27, 2024
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 27, 2024
  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Jun 27, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 27, 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 27, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jun 27, 2024
  • Provide care or services that was trauma informed and/or culturally competent.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 27, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 27, 2024
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 27, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 27, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 27, 2024
  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 27, 2024
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 27, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 27, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 27, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 27, 2024
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 27, 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 27, 2024

Fines and payment denials

2 fines totaling $69,000 in the last three years.

  • April 23, 2025Fine: $15,316
  • June 10, 2024Fine: $53,684

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
The Center at Advocate LLC
Medicare-certified beds
190
Average residents per day
158
Accepts
Medicare and Medicaid
First certified
July 1, 1990
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
225413

Location

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111 ORIENT AVENUEEast Boston, MA 02128

12 other communities within 10 miles

Senior living near East Boston

Questions about The Center at Advocate

How did The Center at Advocate do on its last inspection?+

State inspectors visited on June 5, 2025 and cited 15 health deficiencies, 7 of them from complaint investigations. The Massachusetts average is 6.8.

How much nursing care does each resident get at The Center at Advocate?+

Nurses and aides spend 3 hours 17 minutes with each resident per day, including 23 minutes from registered nurses. 42% of nursing staff left over the past year.

Has The Center at Advocate been fined by Medicare?+

Yes. Medicare fined The Center at Advocate 2 times in the last three years, totaling $69,000.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in East Boston Skilled Nursing in Massachusetts Skilled Nursing guide Information last updated October 2026