111 ORIENT AVE, East Boston, MA 02128
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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.
Capacity
190 residents
Location
East Boston, MA
Status
Listed in a public registry
111 ORIENT AVENUE, East Boston, Massachusetts 02128
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.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 17 minutesBelow the Massachusetts average |
| Registered nurse time per resident, per day | 23 minutesBelow the Massachusetts average |
| Nursing staff who left in the past year | 42%Above the Massachusetts average |
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.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
December 19, 2025 · Complaint investigation · 3 citations
Provide and implement an infection prevention and control program.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Provide care or services that was trauma informed and/or culturally competent.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Reasonably accommodate the needs and preferences of each resident.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that residents are free from significant medication errors.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Ensure services provided by the nursing facility meet professional standards of quality.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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.
Observe each nurse aide's job performance and give regular training.
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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.
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.
Provide and implement an infection prevention and control program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
PASARR screening for Mental disorders or Intellectual Disabilities
Make sure that a working call system is available in each resident's bathroom and bathing area.
Ensure medication error rates are not 5 percent or greater.
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.
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.
Provide care or services that was trauma informed and/or culturally competent.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure that residents are free from significant medication errors.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2 fines totaling $69,000 in the last three years.
111 ORIENT AVENUEEast Boston, MA 02128
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State inspectors visited on June 5, 2025 and cited 15 health deficiencies, 7 of them from complaint investigations. The Massachusetts average is 6.8.
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.
Yes. Medicare fined The Center at Advocate 2 times in the last three years, totaling $69,000.
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.
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.
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.