Home›Massachusetts›Suffolk County›THE CENTER AT ADVOCATE
D
Poor

THE CENTER AT ADVOCATE

111 ORIENT AVENUE · EAST BOSTON, MA 02128

6175692100 · For profit - Limited Liability company

190 beds160.2 residents244 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

THE CENTER AT ADVOCATE receives an overall staffing grade of D (Poor). With 3.2962 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3949 HPRD, below the recommended 0.75. It is 0.60 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.59% compared to weekdays. The facility has low agency staff usage (7.87% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2962 HPRD — needs 0.18 more hours per resident per day.
⚠️RN staffing (0.3949 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.2962hrs/resident/day▼ 0.60
CMS benchmark: 3.48
RN HPRD
0.3949hrs/resident/day▼ 0.29
Recommended: 0.75
Weekend Drop-off
13.59%
3.4278 weekday → 2.9619 weekend
Agency Staff
7.87%
7.22% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9963hrs/resident/day
Direct care aides
LPN HPRD
0.9049hrs/resident/day
Licensed practical nurses
Consistency
0.302std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Suffolk County Average-1.07 HPRD
4.36
03.30 HPRD
vs. Massachusetts State Average-0.58 HPRD
3.87
03.30 HPRD
vs. National Average-0.60 HPRD
3.90
03.30 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
THE CENTER AT ADVOCATE ★
EAST BOSTON · This facility
—
D
3.29620.3949★☆☆☆☆
KATZMAN FAMILY CENTER FOR LIVING
CHELSEA
1.4 mi
B
4.07970.5996★★★★★
THE MASSACHUSETTS VETERANS HOME AT CHELSEA
CHELSEA
1.5 mi
A+
6.79171.5348★★★☆☆
LIGHTHOUSE REHABILITATION AND HEALTHCARE CENTER
REVERE
1.8 mi
B
3.7831.0171★★☆☆☆
REHABILITATION & NURSING CENTER AT EVERETT (THE)
EVERETT
2.3 mi
B
3.58280.6462★★★★☆
DEXTER HOUSE HEALTHCARE
MALDEN
3.6 mi
C
3.34691.0369★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
66
Total Deficiencies
$84,593
Fines Assessed
Dec 19, 2025Health
3 deficiencies cited
▼
Jun 5, 2025Health
8 deficiencies cited
▼
Apr 23, 2025Health
6 deficiencies cited· Includes actual harm
▼
Nov 4, 2024Health
1 deficiency cited
▼
Jun 10, 2024Health
28 deficiencies cited· Includes actual harm
▼
Apr 26, 2023Health
20 deficiencies cited· Includes actual harm
▼

Penalty History

Apr 23, 2025Fine
$15,316
Jun 10, 2024Fine
$53,684
Apr 26, 2023Fine
$15,593
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.