The Center at Advocate: Staffing, Turnover, and Inspection Record
The Center at Advocate is a 190-bed for-profit nursing home in East Boston, Massachusetts. In the CMS August 2026 release it reported 1.90 nurse aide hours per resident per day, 16% below the Massachusetts average of 2.26, and 41.5% nursing staff turnover (Massachusetts average 38.2%).
The Center at Advocate
111 Orient AvenueEast Boston, MA 02128
Suffolk County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Center at Advocate, nurse aides logged 1.90 hours per resident per day, 16% below the Massachusetts average. With about 158 residents a day, that works out to roughly 301 aide hours a day, or about 38 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Massachusetts avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.90 | 2.26 | 2.32 |
| Licensed practical nurses | 0.99 | 0.95 | 0.86 |
| Registered nurses | 0.38 | 0.65 | 0.69 |
| All nursing staff | 3.28 | 3.86 | 3.86 |
| All nursing staff, weekends | 2.95 | 3.48 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
41.5% of nursing staff at The Center at Advocate left over the year CMS measured, against a Massachusetts average of 38.2% and a US average of 45.8%. Registered nurse turnover was 44.4%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 5, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Massachusetts average 7.2). CMS lists 2 fines totaling $69,000 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 23, 2025 | Fine | $15,316 |
| Jun 10, 2024 | Fine | $53,684 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Center at Advocate holds 1 of 5 overall; the Massachusetts average is 3.0.
About The Center at Advocate
- Ownership: For profit - Limited Liability company
- Legal name: The Center at Advocate LLC
- Medicare and Medicaid certified since: Jul 1, 1990
- Councils: resident council
- Area: urban
Nursing homes near The Center at Advocate
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Highland Park Rehabilitation and Healthcare Center Chelsea | 1.0 | 195 | 1.84 | 3.02 | 48.6% | 1 | None |
| Katzman Family Center for Living Chelsea | 1.4 | 123 | 2.61 | 4.01 | 23.8% | 5 | None |
| The Massachusetts Veterans Home at Chelsea Chelsea | 1.5 | 154 | 4.35 | 6.97 | — | 4 | None |
| Lighthouse Rehabilitation and Healthcare Center Revere | 1.8 | 123 | 2.09 | 3.70 | 26.5% | 2 | $48,790 |
| Leonard Florence Center for Living Chelsea | 2.0 | 100 | 4.97 | 7.34 | 31.2% | 5 | None |
| Rehabilitation & Nursing Center at Everett (The) Everett | 2.3 | 183 | 2.07 | 3.45 | 22.1% | 3 | None |
| North End Rehabilitation and Healthcare Center Boston | 3.1 | 100 | 2.37 | 4.57 | 41.4% | 2 | $17,345 |
| Dexter House Healthcare Malden | 3.6 | 130 | 1.88 | 3.37 | 21.1% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.