MyLivingChoice

The Center At Advocate

111 Orient Avenue

4.2(129 ratings)

The Center At Advocate, photo 11 / 2

Quick Facts

Total units
190
Medicare rating
1 of 5

CMS Care Compare

Ownership
For profit, Limited Liability company
Certified beds
190
Additional services
Offers adult day health programs
Caregiver support
Respite care for family caregivers available
Short-term care goal
Rehab designed to help residents return home

What Families Think

An automated summary of family reviews and public information. Not verified by MyLivingChoice; confirm services, staffing and pricing with the community.

Reviews for this East Boston skilled nursing and long-term care facility are sharply divided: several visitors praise the food, staff warmth, and transparent communication, while at least two family members report serious concerns about nursing professionalism, cleanliness, and comfort. One detailed account described strong odors, soiled laundry stored with clean clothes, and a broken air conditioning system.

What reviewers praise

  • Staff described as attentive, helpful, and respectful
  • Food and dining praised by multiple visitors
  • Management described as transparent with family updates
  • Adult day health and respite care programs offered

What reviewers flag

  • One detailed report of severe odor, dirty laundry, and poor housekeeping
  • One report of broken air conditioning for multiple days
  • Reports of unprofessional, poorly communicating nursing staff
  • One report of overcrowded, chaotic shared resident rooms

AI-generated from reviews and community data.

The Center At Advocate is a senior living community in East Boston, Massachusetts offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.2 out of 5 across 129 reviews.

About The Center At Advocate

Advocate Healthcare of East Boston provides long-term care, short-term rehabilitative care, and specialized services for seniors and elderly individuals in East Boston, Massachusetts. The facility also offers community outreach, adult day health programs, and respite care for primary caregivers.

Short-term care services are designed to help individuals regain independence and return home or transition to a lower level of care. Long-term care includes ongoing medical care and assistance with daily activities for those with chronic illness or disability. Respite care provides temporary relief for family caregivers while ensuring their loved ones receive full care.

Located at Orient Heights with views overlooking Boston Harbor and the city skyline, the facility has been operating since 1975. The community is led by a recognized team of healthcare professionals and reports achieving nursing home rankings among the finest for facilities north of Boston.

Types of Care at The Center At Advocate

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Medication Management
  • On-Site Nurse (RN)

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Reviews of The Center At Advocate

4.2overall · 129 ratings combined

4.2★ on Google (129)

Maria Ennever

Jun 2026

via Google ↗

On June 5, 2026, I flew from Florida to Boston, a three-hour flight, with the sole purpose of visiting my father, Jose Morillo, who resides at The Center at Advocate, located at 111 Orient Avenue, East Boston, MA 02128. As his daughter, I was looking forward to spending quality time with him and ensuring that he was receiving the care and dignity that every elderly resident deserves. Unfortunately, what I witnessed upon arriving was heartbreaking, disturbing, and completely unacceptable. After taking the elevator to the third floor and approaching Room 317, I was immediately overwhelmed by an extremely strong odor of urine, feces, and uncleanliness. The smell was so powerful that it was difficult to enter the room without covering my nose. No family member should have to encounter those conditions when visiting a loved one. The room itself was shared by three elderly residents and appeared overcrowded and poorly maintained. One resident near the entrance was repeatedly slamming his food tray against the wall, yelling and screaming loudly. Another resident sat watching the incident unfold, as did my father, who is wheelchair-bound and unable to simply leave the environment. Witnessing vulnerable elderly residents exposed to such disruptive behavior without intervention was concerning and upsetting. Wanting to understand why the room smelled so terrible, I spoke with a nurse. I was informed that the second shift had not been properly removing laundry. What I found even more alarming was that each resident, including my father, had multiple bags containing urine-soaked clothing, soiled garments, and vomit-stained items stored inside their closets alongside clean clothing. This is not only unsanitary but completely unacceptable in a healthcare environment. In addition to the odor and laundry issues, the room appeared as though it had not been thoroughly swept or mopped in days. Dust was visible throughout the room, and overall cleanliness appeared to be severely neglected. Perhaps most shocking was the fact that the air conditioning was not functioning. Fans were scattered throughout the facility, and several staff members informed me that the A/C had been out for days. Elderly residents, many with serious medical conditions, should never be forced to endure uncomfortable temperatures and poor ventilation, especially during warmer weather. What saddens me the most is that these are not temporary visitors—these are individuals spending their final years in this facility. They deserve dignity, cleanliness, comfort, and respect. No resident should have to live in an environment filled with foul odors, dirty laundry, excessive dust, and inadequate climate control. I brought my concerns to the attention of the nursing staff and sincerely hope management takes immediate action. These issues require more than a simple discussion—they require leadership, accountability, routine audits, improved housekeeping procedures, proper supervision of all shifts, and ongoing staff training emphasizing hygiene, cleanliness, and resident well-being. If staff members observe problems, they should feel empowered and obligated to report them to supervisors so corrective action can be taken promptly. The phrase should be simple: "If you see something, say something." As a daughter, I left feeling heartbroken and deeply disappointed. The images of what I saw and the odors I encountered remain vivid in my mind. My father and every resident in this facility deserve far better than what I witnessed on June 5, 2026. I sincerely hope management addresses these concerns immediately and makes the necessary changes to improve the living conditions and quality of care for all residents. Maria Ennever A Very Concerned and Disappointed Family Member

Felipe Florew

Jun 2026

via Google ↗

This is what I truly call feeling right at home! I’ve shared my thoughts about this center before, but there’s always more to say. How could I not mention the delicious food and, most importantly, the dedication, compassion, and hard work that everyone puts into caring for our loved ones each and every day? It’s clear that so much heart goes into making this a welcoming and comfortable place for all.

Andrew Taylor

May 2026

via Google ↗

Went to visit a friend they had a few renovations of painting on the outside of the building going on the building looks great ,clean and the staff was very helpful and respectful saw my friend around lunch time and the meal that they were eating looked very good my friend finished their meal and they liked it overall very well put together staff and they had a party going on that they ask patients and visitors if they wanted to attend if I had more thumbs they would be up.

Pastora Michelle Ozuna Yarde (ISAJ)

Mar 2026

via Google ↗

I am deeply disappointed with the quality of nursing care at this facility. While some staff members are polite and helpful, the nursing team has repeatedly shown unprofessional behavior, poor communication, and a lack of compassion. These issues have affected my loved one’s comfort and safety. I hope management takes these concerns seriously and improves the standard of care.

Maria

Oct 2025

via Google ↗

I came to visit my friend at Advocate Care, unannounced from England. I was the main caregiver for both my parents for more than 20 years and understand the care system in UK and what good care should look like. I am pleasantly surprised to see the care my friend is receiving is above and beyond my expectation. The staff were always attentive, responding to her needs. The management is transparent. I received all the information I needed regarding her care and my mind has been put at ease. I now have the confidence that my friend is in safe hands and look forward to working with the establishment remotely from the UK for her continued comfort and progressive recovery.

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Government Inspection History

6 inspection visits in the last three years, 78 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Dec 19, 2025Health Complaint3 citations
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 11, 2026

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 11, 2026

  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 21, 2025

Jun 5, 2025Fire Safety StandardHealth Standard15 citations
  • Install an approved automatic sprinkler system.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 20, 2025

  • Develop and maintain an Emergency Preparedness Program (EP).

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 20, 2025

  • Have an enclosure around a vertical opening shaft.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 20, 2025

  • Conduct testing and exercise requirements.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 20, 2025

  • Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 20, 2025

  • Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 20, 2025

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

  • Provide care or services that was trauma informed and/or culturally competent.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

  • Have proper medical gas storage and administration areas.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 20, 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 30, 2025

Apr 23, 2025Health Complaint6 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected May 21, 2025

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 21, 2025

  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 21, 2025

  • Reasonably accommodate the needs and preferences of each resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 21, 2025

  • Ensure that residents are free from significant medication errors.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 29, 2025

Nov 4, 2024Health Complaint1 citation
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 20, 2024

Jun 10, 2024Fire Safety StandardHealth Standard29 citations
  • Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Severity J of L: immediate jeopardy, isolatedCorrected 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.

    Severity J of L: immediate jeopardy, isolatedCorrected Jun 27, 2024

  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Severity J of L: immediate jeopardy, isolatedCorrected Jun 27, 2024

  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Severity G of L: actual harm, isolatedCorrected 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.

    Severity G of L: actual harm, isolatedCorrected Jun 27, 2024

  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 27, 2024

  • Observe each nurse aide's job performance and give regular training.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 27, 2024

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • Provide care or services that was trauma informed and/or culturally competent.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • Ensure medication error rates are not 5 percent or greater.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • Ensure that residents are free from significant medication errors.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • Make sure that a working call system is available in each resident's bathroom and bathing area.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 27, 2024

  • To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 1, 2024

Apr 26, 2023Fire Safety StandardHealth Standard24 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedCorrected May 22, 2023

  • Have simulated fire drills held at unexpected times.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 26, 2023

  • Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 26, 2023

  • To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 26, 2023

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 26, 2023

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 22, 2023

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 22, 2023

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 22, 2023

  • Provide or obtain dental services for each resident.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Respond appropriately to all alleged violations.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Assist a resident in gaining access to vision and hearing services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Provide safe, appropriate pain management for a resident who requires such services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 22, 2023

  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Severity B of L: potential for minimal harm, patternCorrected May 22, 2023

  • Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Severity B of L: potential for minimal harm, patternCorrected May 22, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does The Center At Advocate offer?

The Center At Advocate offers Skilled Nursing / Long Term Care.

Where is The Center At Advocate located?

The Center At Advocate is located at 111 Orient Avenue in East Boston, Massachusetts.

What do families say about The Center At Advocate?

Reviews for this East Boston skilled nursing and long-term care facility are sharply divided: several visitors praise the food, staff warmth, and transparent communication, while at least two family members report serious concerns about nursing professionalism, cleanliness, and comfort. One detailed account described strong odors, soiled laundry stored with clean clothes, and a broken air conditioning system.

How did The Center At Advocate do on recent health and safety inspections?

The Center At Advocate had 6 government inspection visits in the last three years, with 78 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit The Center At Advocate?

Submit the Request Information form on this page, or contact The Center At Advocate directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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