nursing home in Medfield, MA
Thomas Upham House
519 Main Street, Medfield, MA 02052 · (508) 359-6050
★★★★★5
Much above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★5
- Quality measures★★★★★3
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Thomas Upham House at a glance
Thomas Upham House is a 42-bed for-profit nursing home in Medfield, Massachusetts (Norfolk County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Massachusetts average of 3.
Residents receive about 4.5 hours of nursing care per day (0.9 of them from registered nurses), better than the state average of 3.9 hours.
Its most recent standard health inspection (November 20, 2025) found 3 health citations. The Massachusetts average is 6.8.
It has not received a federal fine in the past three years.
Nursing staff turnover is 35% per year (state average 38.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 42
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Rehabilitation Associates
- Medicare-certified since
- September 1, 1994
- Resident/family council
- Resident
- County
- Norfolk County
- CMS Certification Number
- 225645
Ratings
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 3 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.1 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.54 hrs | 3.86 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.88 hrs | 0.65 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.00 hrs | 2.25 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.17 hrs | 3.48 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 35% | 38.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 46.2% | 42.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 28 | 51.8 | 80.6 | Better |
Penalties
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $34,265 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 42 | 120 | 107 | |
| Average residents per day | 38 | 99 | 86 | |
| Occupancy | 89.5% | 82.1% | 80.9% |
Long-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.8% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.4% | 4.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 25.7% | 21.4% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4.8% | 1.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 3.1% | 0.8% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 17.7% | 16.4% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 9.2% | 15.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.5% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.7% | 15.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.7% | 19.5% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 13.7% | 21.2% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 94.1% | 94.8% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 93.2% | 92.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Massachusetts avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.2% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 84.6% | 77.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 47.1% | 78.3% | 82% | Worse |
Inspection citations
State inspectors cited this home for 11 health deficiencies and 22 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 20, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected March 10, 2026 |
| November 20, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected March 10, 2026 |
| November 20, 2025 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | D Potential harm, isolated | Corrected March 10, 2026 |
| November 20, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected March 10, 2026 |
| November 20, 2025 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | D Potential harm, isolated | Corrected March 10, 2026 |
| November 20, 2025 Fire safety | Provide at least two remote exits on each floor or fire section of the building. Egress Deficiencies · Tag K0252 | D Potential harm, isolated | Corrected March 10, 2026 |
| November 20, 2025 Fire safety | Have correct number of accessible exits for each story. Egress Deficiencies · Tag K0241 | D Potential harm, isolated | Corrected March 10, 2026 |
| November 20, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | E Potential harm, pattern | Corrected December 10, 2025 |
| November 20, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected December 10, 2025 |
| November 20, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected December 10, 2025 |
| October 18, 2024 Fire safety | Provide at least two remote exits on each floor or fire section of the building. Egress Deficiencies · Tag K0252 | F Potential harm, widespread | Corrected December 31, 2024 |
| October 18, 2024 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | F Potential harm, widespread | Corrected December 31, 2024 |
| October 18, 2024 Fire safety | Have correct number of accessible exits for each story. Egress Deficiencies · Tag K0241 | F Potential harm, widespread | Corrected December 31, 2024 |
| October 18, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected December 20, 2024 |
| October 18, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 20, 2024 |
| October 18, 2024 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | F Potential harm, widespread | Corrected December 31, 2024 |
| October 18, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected December 31, 2024 |
| October 18, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected December 31, 2024 |
| October 18, 2024 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected December 20, 2024 |
| October 18, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected November 15, 2024 |
| October 18, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected November 15, 2024 |
| October 18, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected November 15, 2024 |
| October 18, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected November 15, 2024 |
| October 18, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 15, 2024 |
| October 18, 2024 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected November 15, 2024 |
| October 18, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected November 15, 2024 |
| July 10, 2023 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected July 18, 2023 |
| July 10, 2023 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | F Potential harm, widespread | Corrected July 18, 2023 |
| July 10, 2023 Fire safety | Provide at least two remote exits on each floor or fire section of the building. Egress Deficiencies · Tag K0252 | F Potential harm, widespread | Corrected July 18, 2023 |
| July 10, 2023 Fire safety | Have correct number of accessible exits for each story. Egress Deficiencies · Tag K0241 | F Potential harm, widespread | Corrected July 18, 2023 |
| July 10, 2023 Fire safety | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Tag K0232 | F Potential harm, widespread | Corrected July 18, 2023 |
| July 10, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected July 18, 2023 |
| July 10, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 13, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| THISSE, NICHOLAS Individual | 5% or greater direct ownership interest | 100% | 06/10/1986 |
| THISSE, NICHOLAS Individual | corporate director | NOT APPLICABLE | 10/13/2004 |
| THISSE, PETER Individual | corporate director | NOT APPLICABLE | 10/08/2004 |
| THISSE, PETER Individual | corporate officer | NOT APPLICABLE | 01/03/1990 |
| ALLEN, DENISE Individual | operational/managerial control | NOT APPLICABLE | 07/14/2013 |
| REHABILITATION ASSOCIATES INC Organization | operational/managerial control | NOT APPLICABLE | 06/10/1986 |
Other nursing homes near Thomas Upham House
Premier Healthcare at Harrington House
160 Main Street, Walpole, MA 02081 · 4.2 mi
For-profit · 90 beds · Part of Stellar Health Group
★★★★★2Below averageCharlwell House Health and Rehabilitation
305 Walpole Street, Norwood, MA 02062 · 4.7 mi
For-profit · 124 beds · Part of Best Care Services
★★★★★1Much below averageVictoria Haven Nursing Facility
137 Nichols Street, Norwood, MA 02062 · 5.1 mi
For-profit · 31 beds · Part of Rehabilitation Associates
★★★★★2Below averageMedway Country Manor Skilled Nursing & Rehabilitat
115 Holliston Street, Medway, MA 02053 · 5.5 mi
For-profit · 123 beds · Part of Shimon Lefkowitz
- Special Focus Facility
Not ratedNorwood Healthcare
460 Washington Street, Norwood, MA 02062 · 5.6 mi
For-profit · 170 beds · Part of Next Step Healthcare
- Special Focus candidate
★★★★★1Much below averageRiverbend of South Natick
34 South Lincoln Street, S Natick, MA 01760 · 6 mi
For-profit · 55 beds · Part of Rehabilitation Associates
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Thomas Upham House's rating?
Thomas Upham House has 5 out of 5 stars on the CMS overall star rating. The average for Massachusetts nursing homes is 3 stars.
How many inspection citations did Thomas Upham House receive?
Its most recent standard health inspection found 3 citations, compared with a Massachusetts average of 6.8. Every citation is listed on this page with its severity.
Does Thomas Upham House accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Thomas Upham House?
It is for profit - corporation and part of Rehabilitation Associates. The ownership section on this page lists the owners and managers reported to CMS.
Where is Thomas Upham House and how do I contact it?
Thomas Upham House is at 519 Main Street, Medfield, MA 02052. Phone: (508) 359-6050.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.