facebook tracking Thomas Upham House, Medfield MA: CMS Ratings & Inspections
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Thomas Upham House

All states › Massachusetts › Medfield › Thomas Upham House

519 Main Street Medfield, MA 02052 · Norfolk County

(508) 359-6050

Accepts Medicare Accepts Medicaid 42 certified beds For profit

CMS certification number 225645 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Thomas Upham House a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Thomas Upham House as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Massachusetts average of 3.1. Inspectors issued 11 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 2 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 4.65 hours per resident per day at Thomas Upham House, above the Massachusetts median of 3.72 (US median: 3.72). About 0.97 of those hours are from registered nurses. On weekends it falls to 4.17 hours, 10% below its all-week average. 20% of nursing staff left within a year (Massachusetts median 36.1%). That is lower than most homes in Massachusetts, a sign of a steadier team.

Nursing care per resident per day 4.65 hours
Above the Massachusetts median of 3.72 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.97 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.17 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 20% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 36.4% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds42
Residents per day 36 About 86% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceSeptember 1994
Part of a chainRehabilitation Associates
Legal business name519 MAIN ST., INC.

Paying for care at Thomas Upham House: Medicare and Medicaid

Thomas Upham House is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Massachusetts's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on November 20, 2025 and found 3 deficiencies. In total, inspectors issued 11 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 11 citations at Thomas Upham House across 3 inspection dates. None were at the actual-harm or immediate-jeopardy levels; 11 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were pharmacy service (4) and resident assessment and care planning (2). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level F, October 18, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.

November 20, 2025 · 3 citations

EPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Dec 10, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Dec 10, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Dec 10, 2025)

October 18, 2024 · 7 citations

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Nov 15, 2024)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Nov 15, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Nov 15, 2024)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Nov 15, 2024)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (Nov 15, 2024)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Nov 15, 2024)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Nov 15, 2024)

July 10, 2023 · 1 citation

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jul 13, 2023)

Questions to ask on a tour of Thomas Upham House

  1. CMS cited the home under its abuse and neglect rules on November 20, 2025. How are staff trained, and how are concerns reported?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 5/5 3/5
August 2026 5/5 4/5 5/5 3/5
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Location

Hospitals near Thomas Upham House

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Premier Healthcare at Harrington House Walpole · 4.2 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 90 beds · Medicaid
Charlwell House Health and Rehabilitation Norwood · 4.7 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 4/5 124 beds · Medicaid
Victoria Haven Nursing Facility Norwood · 5.1 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 31 beds · Medicaid
Medway Country Manor Skilled Nursing & Rehabilitation Medway · 5.5 mi away Not rated Inspection — · Staffing — 123 beds · Medicaid
Norwood Healthcare Norwood · 5.6 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 170 beds · Medicaid

More nursing homes near Thomas Upham House ›   All nursing homes in Medfield ›

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Other Rehabilitation Associates nursing homes in Massachusetts

Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Rehabilitation Associates nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/massachusetts/medfield/thomas-upham-house/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.