Home / Massachusetts / Medfield
Thomas Upham House
519 Main Street, Medfield, MA 02052 · Norfolk County · (508) 359-6050
42 certified beds, about 38 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 225645 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 20, 2025, inspectors cited 3 health deficiencies (the Massachusetts average is 6.8, the national average 9.2).
None of its 11 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.54 hours per resident per day, against 3.86 across Massachusetts and 3.86 nationally. Registered nurses accounted for 0.88 of those hours.
35.0% of nursing staff left within the year CMS measured (Massachusetts average 38.2%).
CMS links it to Rehabilitation Associates, an affiliated group of 6 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
107/23
710/24
311/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
5E
1F
Potential for minimal harm
0A
0B
0C
November 20, 2025Standard inspection · 3 citations
- E Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record review and interview, the facility failed to ensure for one Resident (#5), out of a total sample of 17 residents, that each resident's drug regimen was free from unnecessary psychotropic medications to promote or maintain the Resident's highest practicable mental, physical, and psychosocial well-being. Specifically, the facility failed to ensure a physician's order for as needed (PRN) Trazodone (antidepressant) contained an indication for use, included a duration and failed to ensure the prescriber reassessed the Resident's condition and documented a clinical rationale for the continued use of PRN Trazodone as required.
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure professional standards of practice were followed for one Resident (#41) from a total sample of 17 residents. Specifically, the facility failed to obtain a physician's order for the use of oxygen therapy (O2) prior to its use.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to follow professional standards of practice for food safety and sanitation to prevent the potential of foodborne illness to residents who are at high risk. Specifically, the facility failed to properly label and date beverage products as well as maintain safe and clean equipment in one of two nourishment kitchenettes.
October 18, 2024Standard inspection · 7 citations
- F Provide and implement an infection prevention and control program.
Inspectors wrote5. Review of the facility's policies titled Wound Care, dated [DATE], and Dressings, Dry/Clean, dated [DATE], indicated but were not limited to: Steps in Procedure: -Use disposable cloth (paper towel is adequate) to establish a clean field on the resident's overbed table. Place all items to be used during the procedure on the clean field. Arrange the supplies so they can be easily reached. -Tape a biohazard or plastic bag on the bedside stand or use a wastebasket below the clean field. -Wash and dry your hands thoroughly. -Put on exam glove. Loosen tape and remove dressing. -Pull glove over dressing and discard into appropriate receptacle. Wash and dry your hands thoroughly. -Put on gloves. -Apply treatments as indicated. -Dress wound. Pick up sponge with paper and apply directly to area. [NAME] tape with initials, time, and date and apply to dressing. [...]
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview, the facility failed to ensure residents in two of two dining rooms had a dignified dining experience.
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide care and services consistent with professional standards of practice for two Residents (#9 and #2), out of a total sample of 12 residents. Specifically, the facility failed to ensure: 1. For Resident #9, that wound care provided was consistent with professional standards of practice to ensure interventions ordered and/or recommended for the treatment of a pressure ulcer (injury to the skin and underlying tissue resulting from prolonged pressure to the skin) were implemented; and 2. For Resident #2, to ensure: a. physician's orders were obtained for fingerstick blood sugars (FSBS) in order to implement the physician's order for sliding scale insulin (medication used in the treatment and management of diabetes mellitus), and b. [...]
- E 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.
Inspectors wroteBased on observations and interview, the facility failed to ensure staff stored all drugs and biologicals used in the facility in accordance with currently accepted professional principles. Specifically, the facility failed to ensure the treatment carts were locked when not in direct supervision of the licensed nurse on one of two units.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to notify the Physician/Nurse Practitioner (NP) timely of the unavailability of a prescribed treatment, based on a specialist medical practitioner's recommendations for one Resident (#9), out of a total sample of 12 residents. Specifically, the facility failed to notify the Physician/NP (Nurse Practitioner) and/or consultant wound care provider to determine the need to alter treatment when a prescribed treatment for a stage 4 pressure ulcer (full thickness tissue loss in which the base of the ulcer is covered by slough (tissue made of dead cells that can be yellow, tan, gray, green, brown) and/or eschar (dead tissue colored tan, black, brown) in the wound bed) was unavailable from the pharmacy.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure pharmaceutical services met the needs of each resident for one Resident (#9), in a total sample of 12 residents. Specifically, the facility failed to ensure a prescription treatment for a stage 4 wound (Full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the ulcer) was obtained from the pharmacy and available for administration.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and interview, the facility failed to monitor adverse consequences (side effects) of anticoagulant medications (used to prevent the blood from clotting; a blood thinner) for one Resident (#21), out of a total sample of 12 residents.
July 10, 2023Standard inspection · 1 citation
- D 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.
Inspectors wroteBased on observations, policy review, and interviews, the facility failed to: 1. Ensure medications were stored securely in 1 out of 2 resident care units, and 2. Ensure medications with shortened expiration dates were labeled and dated after being opened in 1 out of 2 medication carts.
Fire safety inspections
22 fire safety citations on file: 7 on November 20, 2025, 9 on October 18, 2024, 6 on July 10, 2023.
Every fire safety citation22 citations
- F Install an approved automatic sprinkler system.
- D Use approved construction type or materials.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D Have correct number of accessible exits for each story.
- D Provide at least two remote exits on each floor or fire section of the building.
- D Have an enclosure around a vertical opening shaft.
- F Implement emergency and standby power systems.
- F Use approved construction type or materials.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F Have correct number of accessible exits for each story.
- F Provide at least two remote exits on each floor or fire section of the building.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have an enclosure around a vertical opening shaft.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Use approved construction type or materials.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F Have correct number of accessible exits for each story.
- F Provide at least two remote exits on each floor or fire section of the building.
- F Have an enclosure around a vertical opening shaft.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Massachusetts | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.54 | 3.86 | 3.86 |
| Registered nurses | 0.88 | 0.65 | 0.69 |
| All nursing staff on weekends | 4.17 | 3.48 | 3.42 |
| Nurse aides | 3.00 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 35.0% | 38.2% | 45.8% |
| Registered nurse turnover | 46.2% | 42.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.69 on weekdays and 4.17 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.54 in April to June 2025 to 4.54 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.54 | 0.88 | 4.69 | 4.17 | 12.3% | 0 of 90 | 38 |
| Oct to Dec 2025 | 4.64 | 0.95 | 4.86 | 4.09 | 10.9% | 0 of 92 | 36 |
| Jul to Sep 2025 | 4.50 | 0.93 | 4.73 | 3.92 | 12.1% | 0 of 92 | 36 |
| Apr to Jun 2025 | 4.54 | 1.07 | 4.75 | 4.01 | 11.0% | 0 of 91 | 36 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Massachusetts, Jan to Mar 2026 | 3.79 | 0.61 | 3.94 | 3.41 | 5.0% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Massachusetts | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.7 | 16.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.1 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.8 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.8 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.2 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.2 | 15.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.7 | 21.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.2 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.9 | 11.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.5 | 1.8 |
Owners and operators
Legal business name: 519 MAIN ST., INC.. CMS links this home to Rehabilitation Associates, a group of 6 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Thisse, Nicholas | 5% or greater direct ownership interest | Individual | 100% | 06/10/1986 |
| Thisse, Nicholas | Corporate director | Individual | 10/13/2004 | |
| Thisse, Peter | Corporate director | Individual | 10/08/2004 | |
| Thisse, Peter | Corporate officer | Individual | 01/03/1990 | |
| Rehabilitation Associates Inc | Operational/managerial control | Organization | 06/10/1986 | |
| Allen, Denise | Operational/managerial control | Individual | 07/14/2013 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on October 18, 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."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on November 20, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on October 18, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on November 20, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
Other nursing homes nearby
- Premier Healthcare at Harrington House Walpole, 4.2 mi · 2 of 5 stars · 38 citations
- Charlwell House Health and Rehabilitation Norwood, 4.7 mi · 1 of 5 stars · 63 citations
- Victoria Haven Nursing Facility Norwood, 5.1 mi · 2 of 5 stars · 39 citations
- Medway Country Manor Skilled Nursing & Rehabilitat Medway, 5.5 mi · not rated · 63 citations
- Norwood Healthcare Norwood, 5.6 mi · 1 of 5 stars · 68 citations
- Riverbend of South Natick S Natick, 6 mi · 5 of 5 stars · 19 citations
- Timothy Daniels House Holliston, 6.1 mi · 4 of 5 stars · 26 citations
- Ellis Nursing Home (the) Norwood, 6.3 mi · 5 of 5 stars · 26 citations
Common questions
- What is Thomas Upham House's Medicare star rating?
- CMS rates Thomas Upham House 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Thomas Upham House get at its last inspection?
- 3 health deficiencies at the standard inspection on November 20, 2025. The Massachusetts average is 6.8.
- Has Thomas Upham House been fined?
- CMS lists no fines in the last three years.
- Does Thomas Upham House accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Thomas Upham House?
- CMS lists 6 owners and managers, and links the home to Rehabilitation Associates. Legal business name: 519 MAIN ST., INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.