Nursing home
Thomas Upham House
519 Main Street, Medfield, MA 02052 · Map
For profit - Corporation · Part of Rehabilitation Associates (6 facilities) · 42 certified beds
Thomas Upham House is a Medicare-certified nursing home in Medfield, Massachusetts. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.50 hours per resident per day, above the Massachusetts average of 3.86. Its most recent inspection on Oct 18, 2024 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Thomas Upham House compares
This facility vs. the Massachusetts and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Massachusetts avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.50 | 3.86 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.93 | 0.65 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.84 | 2.26 | 2.34 | above avg |
| Nursing staff turnover | 56.3% | 39.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 7.0 | 8.9 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the November 20, 2025 inspection was corrected by December 10, 2025
What inspectors found at Thomas Upham House
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
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 · Nov 20, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 20, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 18, 2024 · Full report (PDF) - Potential for harm
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 · Oct 18, 2024 · Full report (PDF)
Show all 11 deficiencies
- Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Oct 18, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Oct 18, 2024 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Oct 18, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Oct 18, 2024 · Full report (PDF) - Potential for harm
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 · Oct 18, 2024 · Full report (PDF) - Potential for harm
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 · Jul 10, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 519 Main Street
Medfield, MA 02052 - CMS certification #
- 225645
- Ownership
- For profit - Corporation
- Certified beds
- 42
- Avg residents/day
- 36.1
- Provider type
- Medicare and Medicaid
- First certified
- 1994-09-01
- Chain
- Rehabilitation Associates (6 facilities)
- Setting
- Urban
Part of Rehabilitation Associates
Rehabilitation Associates operates 6 nursing facilities across the United States. View all Rehabilitation Associates facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Thomas Upham House using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Norwood Hospital, Norwood. 5.3 miles away, straight line.
- Nearest Medicare nursing home
- Premier Healthcare at Harrington House, Walpole. 4.2 miles away, straight line.
- Nearest home health agency office
- Natick Walpole Visiting Nurse Association, Walpole. 3.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 02052 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Westwood Dialysis Center (Bma Westwood), Westwood, 6.6 miles away, straight line (CMS rating 5 of 5 stars)
Usrc Foxborough Dialysis, Foxborough, 7.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Fresenius Kidney Care Wellesley, Wellesley, 8.2 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 14 Medicare hospices tell CMS they serve ZIP code 02052.
Accentcare Hospice & Palliative Care Of Massachuse, office in Norwood, 5.7 miles away, straight line (CMS family survey rating 2 of 5 stars)
Hebrew Seniorlife Hospice Care, Inc, office in Dedham, 7.6 miles away, straight line
Good Shepherd Community Care, office in Newton, 9.3 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Atrius Health Inc, Dedham. 7.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Thomas Upham House a good nursing home?
CMS gives Thomas Upham House an overall rating of 3 out of 5 stars, including 4/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Thomas Upham House staffed?
Thomas Upham House reports 4.50 total nurse hours per resident per day, compared with the Massachusetts average of 3.86.
Has Thomas Upham House had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Thomas Upham House have?
Thomas Upham House is certified for 42 beds.