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Nursing HomeMedicaid Top Rated

Thomas Upham House

Strong Medicare quality ratings; families often praise compassionate and caring nursing staff. Still worth an in-person visit.

519 Main Street, Medfield · Medfield, MA 0205242 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 3 Google reviews

Thomas Upham House Nursing Home in Medfield, MA — Street View
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What this means for your family

The facility excels in providing emotional warmth and attentive care for patients recovering from surgery. Because recent detailed feedback is limited, families should verify specific details regarding long-term care protocols and dining services during their visit.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.95hrs
OK
Registered nurses for medical care
Total Nursing
4.64hrs
OK
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
46%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

6

measures

Worse Than Avg

7

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.7%
Better than Avg
Here
1.7%
US
12.1%
MA
13.7%
Norfolk
8.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility25.8%
Worse than Avg
Here
25.8%
US
15.4%
MA
21.3%
Norfolk
20.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.2%
Better than Avg
Here
14.2%
US
19.4%
MA
21.4%
Norfolk
18.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility94.6%
Better than Avg
Here
94.6%
US
93.4%
MA
92.4%
Norfolk
87.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.0%
Mixed vs Avgs
Here
19.0%
US
14.4%
MA
16.9%
Norfolk
19.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility15.3%
Mixed vs Avgs
Here
15.3%
US
19.5%
MA
19.4%
Norfolk
15.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility45.3%
Worse than Avg
Here
45.3%
US
81.8%
MA
77.6%
Norfolk
66.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.6%
Better than Avg
Here
84.6%
US
79.7%
MA
77.7%
Norfolk
69.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.6%
Worse than Avg
Here
1.6%
US
1.6%
MA
1.3%
Norfolk
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Well below state avg (8.9)

Thomas Upham House shows a concerning pattern of recurring building safety and medication management issues across all three surveys from 2021-2024. The facility repeatedly failed inspections for emergency exits, corridor width, construction materials, and pharmacy services, with the same deficiencies appearing in 2021, 2023, and 2024. While all violations were reportedly corrected, the persistence of identical safety and medication problems suggests ongoing challenges with maintaining compliance standards.

Nov 20, 2025Routine
10
0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0605Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0232Potential for harm · IsolatedCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0241Potential for harm · IsolatedCorrected

Egress Deficiencies

Have correct number of accessible exits for each story.

0252Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide at least two remote exits on each floor or fire section of the building.

0311Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

Oct 18, 2024Routine
16
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0232Potential for harm · WidespreadCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0241Potential for harm · WidespreadCorrected

Egress Deficiencies

Have correct number of accessible exits for each story.

0252Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide at least two remote exits on each floor or fire section of the building.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Jul 10, 2023Routine
7
0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0232Potential for harm · WidespreadCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0241Potential for harm · WidespreadCorrected

Egress Deficiencies

Have correct number of accessible exits for each story.

0252Potential for harm · WidespreadCorrected

Egress Deficiencies

Provide at least two remote exits on each floor or fire section of the building.

0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Thomas Upham House

Organization Type

for profit

Chain Affiliation

Chain Name

Rehabilitation Associates

Chain Size

6 facilities nationwide

Chain avg rating: 3.2/5 · Rank 4 of 6

Ownership & Management

Owners

Thisse, Nicholas

Owner

100%

Key personnel

Thisse, NicholasOfficer / DirectorThisse, PeterOfficer / DirectorThisse, PeterOfficer / DirectorRehabilitation Associates INCManagerAllen, DeniseManager
Source: Medicare provider data

Contact

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References & Resources

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