Massachusetts › Norfolk County › Medfield
Thomas Upham House
519 Main Street, Medfield, MA 02052
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Thomas Upham House, in Medfield, Massachusetts, is certified for 42 beds under for-profit, corporation ownership and belongs to the Rehabilitation Associates chain.
CMS gives it 5 of 5 stars overall, above the Massachusetts median of 3; the health inspection rating is 4, staffing 5 and quality measures 3.
Inspectors recorded 11 health deficiencies across the three most recent survey cycles (3, 7, 1 by cycle, most recent first), none at the actual-harm level. That is 26.2 per 100 beds, about the same as the state median of 21.7.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.5 hours per resident per day (0.9 RN), close to the Massachusetts median of 3.7; nursing staff turnover is 35.0%.
Compared with county, state and nation
| Measure | This facility | Norfolk Co. median | Massachusetts median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 11 | 29 | 27 | 28.7 |
| Citations per 100 beds | 26.2 | 22.6 | 21.7 | 26.8 |
| Total nurse hours per resident day | 4.5 | 3.8 | 3.7 | 3.9 |
| RN hours per resident day | 0.9 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 35.0% | 31.4% | 37.7% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (33 in the county, 341 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Massachusetts average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Nov 2025, 18 Oct 2024.
Severity mix: D ×5 E ×5 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Nov 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 10 Dec 2025 |
| 20 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 10 Dec 2025 |
| 20 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 10 Dec 2025 |
| 18 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 15 Nov 2024 |
| 18 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 15 Nov 2024 |
| 18 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 15 Nov 2024 |
| 18 Oct 2024 | F0761 | 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. | E | Standard survey | 15 Nov 2024 |
| 18 Oct 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 15 Nov 2024 |
| 18 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 15 Nov 2024 |
| 18 Oct 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 15 Nov 2024 |
| 10 Jul 2023 | F0761 | 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. | D | Standard survey | 13 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Massachusetts average. Turnover: nursing staff 35.0%, RNs 46.2%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Massachusetts median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.7% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.1% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.8% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.8% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.2% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.2% | 14.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 3.8% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.7% | 19.6% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: 519 Main St., Inc.. Chain: Rehabilitation Associates (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Rehabilitation Associates Inc | Operational/managerial control | NOT APPLICABLE | 06/10/1986 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Norfolk County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alliance Health At Braintree | Braintree | 101 | 5 | 5 | 4 | 4 | 4.0 | — | 25 Jul 2024 |
| Copley At Stoughton Nursing Care Center | Stoughton | 123 | 5 | 3 | 5 | 22 | 17.9 | — | 14 Jan 2026 |
| Dwyer Home | Weymouth | 50 | 5 | 5 | 4 | 4 | 8.0 | — | 12 Dec 2023 |
| Ellis Nursing Home (the) | Norwood | 191 | 5 | 4 | 3 | 27 | 14.1 | $57K | 14 May 2026 |
| John Scott House Nursing & Rehabilitation Center | Braintree | 138 | 5 | 4 | 4 | 24 | 17.4 | — | 15 Jan 2026 |
| Newbridge On the Charles Skilled Nursing Facility | Dedham | 48 | 5 | 5 | 4 | 1 | 2.1 | — | 13 May 2026 |
| South Cove Manor Nursing & Rehabilitation Center | Quincy | 141 | 5 | 5 | 4 | 16 | 11.3 | — | 31 Jul 2024 |
| Adviniacare Newton Wellesley | Wellesley | 110 | 4 | 3 | 2 | 43 | 39.1 | $132K | 31 Dec 2025 |
All 33 facilities in Norfolk County
Questions and answers
How many deficiencies has Thomas Upham House been cited for?
11 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Massachusetts median is 27 per facility.
Has Thomas Upham House been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Thomas Upham House compare?
Reported total nurse staffing is 4.5 hours per resident per day against a Massachusetts median of 3.7 and a national average of 3.9.
Who operates Thomas Upham House?
It is part of the Rehabilitation Associates chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Rehabilitation Associates Inc. Individual owners and managers are not listed on this site.
When was Thomas Upham House last inspected?
The most recent survey or investigation in the CMS record is dated 20 Nov 2025; the most recent standard health survey was 20 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.