Thomas Upham House

Name: Thomas Upham House
Address: 519 MAIN STREET, Medfield, MA, 02052, US
Telephone: 5083596050

519 Main Street, Medfield, MA 02052 · Norfolk County · 42 certified beds · avg 38 residents/day · certified since Sep 1, 1994

Part of chain: REHABILITATION ASSOCIATES (6 facilities, chain avg rating 3.8★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.53

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (11)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Nov 20, 2025	E · Potential for harm, repeated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Nov 20, 2025	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 20, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 18, 2024	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 18, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Oct 18, 2024	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Oct 18, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 18, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jul 10, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 3).

Year	Citations	Worst severity that year
2023	1	D
2024	7	F
2025	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Massachusetts avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.53	3.89	3.95	top 5% in Massachusetts; top 7% in the U.S.
Registered Nurse hours	1.07	0.65	0.69	top 7% in Massachusetts; top 13% in the U.S.
Weekend total nurse staffing	5.09	3.51	3.50	top 4% in Massachusetts; top 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.59	0.46	0.48	top 20% in Massachusetts; top 24% in the U.S.
Total nursing staff turnover (%)	35.0	38.2	45.8	top 43% in Massachusetts; top 24% in the U.S.
RN turnover (%)	46.2	42.6	42.9	bottom 40% in Massachusetts; bottom 42% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.54, RN 0.88, weekend 4.17. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Thisse, Nicholas	Individual	5% or Greater Direct Ownership Interest	100%	06/10/1986
Allen, Denise	Individual	Operational/Managerial Control	NOT APPLICABLE	07/14/2013
Rehabilitation Associates INC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/10/1986
Thisse, Nicholas	Individual	Corporate Director	NOT APPLICABLE	10/13/2004
Thisse, Peter	Individual	Corporate Director	NOT APPLICABLE	10/08/2004
Thisse, Peter	Individual	Corporate Officer	NOT APPLICABLE	01/03/1990

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Premier Healthcare at Harrington House	4.2 mi	Walpole, MA	★★☆☆☆	2/5
Charlwell House Health and Rehabilitation	4.7 mi	Norwood, MA	★☆☆☆☆	2/5
Victoria Haven Nursing Facility	5.1 mi	Norwood, MA	★★☆☆☆	1/5
Medway Country Manor Skilled Nursing & Rehabilitat	5.5 mi	Medway, MA		—/5	SFF
Norwood Healthcare	5.6 mi	Norwood, MA	★☆☆☆☆	1/5	SFF
Riverbend of South Natick	6.0 mi	S Natick, MA	★★★★★	4/5
Timothy Daniels House	6.1 mi	Holliston, MA	★★★★☆	3/5
Ellis Nursing Home (the)	6.3 mi	Norwood, MA	★★★★★	4/5
Foremost at Sharon LLC	6.4 mi	Sharon, MA	★★☆☆☆	2/5
Mary Ann Morse Nursing & Rehabilitation	6.9 mi	Natick, MA	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Medfield →

Facility data as of CMS processing date 2026-08-01. CCN 225645.

The Care File

Visit checklist — Thomas Upham House

519 Main Street, Medfield, MA 02052 · 5083596050

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 225645 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)