Thomas Upham House
519 Main Street · Medfield, MA · 02052 · 5083596050
42 certified beds For profit - Corporation Chain: Rehabilitation Associates
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 5 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.64 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.95 | 0.55–0.75 |
| Weekend hours / resident-day | 4.09 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (11 in the current record)
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Potential for harm · E November 20, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected December 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 20, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 10, 2025 · Nutrition and Dietary
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Potential for harm · E October 18, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 15, 2024 · Resident Rights
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Potential for harm · D October 18, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 15, 2024 · Resident Rights
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Potential for harm · E October 18, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 15, 2024 · Pharmacy Service
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Potential for harm · D October 18, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected November 15, 2024 · Pharmacy Service
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Potential for harm · E 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.
Corrected November 15, 2024 · Pharmacy Service
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Potential for harm · F October 18, 2024
Provide and implement an infection prevention and control program.
Corrected November 15, 2024 · Infection Control
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Potential for harm · D July 10, 2023
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.
Corrected July 13, 2023 · Pharmacy Service
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 225645 · certified since September 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.