Nursing HomeInspections

Thomas Upham House

Nursing home in Medfield, MA

Medicare & Medicaid certified5★ overall (CMS)

Call (508) 359-6050Send a messageMap ↗

Public-record details

Address
519 Main Street, Medfield, MA 02052
Phone
(508) 359-6050
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
225645
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
5 of 5
Quality measures rating
3 of 5
Certified beds
42
Average residents per day
38
Ownership
For-profit, corporation
Legal business name
519 Main St., INC.
Chain
Rehabilitation Associates (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 1, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 225645. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 20, 2025. CMS lists 11 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 10, 2023 to Nov 20, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Nov 20, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Nov 20, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
Nov 20, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Oct 18, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Oct 18, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Oct 18, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Oct 18, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		E
Potential for more than minimal harm, pattern
Oct 18, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Oct 18, 2024Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Oct 18, 2024Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread
Jul 10, 2023Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.54 hours
Registered nurse (RN) time per resident per day
0.88 hours
Nurse aide time per resident per day
3.00 hours
Total nurse staffing on weekends
4.17 hours
Nursing staff turnover (yearly)
35%
RN turnover (yearly)
46%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.