Federal inspection record · CMS data as of October 1, 2026
Thomas Upham House
519 Main Street, Medfield, MA · (508) 359-6050
- CMS high-performer trophy
- Certified beds
- 42
- Residents per day
- 36
- Ownership
- For-Profit
- Chain
- Rehabilitation Associates
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1994
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Massachusetts.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Massachusetts homes
Thomas Upham House carries 28 inspection points. That is fewer than 61% of Massachusetts's 339 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Massachusetts: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–6 pts
- 4★ 6–24 pts
- 3★ 24–41 pts
- 2★ 41–76 pts
- 1★ over 76 pts
Bars show every rated home in Massachusetts by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
11 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service4E
- E
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Resident Assessment and Care Planning2E
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Rights2E
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Inspection history
2025-11-20
3 health deficiencies · 7 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-10-18
7 health deficiencies · 9 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2023-07-10
1 health deficiencies · 6 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 39 min of nursing staff time a day, 58 min of it from a registered nurse.
This home
4 h 39 min
Massachusetts average
3 h 56 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 20% of nursing staff and 36% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts worse | 2.6 | 1.8 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.1 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.1 pts better | 97.0% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.5 pts better | 100.0% | 93.5% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse | 3.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.6 pts better | 0.8% | 17.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 4.0% | 5.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.7 pts better | 10.8% | 19.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.9 pts worse | 25.4% | 21.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.2 pts better | 8.7% | 13.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.7 pts worse | 18.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.5 pts worse | 2.2% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts worse | 3.1% | 1.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.8 pts better | 10.6% | 20.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts worse | 5.3% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23.8 pts worse | 55.1% | 78.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts better | 10.4% | 11.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2 pts worse | 3.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.5 pts worse | 31.2% | 25.7% | 23.4% |
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Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Thisse, Nicholas | 5% Or Greater Direct Ownership Interest · Individual | 100% | 3 facilities |
| Allen, Denise | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rehabilitation Associates Inc | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Thisse, Nicholas | Corporate Director · Individual | 0% | 3 facilities |
| Thisse, Peter | Corporate Director · Individual | 0% | 6 facilities |
| Thisse, Peter | Corporate Officer · Individual | 0% | 6 facilities |
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Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress13F
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- D
Have correct number of accessible exits for each story.
- D
Provide at least two remote exits on each floor or fire section of the building.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Have correct number of accessible exits for each story.
- F
Provide at least two remote exits on each floor or fire section of the building.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Have correct number of accessible exits for each story.
- F
Provide at least two remote exits on each floor or fire section of the building.
Smoke4F
- F
Install an approved automatic sprinkler system.
- D
Have an enclosure around a vertical opening shaft.
- F
Have an enclosure around a vertical opening shaft.
- F
Have an enclosure around a vertical opening shaft.
Construction3F
- D
Use approved construction type or materials.
- F
Use approved construction type or materials.
- F
Use approved construction type or materials.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
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Charlwell House Health And Rehabilitation
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Victoria Haven Nursing Facility
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