Quick answers
- Where is Thomas Upham House?
- 519 Main Street, Medfield, MA 02052, in Norfolk County, Massachusetts.
- What is the phone number of Thomas Upham House?
- (508) 359-6050, as listed by Medicare (CMS).
- What is the Medicare star rating of Thomas Upham House?
- Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
- Has Thomas Upham House been fined?
- Medicare lists no fines for Thomas Upham House.
- What did inspectors find at Thomas Upham House?
- In its last three inspection cycles (July 10, 2023 to November 20, 2025), Medicare lists 11 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (July 10, 2023 to November 20, 2025), Thomas Upham House had 11 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 4.65 hours per resident per day; the Massachusetts average is 3.94 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: November 20, 2025 — 3 health citations
Inspections in this cycle: November 20, 2025 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0605 Level E
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
Previous cycle: October 18, 2024 — 7 health citations
Inspections in this cycle: October 18, 2024 (standard health inspection).
Show 7 citations (levels A to F, no actual harm)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0658 Level E
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0761 Level 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.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
Earlier cycle: July 10, 2023 — 1 health citation
Inspections in this cycle: July 10, 2023 (standard health inspection).
Show 1 citation (levels A to F, no actual harm)
F0761 Level 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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (22)
K0351 Level F
“Install an approved automatic sprinkler system.”
K0161 Level D
“Use approved construction type or materials.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0232 Level D
“Have corridors or aisles that are unobstructed and are at least 8 feet in width.”
K0241 Level D
“Have correct number of accessible exits for each story.”
K0252 Level D
“Provide at least two remote exits on each floor or fire section of the building.”
K0311 Level D
“Have an enclosure around a vertical opening shaft.”
E0041 Level F
“Implement emergency and standby power systems.”
K0161 Level F
“Use approved construction type or materials.”
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0232 Level F
“Have corridors or aisles that are unobstructed and are at least 8 feet in width.”
K0241 Level F
“Have correct number of accessible exits for each story.”
K0252 Level F
“Provide at least two remote exits on each floor or fire section of the building.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0311 Level F
“Have an enclosure around a vertical opening shaft.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0161 Level F
“Use approved construction type or materials.”
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0232 Level F
“Have corridors or aisles that are unobstructed and are at least 8 feet in width.”
K0241 Level F
“Have correct number of accessible exits for each story.”
K0252 Level F
“Provide at least two remote exits on each floor or fire section of the building.”
K0311 Level F
“Have an enclosure around a vertical opening shaft.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Massachusetts | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.97 | 0.66 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.58 | 0.97 | 0.86 |
| Nurse aide hours per resident per day | 3.10 | 2.31 | 2.35 |
| Total nurse staff hours per resident per day | 4.65 | 3.94 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.17 | 3.52 | 3.43 |
| RN hours per resident per day on the weekend | 0.74 | 0.46 | 0.48 |
| Nursing staff turnover (per year) | 20.0% | 37.6% | 45.3% |
| RN turnover (per year) | 36.4% | 42.7% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 6 nursing homes: Rehabilitation Associates.
Legal business name: 519 Main St., Inc..
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Thisse, Nicholas | Direct owner | 100% | June 10, 1986 |
| Rehabilitation Associates Inc | Management company (operational or managerial control) | NOT APPLICABLE | June 10, 1986 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 42 |
| Average residents per day | 36.2 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Rehabilitation Associates |
| Legal business name | 519 Main St., Inc. |
| First approved by Medicare/Medicaid | 1994-09-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 519 Main Street, Medfield, MA 02052 |
| County | Norfolk County |
| State | Massachusetts |
| Phone | (508) 359‑6050 |
| CMS Certification Number | 225645 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Premier Healthcare at Harrington House4.2 mi · Walpole, MA · 2 of 5 stars
- Charlwell House Health and Rehabilitation4.7 mi · Norwood, MA · 1 of 5 stars
- Victoria Haven Nursing Facility5.1 mi · Norwood, MA · 2 of 5 stars
- Medway Country Manor Skilled Nursing & Rehabilitat5.5 mi · Medway, MA
- Norwood Healthcare5.6 mi · Norwood, MA · 1 of 5 stars
Nearest hospital emergency rooms
- Westwood Pembroke Health Systems4.6 mi · Westwood, MA · Psychiatric Hospital
- Beth Israel Deaconess Hospital - Needham7.2 mi · Needham, MA · Acute Care Hospital
- Metrowest Medical Center8.9 mi · Framingham, MA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13