Nursing home report
MEDFIELD, MA · Medicare-certified · 42 beds
Thomas Upham House in Medfield, MA has an overall 5 out of 5 stars, with strong staffing (5 stars) and nurse staffing above the federal benchmark (4.54 vs. 4.1 hours per resident per day). Health inspections are 4 stars, quality measures are 3 stars, and there were no fines in the last 24 months; recent cited issues included infection control, psychotropic medication use, and meeting professional standards of care.
Health inspections
Staffing
4.5393 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5393.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2024 — widespread issue, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited November 2025 — limited pattern, potential for harm.
F-Tag 605 — 42 CFR §483.12 — S/S: E
The nursing home failed to provide services that met professional standards of quality. Cited November 2025 — limited pattern, potential for harm.
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited October 2024 — limited pattern, potential for harm.
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited October 2024 — limited pattern, potential for harm.
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Health inspection found 3 health deficiencies.
Health inspection found 7 health deficiencies.
Health inspection found 1 health deficiency.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
