Thomas Upham House
519 Main Street, Medfield, MA 02052
Thomas Upham House is a nursing home in Medfield, Massachusetts. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (508) 359-6050
- Last standard health inspection
- November 20, 2025 (11 months ago)
- Certified beds
- 42
- Residents per day, on average
- 36.2
- Ownership type
- For profit - Corporation
- Legal business name
- 519 Main St., INC.
- Chain
- Rehabilitation Associates
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Massachusetts average (11 vs 28).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 5 of 5 to 4 of 5.
3 citations
Health inspection on November 20, 2025
CMS lists this as a standard inspection.
Citation F0605. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS lists it as corrected on December 10, 2025.
Citation F0658. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on December 10, 2025.
CMS has cited this home for F0658 2 times since 2024.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on December 10, 2025.
7 citations
Fire safety inspection on November 20, 2025
CMS lists this as a standard inspection.
Citation K0351. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on March 10, 2026.
Citation K0161. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on March 10, 2026.
CMS has cited this home for K0161 3 times since 2023.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on March 10, 2026.
CMS has cited this home for K0211 3 times since 2023.
Citation K0232. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
CMS lists it as corrected on March 10, 2026.
CMS has cited this home for K0232 3 times since 2023.
Citation K0241. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have correct number of accessible exits for each story.
CMS lists it as corrected on March 10, 2026.
CMS has cited this home for K0241 3 times since 2023.
Citation K0252. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide at least two remote exits on each floor or fire section of the building.
CMS lists it as corrected on March 10, 2026.
CMS has cited this home for K0252 3 times since 2023.
Citation K0311. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have an enclosure around a vertical opening shaft.
CMS lists it as corrected on March 10, 2026.
CMS has cited this home for K0311 3 times since 2023.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 5.3 to 4.6 hours per resident per day.
CMS update of May 28, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of December 20, 2024
Star rating
The CMS health inspection star rating changed from 4 of 5 to 5 of 5.
7 citations
Health inspection on October 18, 2024
CMS lists this as a standard inspection.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on November 15, 2024.
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on November 15, 2024.
Citation F0658. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on November 15, 2024.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on November 15, 2024.
CMS has cited this home for F0761 2 times since 2023.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on November 15, 2024.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on November 15, 2024.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on November 15, 2024.
9 citations
Fire safety inspection on October 18, 2024
CMS lists this as a standard inspection.
Citation E0041. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement emergency and standby power systems.
CMS lists it as corrected on December 20, 2024.
Citation K0161. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on December 31, 2024.
Citation K0211. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on December 31, 2024.
Citation K0232. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
CMS lists it as corrected on December 31, 2024.
Citation K0241. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have correct number of accessible exits for each story.
CMS lists it as corrected on December 31, 2024.
Citation K0252. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide at least two remote exits on each floor or fire section of the building.
CMS lists it as corrected on December 31, 2024.
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on December 20, 2024.
Citation K0311. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have an enclosure around a vertical opening shaft.
CMS lists it as corrected on December 31, 2024.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 20, 2024.
1 citation
Health inspection on July 10, 2023
CMS lists this as a standard inspection.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 13, 2023.
6 citations
Fire safety inspection on July 10, 2023
CMS lists this as a standard inspection.
Citation K0161. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on July 18, 2023.
Citation K0211. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on July 18, 2023.
Citation K0232. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
CMS lists it as corrected on July 18, 2023.
Citation K0241. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have correct number of accessible exits for each story.
CMS lists it as corrected on July 18, 2023.
Citation K0252. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide at least two remote exits on each floor or fire section of the building.
CMS lists it as corrected on July 18, 2023.
Citation K0311. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have an enclosure around a vertical opening shaft.
CMS lists it as corrected on July 18, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- THISSE, NICHOLAS5% or greater direct ownership interest · 100% · since 06/10/1986
- REHABILITATION ASSOCIATES INCOperational/managerial control · not applicable · since 06/10/1986
- ALLEN, DENISEOperational/managerial control · not applicable · since 07/14/2013
Questions
When was Thomas Upham House last inspected?
CMS lists November 20, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Thomas Upham House have?
CMS lists 11 health citations since July 10, 2023. CMS also calls these deficiencies.
Has Thomas Upham House been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Thomas Upham House?
Its CMS overall star rating is 5 of 5.
Is Thomas Upham House a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.