# Thomas Upham House

Thomas Upham House is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Medfield, MA, CMS Certification Number 225645, with 42 certified beds and about 36 residents per day. CMS rates it 5/5 overall (health inspections 4/5, staffing 5/5, quality measures 3/5).

## Key facts
- Status: Active CMS certification
- Address: 519 Main Street, Medfield, MA 02052 (Norfolk County)
- Ownership type: For profit - Corporation

- Operator (legal business name): [519 Main St., Inc](https://carefield.site/operator/op-519-main-st-inc)
- CMS chain: [Rehabilitation Associates](https://carefield.site/chain/cms-chain-445) — 6 facilities

- Phone: 5083596050
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/225645

## Inspection record
6 inspections in the CMS window (latest 2025-11-20); 33 citations (11 health, 22 fire safety); 0 at actual harm and 0 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2025-11-20 — [K-0161](https://carefield.site/deficiency/cms-k0161) Use approved construction type or materials. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-11-20 — [K-0211](https://carefield.site/deficiency/cms-k0211) Keep aisles, corridors, and exits free of obstruction in case of emergency. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-11-20 — [K-0232](https://carefield.site/deficiency/cms-k0232) Have corridors or aisles that are unobstructed and are at least 8 feet in width. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-11-20 — [K-0241](https://carefield.site/deficiency/cms-k0241) Have correct number of accessible exits for each story. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-11-20 — [K-0252](https://carefield.site/deficiency/cms-k0252) Provide at least two remote exits on each floor or fire section of the building. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-11-20 — [K-0311](https://carefield.site/deficiency/cms-k0311) Have an enclosure around a vertical opening shaft. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2025-11-20 — [K-0351](https://carefield.site/deficiency/cms-k0351) Install an approved automatic sprinkler system. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-11-20 — [F-0605](https://carefield.site/deficiency/cms-f0605) Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-11-20 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-11-20 — [F-0812](https://carefield.site/deficiency/cms-f0812) Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-18 — [E-0041](https://carefield.site/deficiency/cms-e0041) Implement emergency and standby power systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-18 — [K-0161](https://carefield.site/deficiency/cms-k0161) Use approved construction type or materials. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-18 — [K-0211](https://carefield.site/deficiency/cms-k0211) Keep aisles, corridors, and exits free of obstruction in case of emergency. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-18 — [K-0232](https://carefield.site/deficiency/cms-k0232) Have corridors or aisles that are unobstructed and are at least 8 feet in width. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-18 — [K-0241](https://carefield.site/deficiency/cms-k0241) Have correct number of accessible exits for each story. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-18 — [K-0252](https://carefield.site/deficiency/cms-k0252) Provide at least two remote exits on each floor or fire section of the building. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-18 — [K-0291](https://carefield.site/deficiency/cms-k0291) Install emergency lighting that can last at least 1 1/2 hours. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-18 — [K-0311](https://carefield.site/deficiency/cms-k0311) Have an enclosure around a vertical opening shaft. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-18 — [K-0918](https://carefield.site/deficiency/cms-k0918) Have generator or other power source capable of supplying service within 10 seconds. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2024-10-18 — [F-0550](https://carefield.site/deficiency/cms-f0550) Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- …and 13 more on the source page.

## Penalties
No fines or payment denials in the CMS penalties file (about the last three years).

## Staffing (PBJ, hours per resident per day)
- Total nurse: 4.64909 (state avg 3.93743, US 3.90085)
- RN: 0.97166
- Nursing staff turnover: 20%

## Owners and managers of record (CMS disclosures)
- Nicholas Thisse — Direct owner, 100%, since 1986-06-10
- [Rehabilitation Associates Inc](https://carefield.site/owner/org-rehabilitation-associates-inc) — Operational / managerial control, since 1986-06-10
- Denise Allen — Operational / managerial control, since 2013-07-14

## Nearby nursing homes
- [Premier Healthcare at Harrington House](https://carefield.site/facility/cms-225536) — 6.7 km, CMS overall 2/5
- [Charlwell House Health and Rehabilitation](https://carefield.site/facility/cms-225208) — 7.6 km, CMS overall 1/5
- [Victoria Haven Nursing Facility](https://carefield.site/facility/cms-225608) — 8.2 km, CMS overall 2/5
- [Medway Country Manor Skilled Nursing & Rehabilitat](https://carefield.site/facility/cms-225412) — 8.9 km, CMS overall not rated
- [Norwood Healthcare](https://carefield.site/facility/cms-225343) — 9 km, CMS overall 1/5
- [Riverbend of South Natick](https://carefield.site/facility/cms-225615) — 9.6 km, CMS overall 5/5
- [Timothy Daniels House](https://carefield.site/facility/cms-225709) — 9.9 km, CMS overall 4/5
- [Ellis Nursing Home (the)](https://carefield.site/facility/cms-225211) — 10.2 km, CMS overall 5/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225645&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225645&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225645&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225645&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225645&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=225645&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-225645 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.