With an address in Medfield, Massachusetts, Thomas Upham House is the sole facility we found in this area. It looks like this nursing home is one of the most elite facilities we looked at. Being awarded an A+ in our rating system requires excellent marks across the board. We were so impressed with this facility that we ranked it in the top ten percentile of all nursing homes nationally. Keep reading to find this nursing home's category scores, which are equally impressive. You really can't do any better than a straight A report card.
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Thomas Upham House
- Nursing Home
Updated Nov 1, 2023 by Nick Lata
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- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Corporation
- Offers Post-Acute Care
- Offers Inpatient Rehab
Specialized Services
- Speech Therapy
- Occupational Therapy
- Physical Therapy
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Registered Staff Hours
Nurse Quality
In addition to a phenomenal overall grade, this facility also received A+ nursing grade. Our nursing grade includes a variety of datapoints. The most important factor is the number of hours nurses spend with patients. This nursing home provides 0.5 hours of nursing care per resident per day. Finally, our nursing grades also factor in quality-based assessments, such as avoiding major falls. This place performed well in this area. Avoiding major falls is typically a good indicator that a place has reliable quality controls in place. Major falls can frequently be prevented if more nurses aids and better safety protocols are in place.
Facility Inspections
This facility also received a nearly flawless government inspection. As a result, it earned one of our highest scores in that category with an A+. This is one of the few nursing homes to receive multiple A+ category grades. Inspection grades weigh several factors, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these issues by reviewing copies of nursing homes' inspection reports. It does not appear that we have information about this nursing home's deficiencies. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
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Short-term Care Quality
This nursing home also was elite in the area of short-term care, where we gave it a score of A-. Not many nursing homes received a better grade in this area. In determining these short-term care grades, we look at the facility's skilled nursing services, including those performed by registered nurses, occupational therapists, physical therapists and other types of skilled professionals. Our objective is to create a scale for sizing up the rehabilitation services of different facilities. Fortunately, it looks like this nursing home has registered nurses on staff. Not every facility employs these types of nurses. However, according to the information this nursing home provided, they do not appear to employ physical therapists. Finally, we considered the number of residents that were able to return home from this facility. We found that 5.1 percent of this facility's residents returned home.
Long-term Care Quality
Moving on to the last category, this facility was awarded a very strong long-term care score. We awarded it a grade of A- in that area, rounding out a straight A profile. Long-term care grades of this caliber generally require both around the clock care from nurses and aids, as well as quality routine healthcare services. After considering the volume of care provided by nurses aids and other staff, we then analyzed the facility's vaccination record. This facility vaccinated 93.85965 percent of its residents against pneumonia, which is slightly below what we were hoping for but still a decent percentage. Clearly, this nursing home is doing something right in this area as it was able to keep its patients out of the hospital. In fact, it had only 0.01 hospitalizations per one thousand long-term resident days, which is an impressively low number.
Rating Over Time
Compared to national and state averages across all facilities.
Thomas Upham House Quality Metrics
Minimizes Pressure Ulcers
In Thomas Upham House, 6.17% of Patients had Pressure Ulcers
This is the percent of residents that suffered from a pressure ulcer. Pressure ulcers are damage to the skin caused by staying in one position for an excessive period of time.
Minimizes Serious Falls
In Thomas Upham House, 0% of Patients had Serious Falls
This statistic indicates the percentage of long-term residents who sustained a fall resulting in severe injury. Falls can happen for a variety of reasons, but high rates of falls resulting in injuries may be an indicator of lower levels of patient supervision.
Minimizes Urinary Tract Infections
In Thomas Upham House, 0.95% of Patients had UTIs
This indicates the percent of residents who have had a urinary tract infection. Urinary tract infections are often associated with poor nursing care. Closer supervision can minimize the percentage of residents in a nursing home who suffer from UTI's. Note that this metric is affected by by the fact that facilities have varying reporting standards for UTI's.
Appropriately Uses Anti-Psychotic Medication
In Thomas Upham House, 10.53% of Patients use Anti-Psychotic Medication
This tells you the percentage of residents given antipsychotic drugs. These medications may be used for a variety of conditions, such as Alzheimer's or other dementias.
Appropriately Uses Anti-Anxiety Medication
In Thomas Upham House, 9.09% of Patients use Anti-Anxiety Medication
This figure tells you the percentage of long-term patients receiving antianxiety medications.
Managing Depression Among Residents
In Thomas Upham House, 17.43% of Patients
This is the percentage of patients demonstrating symptoms of depression.
Appropriate Vaccine Usage
In Thomas Upham House, 96.93% of Patients
This is a measure of the percentage of long-term stay residents that have received the pneumonia and flu vaccines. Respiratory viruses can be deadly for nursing home patients, making these vaccines vital to patient safety.
Residents Maintain Autonomy
In Thomas Upham House, 6.12% of Patients
This tells you the percent of patients that required increased assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's could indicate decline of a resident's medical condition.
Ability to Keep Residents Mobile
In Thomas Upham House, 11.84% of Residents
This datapoint is a measure of the percentage of long-term stay residents that remained mobile levels.
Hospitalizations
In Thomas Upham House, 0.01 Hospitalizations per 1,000 resident days
This is the number of hospitalizations per 1,000 days of patient care.
Short-term Care: Rehospitalizations
In Thomas Upham House, 11.84% of Residents Rehospitalized
This metric measures the number of times residents are rehospitalized per thousand days of short-term care. Avoiding rehospitalizations during rehabilitation is important to restoring the physical abilities of residents.
Short-term Care: ER Visits
In Thomas Upham House, 13.96% of Patients
This datapoint is a measure of the number of times residents are sent to the emergency room per 1,000 days of short-term patient care. Avoiding medical emergencies is one way to measure patient well-being during rehabilitation.
Short-term Care: Facilitates Functional Improvement
In Thomas Upham House, 77.98% of Resident
Measures the percent of short-term residents who saw functional improvements, such as with activities of daily living. Many believe that this is a measure of a facility's rehabilitation services.
Nearby Hospitals
- Westwood Pembroke Health SystemsPsychiatric 4.49 miles away45 Clapboardtree Street Westwood Massachusetts 02090Proprietary(617) 762-7764
- Norwood HospitalAcute Care Hospitals 5.3 miles away800 Washington Street Norwood Massachusetts 02062Proprietary(781) 769-4000
- Beth Israel Deaconess Hospital - NeedhamAcute Care Hospitals 7.38 miles away148 Chestnut Street Needham Heights Massachusetts 02494Voluntary non-profit - Private(781) 453-3002
- Metrowest Medical CenterAcute Care Hospitals 8.84 miles away115 Lincoln Street Framingham Massachusetts 01701Voluntary non-profit - Private(508) 383-1000
- Newton-Wellesley HospitalAcute Care Hospitals 10.76 miles away2014 Washington Street Newton Lower Falls Massachusetts 02462Voluntary non-profit - Other(617) 243-6000
- Milford Regional Medical CenterAcute Care Hospitals 11.87 miles away14 Prospect Street Milford Massachusetts 01757Voluntary non-profit - Other(508) 473-1190
- Brigham and Women's Faulkner HospitalAcute Care Hospitals 12.26 miles away1153 Centre Street Jamaica Plain Massachusetts 02130Voluntary non-profit - Private(617) 983-7000
- Beth Israel Deaconess Hospital-Milton IncAcute Care Hospitals 12.69 miles away199 Reedsdale Road Milton Massachusetts 02186Government - Federal(617) 696-4600
Nearby Dialysis
- Westwood Dialysis Center (Bma Westwood)6.54 miles away90 Glacier Drive Westwood Massachusetts 02090CMS Rating: 5 stars Dialysis Stations: 18 (781) 326-9985
- Us Renal Care Foxborough Dialysis7.22 miles away10 Lincoln Rd Suite 101 Foxboro Massachusetts 02035Dialysis Stations: 9 (774) 215-5696
- Fresenius Medical Care Framingham9.42 miles away110 Mt. Wayte Ave. Framingham Massachusetts 01702CMS Rating: 3 stars Dialysis Stations: 22 (508) 628-3801
- Wellesley Dialysis9.7 miles away195 Worcester Street Lower Level Wellesley Hills Massachusetts 02481Dialysis Stations: 18 (781) 431-1414
- Pure Life Renal of Stoughton, LLC11.11 miles awayMed. Office Bldg Suite m107 907 Sumner Street Stoughton Massachusetts 02072CMS Rating: 2 stars Dialysis Stations: 18 (781) 341-8550
- Fmc Dialysis Services of Blackstone Valley11.55 miles away42 Cape Road Milford Massachusetts 01757CMS Rating: 3 stars Dialysis Stations: 19 (508) 634-4331
- Dci Brigham/Faulkner13.13 miles awayDci Brigham/Faulkner 1153 Centre Street, Belkin House Jamaica Plain Massachusetts 02130CMS Rating: 3 stars Dialysis Stations: 21 (617) 983-4470
- Saint Elizabeth's Medical Center of Boston13.51 miles awayDialysis Unit - Ccp 7 736 Cambridge Street Brighton Massachusetts 02135Dialysis Stations: 17 (617) 789-2592