Thomas Upham House
519 Main Street, Medfield MA 02052 · (508) 359-6050 · 94.04% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Thomas Upham House is a small facility located in Medfield, Massachusetts. Sporting an overall grade of A, this facility is one of the most elite nursing homes we looked at. In fact, we ranked this facility in the top quarter of all facilities in the nation. Headlining this place's exemplary profile is its nursing rating, which you can find in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 42 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
On top of performing well in its overall score, this facility received an excellent nursing rating. We awarded it an A in that category. Nursing grades are based in large part on quantity of nursing care available. With 4.6 hours of nursing care per resident per day, this nursing home surpassed the overwhelming majority of facilities. Lastly, this place also excelled in several of the quality-based metrics we assessed. With less than five percent of its residents suffering from pressure ulcers, it performed as well as any facility the nation in this category.
Facility Inspections
Adding to its impressive category grades, this facility also excelled in the category of inspections, where it received an A. Arguably the most significant factor we consider in determining our inspection grades is deficiencies. These deficiencies are found on a facility's recent inspection reports. Places with better grades in this area typically dodged the more severe deficiencies involving health risks or even death. Unfortunately, we weren't able to locate deficiency counts for this nursing home. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
The next area we looked at is long-term care. Contributing to its impressive profile, this nursing home also excelled in that area. In fact, it received a of A for the category. Nursing homes that excel in long-term care tend to be well-staffed and provide extensive hands on care to patients. On top of assessing the quantity of care provided by nurses and other staff, we analyzed the percentage of residents vaccinated against pneumonia. This nursing home vaccinated 94.07407 percent of its patients. Vaccines are critical to keeping patients healthy. Finally, this nursing home was able to limit hospitalizations. It had only 0.45 hospitalizations per 1,000 long-term resident days, which is a remarkably low number.
Short-term Care Quality
Turning to our last category, this nursing home was awarded a strong short-term care rating. We awarded it a B+ in that category, wrapping up one of our finer report cards. Our short-term care grade is often used to grade a nursing home's rehabilitation services. In order to offer high-end rehabilitation services, nursing homes generally need to provide better levels of skilled nursing services. Skilled nursing includes registered nurses, physical therapists, respiratory therapists and other types of therapists. When we looked at this facility's physical therapist hours, we found it offered more hours of physical therapy per day to its residents than most nursing homes. Finally, we considered the percentage of residents who were able to return to the community from this facility. It performed decently , with 46.3 percent of its residents able to return home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Thomas Upham House Quality Metrics
Minimizes Pressure Ulcers
This datapoint is an indication of the percent of long-term patients which have pressure ulcers or bed sores. We factor in this statistic in computing our nursing grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percent of long-term care residents which have suffered a fall which caused serious injury. We use this statistic in calculating our nursing grades.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This tells you the percent of patients that have had a urinary tract infection. UTI's are considered by many experts to be a barometer of nursing care . UTI's are often the result of poor nursing care. However, this metric could be misleading for some facilities due to inconsistent reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of patients prescribed antipsychotic medications. Antipsychotic medications are given to patients for many medical conditions, such as dementia. Unfortunately, in some situations, excessive reliance on these medications may indicate that a nursing home is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This metric tells you the percentage of long-term residents who are given antianxiety medication. These drugs are commonly given to residents suffering from depression and anxiety.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percentage of residents who are demonstrating signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percentage of patients who have received the pneumonia and flu vaccines. High vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This indicates the percentage of residents who required additional assistance with activities of daily living over time. Higher levels of needing for assistance with ADL's could indicate decline of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This metric tracks the percentage of long-term stay patients that were able to retain mobility.
Percentage of Residents
Higher is Better
Hospitalizations
This metric measures the number of hospitalizations per thousand days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of rehospitalizations per thousand days of short-term patient care.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This metric is a measure of the number of emergency room visits per thousand days of short-term patient care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This tells you the percentage of short-term patients that experienced functional improvements, such as enhanced ability to perform activities of daily living. High levels of independence with ADL's typically correlates with successful rehabilitation.
Percentage of Resident
Higher is Better