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. A score in this range requires first-rate scores across the board. We were so impressed with this nursing home that we ranked it in the top ten percentile of all facilities nationally. Keep reading to see this nursing home's category ratings, which also impressed us. You just can't do much better than a straight A profile.
Thomas Upham House
- Nursing Home
Updated Sep 1, 2022 by Nick Reese
- Accepts Medicare 1
- Accepts Medicaid 1
- No CCRC
- Has Resident Council
- No Family Council
- For profit - Corporation
- Offers Post-Acute Care
- Offers Inpatient Rehab
- Speech Therapy
- Occupational Therapy
- Physical Therapy
Registered Staff Hours
On top of faring well overall, this facility also received a nearly flawless inspection report. Consequently, it received one of our highest scores in that category with an A+. Perhaps the most significant factor we consider in calculating our inspection ratings is deficiencies. Deficiencies can be found on a facility's inspection reports. Nursing homes with higher scores in this area typically avoided the more severe deficiencies involving health risks or even death. Unfortunately, we were not able to locate information on deficiency's for this nursing home. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Long-term Care Quality
We also gave this facility a score of A+ for its long-term care grade. When nursing homes receive a grade in this range in this category it generally means it has plenty of staff and is an overall good place to reside on a permanent basis. Once we assessed the volume of care provided by nurses and other staff, we then looked at the nursing home's vaccination data. This facility vaccinated 99.19355 percent of its patients against pneumonia. Vaccines are critical to keeping residents out of the hospital. Clearly, this nursing home is doing something right in this area as it was able to keep its residents out of the hospital. In fact, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low figure.
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This facility also excelled in the area of nursing, where it received a grade of A. Few nursing homes performed better in this area. Nursing ratings are based largely on quality and quantity of nursing care. This facility provided 0.5 hours of nursing care per resident per day. Finally, we also looked at some nursing quality-based metrics in determining our nursing grades. This place performed very well in terms of minimizing its residents' pressure ulcers and major falls. We consider these areas to be good indicators of the quality of nursing care.
Short-term Care Quality
The final area we looked at was short-term care, where this nursing home was awarded an A-. This topped off a very strong report card. Few nursing homes earned an A- or higher in in each area we assessed. In calculating these short-term care ratings, we analyze the nursing home's skilled nursing services, such as those performed by registered nurses, speech therapists, physical therapists and other types of therapists. Our goal is to devise a barometer for sizing up the rehabilitation services of nursing homes. Fortunately, it appear that this facility employs registered nurses. Not all nursing homes employs these skilled professionals. On the other hand, based on the data this nursing home provided, it does not look like the facility employs physical therapists. Lastly, we considered the percentage of patients who were able to return to the community from this facility. We found that 4.9 percent of this nursing home's residents returned home.
Rating Over Time
Compared to national and state averages across all facilities.
Thomas Upham House Quality Metrics
Minimizes Pressure Ulcers
In Thomas Upham House, 6.44% of Patients had Pressure Ulcers
This tells you the percentage of patients who suffered from a pressure ulcer. Pressure ulcers are skin damage due to remaining in the same position for too long.
Minimizes Serious Falls
In Thomas Upham House, 3.68% of Patients had Serious Falls
This datapoint is a measure of the percent of long-term patients who suffered a fall which caused major injury. This is one of the statistics we use in determining nursing grades.
Minimizes Urinary Tract Infections
In Thomas Upham House, 2.42% of Patients had UTIs
This figure is a measure of the percentage of long-term stay residents who have had a UTI. Although a higher rate of these infections may reflect poorly on a nursing home's hygiene protocols, it can be difficult to compare between nursing homes due to facilities having inconsistent reporting standards.
Appropriately Uses Anti-Psychotic Medication
In Thomas Upham House, 19.05% of Patients use Anti-Psychotic Medication
This indicates the percentage of residents who were given antipsychotic medications. While antipsychotic drugs may be helpful for many patients, it is important to ensure these medications are being used only where medically required. In limited situations, increased usage of these drugs may indicate a facility is using these medications to control patient behavior.
Appropriately Uses Anti-Anxiety Medication
In Thomas Upham House, 18.65% of Patients use Anti-Anxiety Medication
This is a measure of the percent of long-term care residents receiving antianxiety medications.
Managing Depression Among Residents
In Thomas Upham House, 1.93% of Patients
This is the percent of residents exhibiting symptoms of depression.
Appropriate Vaccine Usage
In Thomas Upham House, 91.44% of Patients
This metric measures the percentage of long-term patients that received the flu and pneumonia vaccines.
Residents Maintain Autonomy
In Thomas Upham House, 15.15% Percentage of Patients
This metric is a measure of the percent of long-term residents who needed increased assistance with activities of daily living over time. ADL's include activities such as taking medications and continence.
Ability to Keep Residents Mobile
In Thomas Upham House, 17.66% Percentage of Residents
This indicates the percentage of patients who were able to retain mobility over time. Retaining mobility can be a great sign for residents' well-being.
In Thomas Upham House, 1.44 Hospitalizations per 1,000 resident days
This datapoint is a measure of the number of hospitalizations per 1,000 days of patient care. Staying out of the hospital is critical to the physical well-being of patients.
Short-term Care: Rehospitalizations
In Thomas Upham House, 17.66 Percentage of Residents Rehospitalized
This metric measures the number of times residents are rehospitalized per thousand days of short-term patient care. Avoiding rehospitalizations during rehabilitation is critical to restoring the health of residents.
Short-term Care: ER Visits
In Thomas Upham House, 10.93 Percentage of Patients
Measures the number of times residents are sent to the emergency room per thousand days of short-term patient care. Avoiding emergency medical situations is one way to measure patient well-being during rehabilitation.
Short-term Care: Facilitates Functional Improvement
In Thomas Upham House, 71.35% Percentage of Resident
This datapoint is a measure of the percentage of short-term patients who saw functional improvements, such as enhanced ability to perform activities of daily living. Some believe that this is a measure of rehabilitation performance.
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