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Thomas Upham House

  • Nursing Home

Updated Apr 1, 2023 by Nick Lata

Historical Rating
Grade: A
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+May 19: A+Jun 19: A+Jul 19: A+Aug 19: A+Sep 19: AJan 20: B+Mar 20: B+Apr 20: A-May 20: AJun 20: AJul 20: AAug 20: ASep 20: AOct 20: A-Nov 20: A-Jan 21: AFeb 21: AMar 21: AApr 21: AMay 21: AJun 21: AJul 21: AAug 21: ASep 21: AOct 21: A+Nov 21: A+Jan 22: AFeb 22: AMar 22: AApr 22: AMay 22: AJun 22: AAug 22: ASep 22: AOct 22: ANov 22: AJan 23: A+Feb 23: A+Mar 23: A+Apr 23: A
See Rating Overview
Thomas Upham House's website

519 Main Street,
Medfield MA 02052

(508) 359-6050

77.61% estimated occupancy 1

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 fifth 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.

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Quick Details

  • 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

Registered Staff Hours

Medical Staff Hours Per Patient (2022)
Less:
More:
January
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February
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April
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May
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June
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July
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August
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October
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Facility Inspections

Grade: A-plus

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

Grade: A

Compounding its first-rate accomplishments in other areas, we awarded this nursing home a grade of A for its long-term care score. When facilities receive a score in this range in long-term care it generally means it has plenty of staff and is a quality place to live on a permanent basis. After assessing the volume of care provided by nurses aids and other staff, we then analyzed the facility's vaccination records. This facility vaccinated 96.55173 percent of its patients for pneumonia. Vaccines are vital to keeping patients healthy. Clearly, this place is doing something right in this area as it also excelled at keeping its residents out of the hospital. It had only 0.01 hospitalizations per 1,000 long-term resident days, which is an impressively low figure.

Nurse Quality

Grade: A-minus

Adding to its strong resume, this facility also received an excellent nursing score, with a grade of A-. When calculating our nursing ratings, we factor in both nursing hours and the levels of licensure of the nurses. This nursing home provides 0.5 hours of nursing care per resident per day. Finally, we also looked at some nursing quality measures in determining our nursing grades. This place performed very well in the area 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

Grade: A-minus

Moving on to the last category, this facility was awarded a very strong short-term care score. We awarded it a grade of A- in that area, rounding out a straight A profile. In determining our short-term care scores, we assess a nursing home's levels of highly skilled nursing services, which includes registered nurses, physical therapists speech therapists and other highly skilled individuals. This category is frequently a reliable assessment of the nursing home's ability to rehabilitate patients. Fortunately, it appear that this facility has registered nurses on staff. Not all facilities employs these types of nurses. On the other hand, based on the data this nursing home provided, they do not appear to employ physical therapists. The last datapoint we looked at in this area is the percentage of residents that were able to return home from the facility. We found that 4.9 percent of this nursing home's residents returned home as opposed to remaining at the facility on a permanent basis.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18May 23

Thomas Upham House Quality Metrics

Minimizes Pressure Ulcers

Grade: B

In Thomas Upham House, 6.61% 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 too long.

Minimizes Serious Falls

Grade: A-minus

In Thomas Upham House, 3.77% of Patients had Serious Falls

This statistic gauges the percentage of long-term stay residents which experienced falls resulting in serious injury. Falls can arise for a variety of reasons, but excessive numbers of falls may be an indication of poor nursing care.

Minimizes Urinary Tract Infections

Grade: B-plus

In Thomas Upham House, 2.05% of Patients had UTIs

This is the percentage of residents who sustained a urinary tract infection. UTI's are routinely caused by nursing homes with worse hygiene protocols. More frequent bathing can reduce the number of UTI's sustained by residents in a nursing home. We want to point out that this datapoint is affected by by the fact that facilities have varying reporting standards for urinary tract infections.

Appropriately Uses Anti-Psychotic Medication

Grade: C

In Thomas Upham House, 19.24% of Patients use Anti-Psychotic Medication

This indicates the percent of patients given antipsychotic medications. These medications may be used to treat a variety of conditions, such as cognitive disorders.

Appropriately Uses Anti-Anxiety Medication

Grade: A-plus

In Thomas Upham House, 18.54% of Patients use Anti-Anxiety Medication

This tells you the percentage of long-term patients which were given antianxiety drugs. These medications are commonly used to treat residents experiencing anxiety and depression.

Managing Depression Among Residents

Grade: D

In Thomas Upham House, 2.48% of Patients

This tells you the percentage of patients demonstrating depressive symptoms. Higher rates of depression may indicate worse patient care.

Appropriate Vaccine Usage

Grade: B-plus

In Thomas Upham House, 91.39% of Patients

This datapoint is a measure of the percent of long-term care patients who received the flu and pneumonia vaccines.

Residents Maintain Autonomy

Grade: B-plus

In Thomas Upham House, 16.21% Percentage of Patients

This is a measure of the percentage of long-term residents that required increased assistance with activities of daily living over time. Activities of daily living include activities such as getting dressed and bathing. Some believe this is a reliable measure of a resident's well-being.

Ability to Keep Residents Mobile

Grade: B-minus

In Thomas Upham House, 15.75% Percentage of Residents

This metric is a measure of the percent of long-term residents that retained mobility levels. Many would argue that the ability to move around is important for residents' physical and mental health.

Hospitalizations

Grade: B-plus

In Thomas Upham House, 1.68 Hospitalizations per 1,000 resident days

Measures the number of hospitalizations per 1,000 days of patient care. Keeping residents out of the hospital is important to maintaining the physical health of nursing home residents.

Short-term Care: Rehospitalizations

Grade: B-plus

In Thomas Upham House, 15.75 Percentage of Residents Rehospitalized

This indicates the number of rehospitalizations per thousand days of short-term care. There is typically a correlation between having fewer hospitalizations and the quality of rehabilitation services.

Short-term Care: ER Visits

Grade: A-plus

In Thomas Upham House, 11.2 Percentage of Patients

This tells you the number of times residents are sent to the emergency room per thousand days of short-term patient care.

Short-term Care: Facilitates Functional Improvement

Grade: B-minus

In Thomas Upham House, 71.52% Percentage of Resident

This is the percentage of short-term care patients who saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of independence with activities of daily living generally correlates with superior rehabilitation.

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