Thomas Upham House
519 MAIN STREET, Medfield, MA 02052
Medfield, Massachusetts · CMS verdict
On the federal five-star scale, Thomas Upham House carries a 3 of 5 CMS overall rating, average quality that runs in line with Massachusetts's state average of 3.0.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Thomas Upham House in Medfield, Massachusetts holds a CMS overall rating of 3 of 5 stars and a PlainElderCare Quality & Compliance Index of 62 of 100 (grade D). The 42-bed facility operates where a semi-private nursing-home room in Massachusetts runs a median of $14,448 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
At 42 certified beds, this facility sits in the lower U.S. bed tercile (≤80). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 3 of 5 stars. How this is calculated.
How the 62 is built
Each segment is a dimension's weighted points toward the score, summing to 62.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Thomas Upham House's thinner certified-bed book
Quality ratings
Thomas Upham House holds a CMS overall quality rating of 3 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (3/5), staffing (4/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Medfield, Massachusetts, this facility operates 42 certified beds with an average daily census of roughly 36 residents - an occupancy rate of about 86%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 86% occupancy, this facility runs close to its typical range for a stabilized operation.
Same-ownership peers
Within Massachusetts, Thomas Upham House is one of 71 for profit - corporation nursing homes CMS rates. Its 3-star overall rating sits above the for profit - corporation-segment average of 2.6 stars, ahead of roughly 55% of same-ownership peers in the state. Same-segment comparisons like this one strip out the business-model factor, leaving a cleaner read on facility-level performance than a raw state average would give.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (12 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Thomas Upham House compares to Massachusetts
CMS five-star sub-ratings (0–5) for this facility against the Massachusetts facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Massachusetts state average. Higher is better on all four CMS measures.
Where Thomas Upham House ranks in Massachusetts
Among the 338 CMS-rated nursing homes in Massachusetts, Thomas Upham House’s 3-star overall rating is higher than 43% of them. The bars show how all Massachusetts homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
58 Massachusetts homes share this 3-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 42 |
| Residents | 36 |
| Ownership | For profit - Corporation |
| County | Norfolk |
| Penalties | 0 |
| Deficiencies | 12 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Thomas Upham House? ▾
3 out of 5 stars is Thomas Upham House's current CMS overall rating, built from a health inspection rating of 3/5, a staffing rating of 4/5, and a quality measures rating of 3/5.
How much does a nursing home cost per month in Massachusetts? ▾
The median cost for a semi-private nursing home room in Massachusetts is $14,448 per month ($173,375 annually). A private room averages $15,817 per month. Costs are from the CareScout 2025 survey.
What services does Thomas Upham House offer? ▾
Thomas Upham House is a skilled nursing facility with 42 beds with approximately 36 current residents. It operates under for profit - corporation ownership. The facility has recorded 12 deficiencies and 0 penalties in CMS inspections.
Does Thomas Upham House have any deficiencies or penalties? ▾
Thomas Upham House has multiple deficiencies (12 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Massachusetts? ▾
In Massachusetts, alternatives include assisted living ($9,600/mo), home health aides ($7,627/mo), and adult day care ($2,427/mo).
Keep reading
Also see the Massachusetts elder-care overview and highest-rated states. Provider ID: 225645.
Read our methodology - how this data is sourced, computed, and verified.