Thomas Upham House: Staffing, Turnover, and Inspection Record
Thomas Upham House is a 42-bed for-profit nursing home in Medfield, Massachusetts, part of Rehabilitation Associates. In the CMS August 2026 release it reported 3.00 nurse aide hours per resident per day, 33% above the Massachusetts average of 2.26, and 35.0% nursing staff turnover (Massachusetts average 38.2%).
Thomas Upham House
519 Main StreetMedfield, MA 02052
Norfolk County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Thomas Upham House, nurse aides logged 3.00 hours per resident per day, 33% above the Massachusetts average. With about 38 residents a day, that works out to roughly 113 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Massachusetts avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.00 | 2.26 | 2.32 |
| Licensed practical nurses | 0.67 | 0.95 | 0.86 |
| Registered nurses | 0.88 | 0.65 | 0.69 |
| All nursing staff | 4.54 | 3.86 | 3.86 |
| All nursing staff, weekends | 4.17 | 3.48 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
35.0% of nursing staff at Thomas Upham House left over the year CMS measured, against a Massachusetts average of 38.2% and a US average of 45.8%. Registered nurse turnover was 46.2%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 20, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Massachusetts average 7.2). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Thomas Upham House holds 5 of 5 overall; the Massachusetts average is 3.0.
About Thomas Upham House
- Ownership: For profit - Corporation
- Chain: Rehabilitation Associates, 6 homes
- Legal name: 519 Main St., Inc.
- Medicare and Medicaid certified since: Sep 1, 1994
- Councils: resident council
- Area: urban
Nursing homes near Thomas Upham House
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Premier Healthcare at Harrington House Walpole | 4.2 | 90 | 2.14 | 3.80 | 57.9% | 2 | $43,891 |
| Charlwell House Health and Rehabilitation Norwood | 4.7 | 124 | 2.06 | 3.36 | 27.0% | 1 | None |
| Victoria Haven Nursing Facility Norwood | 5.1 | 31 | 2.93 | 4.58 | 21.7% | 2 | $40,641 |
| Medway Country Manor Skilled Nursing & Rehabilitat Medway · Special Focus Facility | 5.5 | 123 | 1.99 | 3.24 | 40.8% | — | $230,018 |
| Norwood Healthcare Norwood · SFF candidate | 5.6 | 170 | 1.91 | 3.48 | 25.0% | 1 | $110,264 |
| Riverbend of South Natick S Natick | 6.0 | 55 | 2.66 | 4.19 | 38.5% | 5 | None |
| Timothy Daniels House Holliston | 6.1 | 40 | 2.87 | 4.44 | 50.0% | 4 | None |
| Ellis Nursing Home (The) Norwood | 6.3 | 191 | 2.24 | 3.85 | 42.0% | 5 | $57,158 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.