Thomas Upham House is an average performer in CMS ratings, earning a C grade with a score of 64/100. Located in Medfield, Massachusetts, the facility meets baseline standards across most quality metrics.
Staffing levels at Thomas Upham House exceed national averages, with 4.50 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.93 hours per resident per day also exceeds the national average of 0.7 hours.
Recent inspections identified 12 deficiencies at Thomas Upham House. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.50 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.93 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.73 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 2.84 | 2.4 | Above Average |
| Weekend Total Nursing | 3.92 | 3.8 | Average |
| Weekend RN Hours | 0.53 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Oct 17, 2024 · Infection Control Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Oct 17, 2024 · Resident Rights Deficiencies
- Tag 0658 Severity EEnsure services provided by the nursing facility meet professional standards of quality.Oct 17, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiOct 17, 2024 · Pharmacy Service Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Oct 17, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.3% | 4.5% | Worse |
| Falls with major injury | 3.9% | 3.0% | Worse |
| On antipsychotic medication | 24.2% | 14.5% | Worse |
| Urinary tract infections | 4.8% | 2.5% | Worse |
| ADL decline (daily activities) | 21.0% | 14.0% | Worse |
| Excessive weight loss | 5.8% | 7.5% | Better |
| New/worsened incontinence | 18.3% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 64 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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