Provider Name: THOMAS UPHAM HOUSE
Address: 519 MAIN STREET, MEDFIELD, MA 02052
Phone: (508) 359-6050
County: Norfolk (130)
Ownership Type: For profit - Corporation
Certified Beds: 42
Average Residents Per Day: 35.0 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: 519 MAIN ST., INC.
First Approved Date: September 1, 1994
Affiliated Entity: REHABILITATION ASSOCIATES (445)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 3.29708, LPN Staff Hours Per Day: 0.6822, RN Staff Hours Per Day: 1.0626, Licensed Staff Hours Per Day: 1.7449
Total Nurse Staff Hours Per Day, per resident: 5.04203
Weekend Nurse Staff Hours: 4.53701, Weekend RN Staff Hours: 0.8450
PT Staff Hours Per Day, per resident: 0.0283
Nurse Staff Turnover: 27.3, Nurse Turnover Note:
RN Turnover: 0.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0729, Case Mix LPN Hours Per Day: 0.6628, Case Mix RN Hours Per Day: 0.3138
Adjusted Nurse Aide Hours Per Day, per resident: 3.24027, Adjusted LPN Hours Per Day: 0.7595, Adjusted RN Hours Per Day: 1.2758
Total Adjusted Nurse Hours Per Day, per resident: 5.21121
Adjusted Weekend Nurse Hours Per Day, per resident: 4.68925
Health Survey Dates and Scores: Cycle 1: 2021-04-14 (Score: 32), Cycle 2: 2019-05-13 (Score: 0), Cycle 3: 2018-03-20 (Score: 36)
Total Weighted Health Score: 25.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 519 MAIN STREET,MEDFIELD,MA,02052 (42.1862, -71.307)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-05-06
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-05-06
Type: Health, Deficiency: Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-05-06
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-05-06
Type: Health, Deficiency: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-03-20
Type: Health, Deficiency: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-03-20
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-05-21
Type: Health, Deficiency: Ensure medication error rates are not 5 percent or greater.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-03-20
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-05-21
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: