Upper Medicine Creek 80-A is a flood risk reduction dam located in Maywood, Nebraska, along the TR-Medicine Creek. Constructed in 1982 by the USDA NRCS, this earth dam stands at 50.9 feet in height with a hydraulic height of 49.7 feet, providing storage of 628.5 acre-feet for flood control purposes. With a drainage area of 4.2 square miles, the dam has a normal storage capacity of 21 acre-feet and a maximum discharge of 1679 cubic feet per second.

Managed by the Nebraska Department of Natural Resources, Upper Medicine Creek 80-A is regulated, permitted, inspected, and enforced by state authorities to ensure its structural integrity. Despite its low hazard potential, the dam is regularly assessed and maintained, with a satisfactory condition as of the last inspection in June 2018. The dam's location in Frontier County, Nebraska, contributes to the overall flood risk reduction efforts in the region, highlighting the collaborative efforts between local government agencies and the USDA NRCS in safeguarding water resources and communities from potential flood events.