Nottingham R H C F

In the surveyor’s words

From the most serious findings on record at Nottingham R H C F, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF684Sep 12, 2025

  Based on observations, record review, and interviews during the recertification survey conducted 9/8/2025 - 9/12/2025, the facility did not ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for one (1) of one (1) resident (Resident #23) reviewed. Specifically, Resident #23 did not have a positioning device placed as ordered. Findings include:The facility was unable to provide a policy referencing positional devices. Resident #23 had diagnoses including Alzheimer's dementia and pain in the right-hand joints. […]

• No harm, potential for more than minimal, isolatedF550Mar 7, 2024

  Based on observation, interview, and record review during the recertification survey conducted 3/04/2024-3/07/2024, the facility did not care for each resident in a manner and in an environment that promoted maintenance or enhancement of quality of life for 1 of 1 resident (Residents #21) reviewed. Specifically, Resident #21 did not receive regular foot care and their toenails were long and uncomfortable for the resident. Findings include: The facility policy Resident Rights & Notice of Resident Rights and Responsibilities, revised 8/8/2022, documented all residents of the facility had a right to a dignified existence and would be supported by the facility in exercising their rights. […]

• No harm, potential for more than minimal, isolatedF689Mar 7, 2024

  Based on observation, record review, and interview during the recertification survey conducted 3/4/2024-3/7/2024, the facility did not ensure the resident environment remained free of accident hazards for 1 of 1 treatment cart. Specifically, the treatment cart was unlocked and contained scissors and potentially hazardous medications in an area accessible to residents. Findings include: The facility policy Storage of Medications, revised 8/2000, documented medications and biologicals were stored safely, securely, and properly, and accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications. […]

• No harm, potential for more than minimal, isolatedF695Mar 7, 2024

  Based on observation, record review, and interviews during the recertification survey conducted 3/4/2024-3/7/2024, the facility did not ensure residents who needed respiratory care was provided such care consistent with professional standards of practice for 1 of 2 residents (Resident #9) reviewed. Specifically, Resident #9 was not administered oxygen as ordered and did not have a care plan that included oxygen. Findings include: The facility policy, Oxygen Therapy dated 11/2023 documented oxygen could be administered by a licensed nurse and all as needed oxygen use will include the number of hours used on the shift under the supplemental documentation on the treatment administration record. […]

• No harm, potential for more than minimal, isolatedF882Mar 7, 2024

  Based on record review and interviews during the recertification survey conducted 3/4/2024-3/7/2024, the facility did not ensure the designated Infection Preventionists completed specialized training in infection prevention and control for 2 of 2 Infection Preventionists (Director of Nursing and the Assistant Director of Nursing). Specifically, the Director of Nursing and the Assistant Director of Nursing who shared the role of Infection Preventionist, did not have documented evidence of a certificate of completion or equivalent documentation to meet the requirement for specialized training in infection prevention and control. […]