Nottingham Village

In the surveyor’s words

From the most serious findings on record at Nottingham Village, in the surveyor’s own words.

• Actual harm, isolatedF600Jan 5, 2024

  Based on a review of select facility policies and procedures, facility documentation, clinical record review, and interviews with staff, it was determined that the facility failed to ensure that a resident remained free from neglect, which resulted in actual harm with serious injuries, including diagnoses of traumatic subarachnoid hemorrhage (bleeding in the brain), right hip contusion, and scalp laceration for one of one resident reviewed for abuse (Resident 41). Findings include: The facility policy entitled Abuse Prohibition, last reviewed without changes on July 20, 2023, revealed it is the policy of the facility that every resident will be free from mistreatment, neglect, and misappropriation of property. […]

• No harm, potential for more than minimal, widespreadF812Nov 14, 2025

  Based on observation and staff interview, it was determined that the facility failed to maintain food service equipment in accordance with professional standards for food service safety and store food in a sanitary manner in the facility's main kitchen and on two of three nursing units (Station 2 and Station 3). Findings include:An observation of the facility's main kitchen on November 12, 2025, at 9:30 AM with Employee 1, dietary manager, revealed the following: Debris and multiple dried brown liquid spots on the flooring underneath the coffee station area. The wall beside the area was covered in dried liquid splatter, with the broken pieces of drywall on the corner of the wall. […]

• No harm, potential for more than minimal, patternF699Nov 14, 2025

  Based on clinical record review and staff interview, it was determined that the facility failed to implement an individualized plan of care related to a resident's history of trauma to eliminate or mitigate re-traumatization for two of two residents reviewed for behavior and emotional status (Residents 95 and 101). Findings include:Clinical record review for Resident 95 revealed a revealed a Social History Assessment dated November 11, 2025, for the resident who was admitted on [DATE]. The assessment indicated the resident had a traumatic life event involving the death of his son who was murdered. […]

• No harm, potential for more than minimal, patternF700Dec 6, 2024

  Based on observation, clinical record review, and staff interview, it was determined that the facility failed to obtain consent for, assess the need for, and assess entrapment risks from bed assistive bars for two of two residents reviewed for accident hazards (Residents 19 and 108). Findings include: Observation of Resident 19 on December 4, 2024, at 11:52 AM revealed she was in bed with assist bars mounted bilaterally at the head of her bed. Resident 19's bed was also equipped with a headboard and a footboard. […]

• No harm, potential for more than minimal, patternF791Dec 6, 2024

  Based on clinical record review and resident and staff interview, it was determined that the facility failed to ensure routine prophylactic dental services for one of three residents reviewed for dental concerns (Resident 62). Findings include: Interview with Resident 62 on December 3, 2024, at 12:49 PM revealed that he had natural teeth, but the, hygienist has never been here. Resident 62 indicated that no dental professional had cleaned his teeth, and he brushes his teeth. Interview with the Director of Nursing on December 5, 2024, at 10:40 AM confirmed that there was no evidence that a hygienist or dental professional provided prophylactic (preventative) cleaning of Resident 62's teeth in the past year. […]