Inspection Reports for Nottingham Village Retirement Center

60 NEITZ ROAD,, NORTHUMBERLAND, PA, 17857

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

28% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/year

Deficiencies per year

12 9 6 3 0
2021
2022
2024
2025

Census

Latest occupancy rate 61% occupied

Based on a June 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Census over time

20 40 60 80 100 Feb 2021 Mar 2022 Apr 2024 Jun 2025
Inspection Report Renewal Census: 55 Capacity: 90 Deficiencies: 5 Jun 12, 2025
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance with licensing requirements.
Findings
The submitted plan of correction was found to be fully implemented. Several deficiencies were identified related to record confidentiality, resident personal equipment, cleanliness and maintenance of surfaces, menu posting, and medication administration, all of which had corrective actions accepted and implemented.
Deficiencies (5)
Description
A stack of 12 empty medication bubble packs displaying resident information was unattended and accessible on the medication cart.
The bed enabler for resident #1 was held in place by the mattress and not securely fastened to the bed frame.
The basement floor kitchenette refrigerator contained a can of soda that exploded and spread its contents inside the refrigerator.
The home's menu for the week of 6/3/25 to 6/10/25 was posted, but the menu for 6/11/25 to 6/18/25 was not posted.
Medication administration was not safely conducted for resident #2; a Med-Tech left a medication cup with a Benafiber tablet in the resident's room without watching ingestion.
Report Facts
Empty medication bubble packs: 12 License Capacity: 90 Residents Served: 55
Inspection Report Renewal Census: 52 Capacity: 90 Deficiencies: 9 Apr 23, 2024
Visit Reason
The inspection was an unannounced full renewal inspection conducted on 04/23/2024 to review compliance with licensing requirements.
Findings
The facility was found to have multiple deficiencies including failure to post the license inspection summary conspicuously, missing resident signatures for financial disbursements, improper labeling and storage of food, lint accumulation posing fire hazards, incomplete medical evaluations, inaccurate medication administration records, and incomplete resident support plans. Plans of correction were accepted and implemented on 06/13/2024.
Deficiencies (9)
Description
The home did not have the license inspection summary (LIS) report dated 5/31/23 posted conspicuously in the home as required.
Resident #1 did not sign for withdrawals made on 6-15-23 or 3-18-23 from their financial account.
Three tubs of ice cream stored in the ice cream freezer were not labeled with the dates they were opened.
A tub of vanilla ice cream was found in the ice cream freezer with no lid on it.
Lint was found behind washers and dryers in the basement and resident laundry areas, posing a fire hazard.
The fire drill log showed no drills held on weekends and 8 of 11 drills were held on Mondays or Tuesdays, creating a routine pattern.
The home did not have page two of the Documentation of Medical Evaluation (DME) form completed for resident #2 and resident #3’s DME form was dated more than 60 days prior to admission.
Blood glucose readings for residents #4 and #5 were inaccurately recorded on medication administration records.
Resident #3’s support plan did not include required details about the enabler bar used for transfers.
Report Facts
License Capacity: 90 Residents Served: 52 Total Daily Staff: 53 Waking Staff: 40 Deficiencies cited: 9
Inspection Report Renewal Census: 42 Capacity: 90 Deficiencies: 9 Mar 24, 2022
Visit Reason
The inspection was conducted as a renewal inspection of Nottingham Village Retirement Center to assess compliance with licensing requirements.
Findings
The inspection identified several deficiencies including outdated carbon monoxide alarm batteries, incomplete staff orientation documentation, missing emergency telephone numbers by resident phones, an outdated fire extinguisher inspection tag, incomplete medical evaluation documentation for a resident, unposted weekly food menus, improperly calibrated glucometer, and medication record errors. Plans of correction were accepted and documented for all deficiencies.
Deficiencies (9)
Description
Carbon monoxide alarm batteries were outdated with the last installation date of 1/17/2021.
Staff Member A lacked verification of orientation on telephone use and emergency notification on their first day.
Staff Member A lacked verification of orientation on resident rights within their first 40 hours.
Emergency telephone numbers were not posted near the landline telephones in the rooms of Resident 1 and Resident 2.
Fire extinguisher in the hallway next to the dining room was last inspected in 1/2021.
Medical evaluation for Resident 3 did not indicate their ability to self-administer medications; section was left blank.
The home’s food menu was not posted for a week in advance.
The glucometer for Resident 4 was not calibrated with the correct time.
Resident 5’s Medication Administration Record for March 2022 listed a PRN medication that was discontinued on 1/3/2022.
Report Facts
License Capacity: 90 Residents Served: 42 Total Daily Staff: 42 Waking Staff: 32 Completion Dates: Multiple completion dates for plans of correction mostly by 06/03/2022.
Inspection Report Routine Deficiencies: 0 Dec 13, 2021
Visit Reason
The inspection was conducted as a licensing inspection by the Pennsylvania Department of Human Services, Bureau of Human Service Licensing.
Findings
No regulatory citations were identified as a result of this inspection.
Inspection Report Renewal Capacity: 90 Deficiencies: 0 Apr 26, 2021
Visit Reason
The document is a renewal license issued in response to the facility's renewal application to operate a Personal Care Home. The Department advises that an annual inspection will be conducted within the next twelve months to ensure compliance.
Findings
A regular license is being issued to Nottingham Village Retirement Center following the renewal application. The Department will conduct an onsite inspection within the next twelve months and take enforcement action if noncompliance is found.
Report Facts
Maximum capacity: 90
Employees Mentioned
NameTitleContext
Jamie L. BuchenauerDeputy SecretarySigned letter regarding renewal license and inspection requirements
Inspection Report Renewal Census: 42 Capacity: 90 Deficiencies: 1 Feb 11, 2021
Visit Reason
The inspection was conducted as a renewal visit to review the facility's compliance and licensing status.
Findings
The submitted plan of correction related to medication storage and glucometer calibration was found to be fully implemented. Staff were educated on proper documentation and equipment replacement, and ongoing audits were established to ensure compliance.
Deficiencies (1)
Description
Resident #1's blood glucose readings were inaccurately recorded, and the glucometer was not calibrated to reflect the correct date/time.
Report Facts
License Capacity: 90 Residents Served: 42 Total Daily Staff: 42 Waking Staff: 32

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