Cycle 1
Health 2025-11-14 · Fire 2025-11-14
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Northumberland, PA
Nottingham Village
3-star overall rating with 3-star inspections with $8,018 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
58 Neitz Road, Northumberland, PA
(570) 473-8366
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
121
Certified beds
Average residents
112
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1977-11-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.52
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.26
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.18
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.96
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.78
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.52
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.24
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
4.04
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
4,447
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.93
Composite VBP score used to determine payment impact.
Payment multiplier
0.9929
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.92
Baseline 17.20% · Performance 19.15% · Measure score 4.92 · Achievement 4.92 · Improvement 0
Healthcare-associated infections
3.14
Baseline 5.61% · Performance 6.90% · Measure score 3.14 · Achievement 3.14 · Improvement 0
Total nurse turnover
4.66
Baseline 54.84% · Performance 44.63% · Measure score 4.66 · Achievement 4.66 · Improvement 2.91
Adjusted total nurse staffing
3.25
Baseline 3.55 hours · Performance 4 hours · Measure score 3.25 · Achievement 3.25 · Improvement 1.53
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.52% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 307 · Observed rate 12.38% · Lower 95% interval 9.05% |
| Discharge to community | 50.84% |
50.57%
0.3 pts better
|
No Different than the National Rate · Eligible stays 309 · Observed rate 42.07% · Lower 95% interval 44.21% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 90.36% |
95.27%
4.9 pts worse
|
Numerator 178 · Denominator 197 |
| Falls with major injury | 1.02% |
0.77%
0.2 pts worse
|
Numerator 2 · Denominator 197 |
| Discharge self-care score | 38.89% |
53.69%
14.8 pts worse
|
Numerator 49 · Denominator 126 |
| Discharge mobility score | 34.13% |
50.94%
16.8 pts worse
|
Numerator 43 · Denominator 126 |
| Pressure ulcers or injuries, new or worsened | 4.57% |
2.29%
2.3 pts worse
|
Numerator 9 · Denominator 197 · Adjusted rate 4.06% |
| Healthcare-associated infections requiring hospitalization | 6.9% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 203 · Observed rate 6.9% · Lower 95% interval 4.31% |
| Staff COVID-19 vaccination coverage | 2.09% |
8.2%
6.1 pts worse
|
Numerator 4 · Denominator 191 |
| Staff flu vaccination coverage | 15.08% |
42%
26.9 pts worse
|
Numerator 30 · Denominator 199 |
| Discharge function score | 41.27% |
56.45%
15.2 pts worse
|
Numerator 52 · Denominator 126 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 33 · Denominator 33 |
| Transfer of health information to patient | 99.05% |
96.28%
2.8 pts better
|
Numerator 104 · Denominator 105 |
| Resident COVID-19 vaccinations up to date | 25.3% |
25.2%
0.1 pts better
|
Numerator 21 · Denominator 83 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.7
About the same
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.2
0.6 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 65.8% |
86.9%
21.1 pts worse
|
93.4%
27.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 61.8% · Q2 52.6% · Q3 60.0% · Q4 89.9% · 4Q avg 65.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.9% |
93.5%
4.4 pts better
|
95.5%
2.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.2%
1.8 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 2.2% · Q4 2.2% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
6.5%
4.9 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.2% · Q3 1.3% · Q4 1.2% · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
6.5%
2.2 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.6% · Q3 5.5% · Q4 8.1% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.0% |
19.9%
1.9 pts better
|
19.6%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 21.6% · Q3 15.1% · Q4 15.3% · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.7% |
18.7%
8 pts better
|
16.7%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 11.9% · Q3 8.8% · Q4 8.1% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.8% |
19.6%
2.2 pts worse
|
16.3%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 14.0% · Q3 29.9% · Q4 13.8% · 4Q avg 21.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.6% |
18.3%
1.3 pts worse
|
14.9%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 23.2% · Q3 19.5% · Q4 15.0% · 4Q avg 19.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.7% |
26.4%
3.3 pts worse
|
19.8%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 37.0% · Q3 26.4% · Q4 25.4% · 4Q avg 29.7% |
| Percentage of long-stay residents with pressure ulcers | 5.5% |
5.3%
0.2 pts worse
|
5.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 5.8% · Q3 4.2% · Q4 4.6% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.1% |
68.9%
26.2 pts better
|
81.7%
13.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.0% · Q2 95.1% · Q3 98.1% · Q4 97.7% · 4Q avg 95.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.6% |
9.8%
0.2 pts better
|
12.0%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 8.8% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.5%
0.2 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.9% · Q3 0.9% · Q4 2.6% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.8% |
68.7%
30.1 pts better
|
79.7%
19.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.5% |
23.1%
0.4 pts worse
|
23.9%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 22.1% · Expected 22.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-12-06 · Fire 2024-12-06
16 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2024-01-05 · Fire 2024-01-05
8 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-11-14
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2026-01-20
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-11-14
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-06
E · Potential for more than minimal harm
2025-11-14
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2026-01-06
D · Potential for more than minimal harm
2025-11-14
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-01-06
D · Potential for more than minimal harm
2025-11-14
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2026-01-06
D · Potential for more than minimal harm
2025-11-14
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2026-01-06
D · Potential for more than minimal harm
2025-11-14
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-01-06
D · Potential for more than minimal harm
2025-11-14
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-01-06
D · Potential for more than minimal harm
2025-02-11
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-03-13
E · Potential for more than minimal harm
2024-12-06
F700 · Quality of Life and Care Deficiencies
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-01-30
E · Potential for more than minimal harm
2024-12-06
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2025-01-30
E · Potential for more than minimal harm
2024-12-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-30
E · Potential for more than minimal harm
2024-12-06
F848 · Administration Deficiencies
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-12-06
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-01-30
D · Potential for more than minimal harm
2024-01-25
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-04
D · Potential for more than minimal harm
2024-01-25
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-04
G · Actual harm
2024-01-05
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-04
E · Potential for more than minimal harm
2024-01-05
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-04
D · Potential for more than minimal harm
2024-01-05
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-03-04
D · Potential for more than minimal harm
2024-01-05
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-04
D · Potential for more than minimal harm
2024-01-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-04
B · Minimal harm
2024-01-05
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-03-04
Penalties and ownership
What sits behind the stars
$0
2024-12-06
Payment Denial
Payment Denial · denial start 2025-01-29 · 1 days
1 day denial
$8,018
2024-01-05
Fine
Fine · fine $8,018
Fine
Ownership
Frederick Kessler Jr Estate
5% Or Greater Indirect Ownership Interest · Organization
Ridgway Holding, Inc
5% Or Greater Direct Ownership Interest · Organization
Gesumaria, Beth
W-2 Managing Employee · Individual
Kessler, Amanda
Corporate Director · Individual
Kessler, Amanda
Corporate Officer · Individual
Misener, Andrew
Corporate Officer · Individual
Scott, Robert
Contracted Managing Employee · Individual
Shebest, Stuart
W-2 Managing Employee · Individual
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