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Nottingham R H C F

1305 Nottingham Road, Jamesville, NY 13078 · Onondaga County · (315) 445-0123

40 certified beds, about 39 residents a day · Non profit - Corporation · Medicare and Medicaid since 1996

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335800 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 12, 2025, inspectors cited 1 health deficiency (the New York average is 8.1, the national average 9.2).

None of its 8 health citations since December 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.85 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.

34.2% of nursing staff left within the year CMS measured (New York average 40.3%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
0E
0F
Potential for minimal harm
0A
0B
0C
September 12, 2025Standard inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2025
    Inspectors wroteBased 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.
March 7, 2024Standard inspection · 4 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased 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.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased 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.
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased 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.
  4. D
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased 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.
December 3, 2021Standard inspection · 3 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on observation, record review and interview during the recertification survey conducted 12/1-12/3/21, the facility failed to ensure residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good grooming and personal hygiene for 2 of 4 residents (Residents #4 and 7) reviewed. Specifically, Resident #4 was not assisted with timely nail care and facial grooming and Resident #7 was not assisted with timely nail care. The facility policy Resident Nail Care dated 8/2020 documented the facility was to ensure that residents received fingernail and toenail care to prevent potential infection, discomfort and or injury. It was the task of the facility that all residents will have their fingernails trimmed (clipped and shaped) as needed. [...]
  2. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted 12/1/21-12/3/21, the facility failed to ensure a resident with limited range of motion receives appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for 1 of 1 resident (Resident #28) reviewed. Specifically, Resident #28 did not receive their care planned contracture device and their hand was observed to be unclean. Additionally, the device was recommended for both hands and the care plan documented placement for one hand. This is evidenced by: The facility policy Range of Motion dated 1/21/20 documents when a resident is observed with decreased ability with range of motion (ROM), a therapy trigger will be generated by the nursing unit. [...]
  3. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 25, 2022
    Inspectors wroteBased on observation and interview during the recertification survey conducted from 12/1/21-12/3/21, the facility failed to ensure drugs and biologicals were labeled in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for 1 of 1 medication storage rooms reviewed. Specifically, there were two boxes of expired loperamide HCl (antidiarrheal) 2 milligram (mg) tablets observed in the medication room. This is evidenced by: The facility policy Storage of Medications revised 8/2020 documents outdated medications are to be immediately removed from inventory, disposed of according to procedures for medication disposal, and reordered from the pharmacy if a current order exists. [...]

Fire safety inspections

11 fire safety citations on file: 3 on September 12, 2025, 6 on March 7, 2024, 2 on December 3, 2021.

Every fire safety citation11 citations
  1. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · September 12, 2025 · Corrected (the home has a date of correction)
  2. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 12, 2025 · Corrected (the home has a date of correction)
  3. D
    Provide properly protected cooking facilities.
    K 324 · September 12, 2025 · Corrected (the home has a date of correction)
  4. F
    Install a two-hour-resistant firewall separation.
    K 133 · March 7, 2024 · Corrected (the home has a date of correction)
  5. F
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · March 7, 2024 · Corrected (the home has a date of correction)
  6. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 7, 2024 · Corrected (the home has a date of correction)
  7. E
    Have an enclosure around a vertical opening shaft.
    K 311 · March 7, 2024 · Corrected (the home has a date of correction)
  8. E
    Have simulated fire drills held at unexpected times.
    K 712 · March 7, 2024 · Corrected (the home has a date of correction)
  9. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 7, 2024 · Corrected (the home has a date of correction)
  10. D
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · December 3, 2021 · Corrected (the home has a date of correction)
  11. D
    Install an approved automatic sprinkler system.
    K 351 · December 3, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNew YorkUnited States
All nursing staff (RN, LPN and aides)3.853.633.86
Registered nurses0.680.710.69
All nursing staff on weekends3.433.183.42
Nurse aides2.46
Licensed practical nurses0.71
Nursing staff turnover (share who left in a year)34.2%40.3%45.8%
Registered nurse turnover0.0%39.8%42.9%
Administrators who left0

CMS expects 4.05 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.02 on weekdays and 3.43 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.85 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.850.684.023.43 0.0%2 of 9039
Oct to Dec 20253.740.753.863.43 0.0%0 of 9238
Jul to Sep 20253.750.743.883.43 0.0%0 of 9238
Apr to Jun 20253.610.743.713.34 0.0%0 of 9138
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New York, Jan to Mar 20263.550.683.723.139.8%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNew YorkUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.914.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.53.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.212.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.06.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
21.713.715.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.01.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.01.41.8

Owners and operators

Legal business name: THE NOTTINGHAM RESIDENTIAL HEALTH CARE FACILITY.

NameRoleTypeShareSince
Loretto Management Corp5% or greater direct ownership interestOrganization100%10/29/1996
Stanford, ChristineW-2 managing employeeIndividual04/01/2014
Brennan, JohnCorporate directorIndividual01/01/2015
Bryans, KevinCorporate directorIndividual01/01/2015
Murray, JohnCorporate directorIndividual01/01/2014
Townsend, KimberlyCorporate officerIndividual04/01/2014

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on September 12, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 7, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 7, 2024: "Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on December 3, 2021: "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."

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Common questions

What is Nottingham R H C F's Medicare star rating?
CMS rates Nottingham R H C F 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Nottingham R H C F get at its last inspection?
1 health deficiency at the standard inspection on September 12, 2025. The New York average is 8.1.
Has Nottingham R H C F been fined?
CMS lists no fines in the last three years.
Does Nottingham R H C F accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Nottingham R H C F?
CMS lists 6 owners and managers. Legal business name: THE NOTTINGHAM RESIDENTIAL HEALTH CARE FACILITY.

Sources

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