01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-29 | 27 | 2025-07-29 | 11 |
| Cycle 2 | 2023-09-28 | 16 | 2023-09-28 | 6 |
| Cycle 3 | 2021-06-07 | 8 | 2021-06-07 | 2 |
CMS CCN 3654362026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Mother Angeline Mccrory Manor
5199 East Broad Street · Columbus, OH 43213 · Franklin County
Certified beds126CMS provider file
Recent citation rows70current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
70 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-09 · HEALTHF0742Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Correction field: Deficient, Provider has date of correction · 2026-01-05 · complaint2025-07-29 · FIREE0039Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-09-15 · complaint2025-07-29 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0605Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0644Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0645Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0646Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-09-15 · complaint2025-07-29 · HEALTHF0686Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-09-15 · complaint2025-07-29 · HEALTHF0757Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-09-152025-07-29 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-09-15 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BANIEWICZ, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- BARBE, LEONARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- BROWN, DONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- DOMINO, LEDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- FERNANDES, EARLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- GATHERS, PATRICIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2021
- HALEY, MARGARETIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- KASPER, ROSEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- MCNAMARA, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- PFEFFER, THERESAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/26/2024
- SEYMOUR, BERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- BROWN, DONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2021
- HALEY, MARGARETIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2021
- KASPER, ROSEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2021
- PFEFFER, THERESAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/26/2024
- SEYMOUR, BERTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2021
- THE CARMELITE SYSTEM INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/19/2001
- BROWN, ANNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2020
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.09per resident day
RN hours0.92per resident day
Weekend nurse hours3.78per resident day
Staff turnover48.2%CMS reported field
06 / LOCAL RECORDS
Open the Columbus ledger →Other published facilities nearby
Allbridge Rehabilitation And Nursing Center43 beds · CMS overall 2/522 citation rowsBella Terrace Rehabilitation And Nursing Center96 beds · CMS overall 2/585 citation rowsCapital City Gardens Rehabilitation And Nursing Ce104 beds · CMS overall 2/568 citation rowsColumbus Alzheimer'S Care Ctr99 beds · CMS overall 2/563 citation rowsColumbus Healthcare Center100 beds · CMS overall 2/588 citation rowsCrown Pointe Care Center90 beds · CMS overall 4/551 citation rowsEastland Rehabilitation And Nursing Center93 beds · CMS overall 2/560 citation rowsEmbassy Of Woodview95 beds · CMS overall 2/577 citation rows