Mother Angeline Mccrory Manor

In the surveyor’s words

From the most serious findings on record at Mother Angeline Mccrory Manor, in the surveyor’s own words.

• Immediate jeopardy, widespreadF607Feb 4, 2021

  Based on observation, medical record review, review of a facility self-reported incident (SRI), review of facility witness statements, review of an Abuse Investigation Report Form, review of a facility Abuse and Neglect Checklist, review of the facility Abuse policy and procedure and resident and staff interviews, the facility failed to effectively and immediately implement their Abuse policy and procedure following an allegation of staff to resident abuse to ensure the allegation was immediately reported and investigated and to ensure the resident was protected from the staff member involved in the incident. This resulted in Immediate Jeopardy on 01/27/21 at approximately 8:00 P.M. […]

• Immediate jeopardy, widespreadF609Feb 4, 2021

  Based on observation, medical record review, review of a facility self-reported incident (SRI), review of facility witness statements, review of an Abuse Investigation Report Form, review of a facility Abuse and Neglect Checklist, review of the facility Abuse policy and procedure and resident and staff interviews the facility failed to ensure an allegation of physical abuse was reported immediately, but no later than two hours after the allegation was made to the Administrator and State agency as required. This resulted in Immediate Jeopardy on 01/27/21 at approximately 8:00 P.M. when Resident #15 alleged, to State tested Nursing Assistant (STNA) #143 that she had been physically abused (hit in the head) by Licensed Practical Nurse (LPN) #257 during care. […]

• Actual harm, isolatedF684Apr 24, 2023

  Based on clinical record review, hospital record review, interviews with staff and the Ombudsman, and policy review, the facility failed to provide timely care and treatment for a change in Resident #2's condition. Actual Harm occurred when the facility failed to provide timely treatment for the significant injuries including a shoulder injury and a subdural hematoma requiring hospitalization in the Neurological Intensive Care Unit. This affected one resident (#2) of three residents reviewed for accidents. The facility census was 112. Findings include: Clinical record review revealed Resident #2 was admitted on [DATE] with diagnoses including end stage renal disease with hemodialysis, a left knee fracture prior to admission, and heart disease. […]

• No harm, potential for more than minimal, widespreadF880Jul 29, 2025

  Based on review of resident medical record, observations, staff interview, CDC website review, and review of facility policies, the facility failed to serve food in a safe and sanitary manner. This had the potential to affect 116 out of 117 residents who ate food from the kitchen. The facility identified one resident (Resident #72) as not eating food from the kitchen. The facility also failed to thoroughly perform legionella surveillance. This had the potential to affect all 117 residents residing in the facility. The facility also failed to provide designated disposal bins for used personal protective equipment in a resident's room when the resident was under contact precautions. […]

• No harm, potential for more than minimal, widespreadF812Sep 28, 2023

  Based on observation, interview, and review of facility policy, the facility failed to ensure the satellite kitchens were maintained in a sanitary manner. This had the potential to affect 113 of 113 residents who consumed food from the kitchen. Findings include: Observation on 09/27/23 from 2:05 P.M. to 2:20 P.M. of the satellite kitchens revealed the following concerns: a. Observation of the second-floor kitchen revealed three food carts that had a buildup of food debris and splatters. Additionally, in the refrigerator there was a stack of cheese wrapped in plastic wrap. The cheese was poorly wrapped, the plastic wrap was wet with an unidentifiable substance, and was not labeled or dated. b. […]