Miller's Merry Manor - Portage Nursing Home
General Information
UPDATEFederal Provider Number
155299
Provider Name
MILLER'S MERRY MANOR
Provider Address
5909 LUTE RD
PORTAGE, IN 46368
PORTAGE, IN 46368
Provider Phone Number
2197632273
Provider SSA County
630
Provider County Name
Porter
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JOHNSON MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1987-06-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.00600
Reported LPN Staffing Hours per Resident per Day
0.45700
Reported RN Staffing Hours per Resident per Day
0.69700
Reported Licensed Staffing Hours per Resident per Day
1.15400
Reported Total Nurse Staffing Hours per Resident per Day
2.16000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05700
Expected CNA Staffing Hours per Resident per Day
2.62031
Expected LPN Staffing Hours per Resident per Day
0.63886
Expected RN Staffing Hours per Resident per Day
0.95748
Expected Total Nurse Staffing Hours per Resident per Day
4.21665
Adjusted CNA Staffing Hours per Resident per Day
0.94204
Adjusted LPN Staffing Hours per Resident per Day
0.59373
Adjusted RN Staffing Hours per Resident per Day
0.54393
Adjusted Total Nurse Staffing Hours per Resident per Day
2.06485
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-20
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-12-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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