Miller's Merry Manor - Columbia City Nursing Home
General Information
UPDATEFederal Provider Number
155150
Provider Name
MILLER'S MERRY MANOR
Provider Address
640 W ELLSWORTH ST
COLUMBIA CITY, IN 46725
COLUMBIA CITY, IN 46725
Provider Phone Number
(260) 248-8101
Provider SSA County
910
Provider County Name
Whitley
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
49
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
1974-01-03
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
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.76122
Reported LPN Staffing Hours per Resident per Day
1.03776
Reported RN Staffing Hours per Resident per Day
0.90102
Reported Licensed Staffing Hours per Resident per Day
1.93878
Reported Total Nurse Staffing Hours per Resident per Day
3.70000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01429
Expected CNA Staffing Hours per Resident per Day
2.42325
Expected LPN Staffing Hours per Resident per Day
0.64595
Expected RN Staffing Hours per Resident per Day
1.14137
Expected Total Nurse Staffing Hours per Resident per Day
4.21056
Adjusted CNA Staffing Hours per Resident per Day
1.78335
Adjusted LPN Staffing Hours per Resident per Day
1.33346
Adjusted RN Staffing Hours per Resident per Day
0.58986
Adjusted Total Nurse Staffing Hours per Resident per Day
3.54212
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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
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Nursiong Homes Nearby
Miller's At Oak Pointe
411 N Wolf Rd |
COLUMBIA CITY IN 46725 | 2.2 miles away