Miller's Merry Manor - Culver Nursing Home
General Information
UPDATEFederal Provider Number
155589
Provider Name
MILLER'S MERRY MANOR
Provider Address
730 SCHOOL ST
CULVER, IN 46511
CULVER, IN 46511
Provider Phone Number
(574) 842-3337
Provider SSA County
490
Provider County Name
Marshall
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
62
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
1995-11-01
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
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.17984
Reported LPN Staffing Hours per Resident per Day
0.48790
Reported RN Staffing Hours per Resident per Day
1.16129
Reported Licensed Staffing Hours per Resident per Day
1.64919
Reported Total Nurse Staffing Hours per Resident per Day
3.82903
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09194
Expected CNA Staffing Hours per Resident per Day
2.49831
Expected LPN Staffing Hours per Resident per Day
0.60541
Expected RN Staffing Hours per Resident per Day
0.93605
Expected Total Nurse Staffing Hours per Resident per Day
4.03978
Adjusted CNA Staffing Hours per Resident per Day
2.14092
Adjusted LPN Staffing Hours per Resident per Day
0.66889
Adjusted RN Staffing Hours per Resident per Day
0.92699
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82061
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
2014-12-18
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
0
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
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-11-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
10.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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