Miller's Merry Manor - Dunkirk Nursing Home
General Information
UPDATEFederal Provider Number
155571
Provider Name
MILLER'S MERRY MANOR
Provider Address
11563 W 300 S
DUNKIRK, IN 47336
DUNKIRK, IN 47336
Provider Phone Number
(765) 768-7537
Provider SSA County
370
Provider County Name
Jay
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
42
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
1995-08-01
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
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.60714
Reported LPN Staffing Hours per Resident per Day
0.97619
Reported RN Staffing Hours per Resident per Day
0.64048
Reported Licensed Staffing Hours per Resident per Day
1.61667
Reported Total Nurse Staffing Hours per Resident per Day
3.22381
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08095
Expected CNA Staffing Hours per Resident per Day
2.62773
Expected LPN Staffing Hours per Resident per Day
0.66758
Expected RN Staffing Hours per Resident per Day
0.99874
Expected Total Nurse Staffing Hours per Resident per Day
4.29406
Adjusted CNA Staffing Hours per Resident per Day
1.50070
Adjusted LPN Staffing Hours per Resident per Day
1.21369
Adjusted RN Staffing Hours per Resident per Day
0.47917
Adjusted Total Nurse Staffing Hours per Resident per Day
3.02624
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
2014-07-29
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
2012-07-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
1.33300
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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