Miller's Merry Manor - Garrett Nursing Home

General Information

UPDATE
Federal Provider Number
155583
Provider Name
MILLER'S MERRY MANOR
Provider Address
1367 S RANDOLPH ST
GARRETT, IN 46738
Provider Phone Number
2603575174
Provider SSA County
160
Provider County Name
De Kalb
Ownership Type
For profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
48
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
1995-10-01
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.26354
Reported LPN Staffing Hours per Resident per Day
1.06250
Reported RN Staffing Hours per Resident per Day
1.01146
Reported Licensed Staffing Hours per Resident per Day
2.07396
Reported Total Nurse Staffing Hours per Resident per Day
4.33750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08958
Expected CNA Staffing Hours per Resident per Day
2.46706
Expected LPN Staffing Hours per Resident per Day
0.66334
Expected RN Staffing Hours per Resident per Day
1.15182
Expected Total Nurse Staffing Hours per Resident per Day
4.28221
Adjusted CNA Staffing Hours per Resident per Day
2.25129
Adjusted LPN Staffing Hours per Resident per Day
1.32945
Adjusted RN Staffing Hours per Resident per Day
0.65615
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08294
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
2014-10-21
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
2013-11-15
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
6.66700
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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