Miller's Merry Manor - Indianapolis Nursing Home
General Information
UPDATEFederal Provider Number
155557
Provider Name
MILLER'S MERRY MANOR
Provider Address
1651 N CAMPBELL ST
INDIANAPOLIS, IN 46218
INDIANAPOLIS, IN 46218
Provider Phone Number
(317) 357-8040
Provider SSA County
480
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
71
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
1995-04-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.95493
Reported LPN Staffing Hours per Resident per Day
1.38592
Reported RN Staffing Hours per Resident per Day
0.77394
Reported Licensed Staffing Hours per Resident per Day
2.15986
Reported Total Nurse Staffing Hours per Resident per Day
4.11479
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08028
Expected CNA Staffing Hours per Resident per Day
2.46310
Expected LPN Staffing Hours per Resident per Day
0.65459
Expected RN Staffing Hours per Resident per Day
1.20492
Expected Total Nurse Staffing Hours per Resident per Day
4.32261
Adjusted CNA Staffing Hours per Resident per Day
1.94747
Adjusted LPN Staffing Hours per Resident per Day
1.75729
Adjusted RN Staffing Hours per Resident per Day
0.47994
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83710
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-07-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-04-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
47.33300
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
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