Miller's Merry Manor - Lagrange Nursing Home
General Information
UPDATEFederal Provider Number
155118
Provider Name
MILLER'S MERRY MANOR
Provider Address
787 N DETROIT ST
LAGRANGE, IN 46761
LAGRANGE, IN 46761
Provider Phone Number
2604632172
Provider SSA County
430
Provider County Name
Lagrange
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
85
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
1970-08-11
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
4
Overall Rating Footnote
Health Inspection Rating
2
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
1.89706
Reported LPN Staffing Hours per Resident per Day
1.09235
Reported RN Staffing Hours per Resident per Day
0.73765
Reported Licensed Staffing Hours per Resident per Day
1.83000
Reported Total Nurse Staffing Hours per Resident per Day
3.72706
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04059
Expected CNA Staffing Hours per Resident per Day
2.56672
Expected LPN Staffing Hours per Resident per Day
0.59996
Expected RN Staffing Hours per Resident per Day
0.88056
Expected Total Nurse Staffing Hours per Resident per Day
4.04724
Adjusted CNA Staffing Hours per Resident per Day
1.81352
Adjusted LPN Staffing Hours per Resident per Day
1.51119
Adjusted RN Staffing Hours per Resident per Day
0.62593
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71201
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-09-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
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
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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
Nursiong Homes Nearby
Life Care Center Of Lagrange
0770 N 075 E |
LAGRANGE IN 46761 | 0.4 mile away
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