Miller's Merry Manor - Mooresville Nursing Home
General Information
UPDATEFederal Provider Number
155564
Provider Name
MILLER'S MERRY MANOR
Provider Address
259 W HARRISON ST
MOORESVILLE, IN 46158
MOORESVILLE, IN 46158
Provider Phone Number
(317) 831-6272
Provider SSA County
540
Provider County Name
Morgan
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
98
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.68542
Reported LPN Staffing Hours per Resident per Day
1.00903
Reported RN Staffing Hours per Resident per Day
1.06111
Reported Licensed Staffing Hours per Resident per Day
2.07014
Reported Total Nurse Staffing Hours per Resident per Day
3.75556
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09722
Expected CNA Staffing Hours per Resident per Day
2.49839
Expected LPN Staffing Hours per Resident per Day
0.64732
Expected RN Staffing Hours per Resident per Day
1.05016
Expected Total Nurse Staffing Hours per Resident per Day
4.19586
Adjusted CNA Staffing Hours per Resident per Day
1.65527
Adjusted LPN Staffing Hours per Resident per Day
1.29380
Adjusted RN Staffing Hours per Resident per Day
0.75499
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60791
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
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
8
Cycle 2 Standard Health Survey Date
2014-04-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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