Miller's Merry Manor - New Carlisle Nursing Home
General Information
UPDATEFederal Provider Number
155578
Provider Name
MILLER'S MERRY MANOR
Provider Address
220 E DUNN RD
NEW CARLISLE, IN 46552
NEW CARLISLE, IN 46552
Provider Phone Number
5746547244
Provider SSA County
700
Provider County Name
St. Joseph
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
52
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
1995-09-01
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.20481
Reported LPN Staffing Hours per Resident per Day
0.57115
Reported RN Staffing Hours per Resident per Day
0.87692
Reported Licensed Staffing Hours per Resident per Day
1.44808
Reported Total Nurse Staffing Hours per Resident per Day
3.65288
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.56296
Expected LPN Staffing Hours per Resident per Day
0.70738
Expected RN Staffing Hours per Resident per Day
1.15834
Expected Total Nurse Staffing Hours per Resident per Day
4.42868
Adjusted CNA Staffing Hours per Resident per Day
2.11082
Adjusted LPN Staffing Hours per Resident per Day
0.67016
Adjusted RN Staffing Hours per Resident per Day
0.56567
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32478
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
2013-08-15
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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