Miller's Merry Manor - Peru Nursing Home

General Information

UPDATE
Federal Provider Number
155039
Provider Name
MILLER'S MERRY MANOR
Provider Address
317 BLAIR PIKE
PERU, IN 46970
Provider Phone Number
(765) 473-4426
Provider SSA County
510
Provider County Name
Miami
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
68
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
1972-11-01
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
1.87647
Reported LPN Staffing Hours per Resident per Day
0.89338
Reported RN Staffing Hours per Resident per Day
0.74779
Reported Licensed Staffing Hours per Resident per Day
1.64118
Reported Total Nurse Staffing Hours per Resident per Day
3.51764
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09265
Expected CNA Staffing Hours per Resident per Day
2.54289
Expected LPN Staffing Hours per Resident per Day
0.65927
Expected RN Staffing Hours per Resident per Day
1.06116
Expected Total Nurse Staffing Hours per Resident per Day
4.26332
Adjusted CNA Staffing Hours per Resident per Day
1.81065
Adjusted LPN Staffing Hours per Resident per Day
1.12473
Adjusted RN Staffing Hours per Resident per Day
0.52655
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32587
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-01-31
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
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-03-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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