Miller's Merry Manor - Rockport Nursing Home
General Information
UPDATEFederal Provider Number
155274
Provider Name
MILLER'S MERRY MANOR
Provider Address
815 W WASHINGTON ST
ROCKPORT, IN 47635
ROCKPORT, IN 47635
Provider Phone Number
(812) 649-2276
Provider SSA County
730
Provider County Name
Spencer
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
60
Number of Residents in Certified Beds
57
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
1985-12-09
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
3
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
1.53772
Reported LPN Staffing Hours per Resident per Day
0.49825
Reported RN Staffing Hours per Resident per Day
1.27632
Reported Licensed Staffing Hours per Resident per Day
1.77456
Reported Total Nurse Staffing Hours per Resident per Day
3.31229
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02018
Expected CNA Staffing Hours per Resident per Day
2.51103
Expected LPN Staffing Hours per Resident per Day
0.62763
Expected RN Staffing Hours per Resident per Day
1.04803
Expected Total Nurse Staffing Hours per Resident per Day
4.18670
Adjusted CNA Staffing Hours per Resident per Day
1.50261
Adjusted LPN Staffing Hours per Resident per Day
0.65890
Adjusted RN Staffing Hours per Resident per Day
0.90996
Adjusted Total Nurse Staffing Hours per Resident per Day
3.18903
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
60
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
60
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-01-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
45.33300
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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