Indiana Nursing Homes >> Syracuse Nursing Homes >> Miller's Merry Manor

Miller's Merry Manor - Syracuse Nursing Home

General Information

UPDATE
Federal Provider Number
155581
Provider Name
MILLER'S MERRY MANOR
Provider Address
500 E PICKWICK DR
SYRACUSE, IN 46567
Provider Phone Number
(574) 457-4401
Provider SSA County
420
Provider County Name
Kosciusko
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
66
Number of Residents in Certified Beds
48
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
1996-10-01
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
5
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
1.76250
Reported LPN Staffing Hours per Resident per Day
0.64896
Reported RN Staffing Hours per Resident per Day
0.98021
Reported Licensed Staffing Hours per Resident per Day
1.62917
Reported Total Nurse Staffing Hours per Resident per Day
3.39167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02188
Expected CNA Staffing Hours per Resident per Day
2.57878
Expected LPN Staffing Hours per Resident per Day
0.64897
Expected RN Staffing Hours per Resident per Day
1.01329
Expected Total Nurse Staffing Hours per Resident per Day
4.24103
Adjusted CNA Staffing Hours per Resident per Day
1.67701
Adjusted LPN Staffing Hours per Resident per Day
0.82999
Adjusted RN Staffing Hours per Resident per Day
0.72281
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22362
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-08-01
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
8.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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