Miller's Merry Manor - Tipton Nursing Home
General Information
UPDATEFederal Provider Number
155556
Provider Name
MILLER'S MERRY MANOR
Provider Address
300 FAIRGROUNDS RD
TIPTON, IN 46072
TIPTON, IN 46072
Provider Phone Number
7656758791
Provider SSA County
790
Provider County Name
Tipton
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
116
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
1995-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.01336
Reported LPN Staffing Hours per Resident per Day
0.92759
Reported RN Staffing Hours per Resident per Day
0.88448
Reported Licensed Staffing Hours per Resident per Day
1.81207
Reported Total Nurse Staffing Hours per Resident per Day
3.82543
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04267
Expected CNA Staffing Hours per Resident per Day
2.47597
Expected LPN Staffing Hours per Resident per Day
0.64650
Expected RN Staffing Hours per Resident per Day
0.96828
Expected Total Nurse Staffing Hours per Resident per Day
4.09076
Adjusted CNA Staffing Hours per Resident per Day
1.99525
Adjusted LPN Staffing Hours per Resident per Day
1.19086
Adjusted RN Staffing Hours per Resident per Day
0.68253
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76945
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-10-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-08-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
4095
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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