Miller's Merry Manor - Wabash Nursing Home

General Information

UPDATE
Federal Provider Number
155006
Provider Name
MILLER'S MERRY MANOR
Provider Address
1900 N ALBER ST
WABASH, IN 46992
Provider Phone Number
(260) 563-7427
Provider SSA County
840
Provider County Name
Wabash
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
58
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
1974-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.80431
Reported LPN Staffing Hours per Resident per Day
1.13621
Reported RN Staffing Hours per Resident per Day
0.60172
Reported Licensed Staffing Hours per Resident per Day
1.73793
Reported Total Nurse Staffing Hours per Resident per Day
4.54224
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00948
Expected CNA Staffing Hours per Resident per Day
2.42367
Expected LPN Staffing Hours per Resident per Day
0.63243
Expected RN Staffing Hours per Resident per Day
1.16548
Expected Total Nurse Staffing Hours per Resident per Day
4.22158
Adjusted CNA Staffing Hours per Resident per Day
2.83906
Adjusted LPN Staffing Hours per Resident per Day
1.49115
Adjusted RN Staffing Hours per Resident per Day
0.38577
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33708
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
12
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-11-25
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
10.00000
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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