Miller's Merry Manor - Wakarusa Nursing Home
General Information
UPDATEFederal Provider Number
155582
Provider Name
MILLER'S MERRY MANOR
Provider Address
300 N WASHINGTON ST
WAKARUSA, IN 46573
WAKARUSA, IN 46573
Provider Phone Number
5748624511
Provider SSA County
190
Provider County Name
Elkhart
Ownership Type
For profit - Corporation
Number of Certified Beds
133
Number of Residents in Certified Beds
112
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
1995-10-01
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
4
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
2.24777
Reported LPN Staffing Hours per Resident per Day
0.95848
Reported RN Staffing Hours per Resident per Day
0.67589
Reported Licensed Staffing Hours per Resident per Day
1.63438
Reported Total Nurse Staffing Hours per Resident per Day
3.88214
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03080
Expected CNA Staffing Hours per Resident per Day
2.57661
Expected LPN Staffing Hours per Resident per Day
0.60772
Expected RN Staffing Hours per Resident per Day
0.91063
Expected Total Nurse Staffing Hours per Resident per Day
4.09495
Adjusted CNA Staffing Hours per Resident per Day
2.14055
Adjusted LPN Staffing Hours per Resident per Day
1.30906
Adjusted RN Staffing Hours per Resident per Day
0.55459
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82141
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
16
Cycle 2 Standard Health Survey Date
2013-06-19
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
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
2012-05-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
6.66700
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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