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

Miller's Merry Manor - Walkerton Nursing Home

General Information

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Federal Provider Number
155574
Provider Name
MILLER'S MERRY MANOR
Provider Address
500 WALKERTON TR
WALKERTON, IN 46574
Provider Phone Number
(574) 586-3133
Provider SSA County
700
Provider County Name
St. Joseph
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
107
Number of Residents in Certified Beds
68
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
1995-08-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.77721
Reported LPN Staffing Hours per Resident per Day
0.97794
Reported RN Staffing Hours per Resident per Day
0.67721
Reported Licensed Staffing Hours per Resident per Day
1.65515
Reported Total Nurse Staffing Hours per Resident per Day
3.43236
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01471
Expected CNA Staffing Hours per Resident per Day
2.62199
Expected LPN Staffing Hours per Resident per Day
0.66625
Expected RN Staffing Hours per Resident per Day
1.07603
Expected Total Nurse Staffing Hours per Resident per Day
4.36426
Adjusted CNA Staffing Hours per Resident per Day
1.66314
Adjusted LPN Staffing Hours per Resident per Day
1.21830
Adjusted RN Staffing Hours per Resident per Day
0.47026
Adjusted Total Nurse Staffing Hours per Resident per Day
3.17018
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-03-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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