Warsaw, IN

Miller's Merry Manor

5-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1630 S County Farm Rd, Warsaw, IN

(574) 267-8196

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

137

Certified beds

Average residents

92

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Miller's Merry Manor

Operator or chain grouping

Approved since

1967-12-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.83

Registered nurse staffing

LPN hours / resident day

0.62

Licensed practical nurse staffing

Aide hours / resident day

2.43

Nurse aide staffing

Weekend hours

3.35

Weekend nurse staffing

RN turnover

29%

Annual RN turnover

Total nurse turnover

44%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0
1.6
1.6 pts better
1.9
1.9 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.5
1.5
1 pts better
1.8
1.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.0%
93.6%
5.4 pts better
93.4%
5.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8%
95.4%
3.4 pts better
95.5%
3.3 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.4%
3.8%
1.4 pts better
3.3%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 7.4%
24.6%
17.2 pts better
11.4%
4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 5.5%
5.6%
0.1 pts better
5.4%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.9%
23.5%
7.6 pts better
19.6%
3.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 6.5%
14.8%
8.3 pts better
16.7%
10.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 26.5%
13.3%
13.2 pts worse
16.3%
10.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 9.3%
11.7%
2.4 pts better
14.9%
5.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.4%
0.4 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 5.9%
1.2%
4.7 pts worse
1.7%
4.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 10.6%
24.2%
13.6 pts better
19.8%
9.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.2%
4.1%
1.1 pts worse
5.1%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
81.6%
17.8 pts better
81.7%
17.7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 9.1%
10.5%
1.4 pts better
12.0%
2.9 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.1%
1.3%
0.2 pts better
1.6%
0.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.0%
79.0%
11 pts better
79.7%
10.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.2%
22.4%
1.2 pts better
23.9%
2.7 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-08 · Fire 2025-04-08

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-05-03 · Fire 2024-05-03

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-07 · Fire 2023-03-07

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-05-22

C · Minimal harm 2025-04-08

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-08

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-08

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-08

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-08

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-01

E · Potential for more than minimal harm 2024-05-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-05-03

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-05-03

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-05-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-05-03

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-05-03

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-05-03

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-05-25

E · Potential for more than minimal harm 2023-03-07

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-07

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-07

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-07

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-03-07

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-03-31

Penalties and ownership

What sits behind the stars

Ownership

Johnson Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 35 facilities 2013-06-01
Boyle, Patrick

Operational/Managerial Control · Individual

0% 14 facilities 2025-01-01
Corbitt, Hillary

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Decola, Robert

Operational/Managerial Control · Individual

0% 33 facilities 2025-01-01
Dunkle, David

Operational/Managerial Control · Individual

0% 35 facilities 2025-01-01
Forvis Mazars Llp

Operational/Managerial Control · Organization

0% 80 facilities 2013-06-01
Haug, Lori

Operational/Managerial Control · Individual

0% 13 facilities 2025-01-01
Johnson, Rebecca

Operational/Managerial Control · Individual

0% 4 facilities 2025-01-01
Lument Finance Trust Inc

5% Or Greater Mortgage Interest · Organization

0% 10 facilities 2014-11-01
Miller's Health Systems Inc

Operational/Managerial Control · Organization

0% 22 facilities 2013-06-01
Robinson, Tina

Operational/Managerial Control · Individual

0% 13 facilities 2025-01-01
Theracare Inc

Operational/Managerial Control · Organization

0% 13 facilities 2025-01-01

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Health
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Staffing
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