Portage, IN

Miller's Merry Manor

2-star overall rating with 2-star inspections with 15 recent health deficiencies

5909 Lute Rd, Portage, IN

(219) 763-2273

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

66

Certified beds

Average residents

53

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Miller's Merry Manor

Operator or chain grouping

Approved since

1987-06-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.76

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

1.15

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

2.14

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

4.05

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.91

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.44

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.37

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.70

CMS adjusted RN staffing hours

Adjusted total hours

3.70

CMS adjusted total nurse staffing hours

Case-mix index

1.50

Higher values indicate more complex resident acuity

RN turnover

58%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

59%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,934

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

9.53

Composite VBP score used to determine payment impact.

Payment multiplier

0.9808

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.61% · Performance 22.09% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.18

Baseline 7.10% · Performance 7.18% · Measure score 2.18 · Achievement 2.18 · Improvement 0

Total nurse turnover

0

Baseline 51.28% · Performance 64.15% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.63

Baseline 3.38 hours · Performance 3.54 hours · Measure score 1.63 · Achievement 1.63 · Improvement 0.19

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.35%	10.72% 1.6 pts worse	No Different than the National Rate · Eligible stays 162 · Observed rate 14.2% · Lower 95% interval 9.17%
Discharge to community	53.84%	50.57% 3.3 pts better	No Different than the National Rate · Eligible stays 159 · Observed rate 51.57% · Lower 95% interval 46.34%
Medicare spending per beneficiary	1.01	1.02 About the same
Drug regimen review with follow-up	99.2%	95.27% 3.9 pts better	Numerator 124 · Denominator 125
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 125
Discharge self-care score	52.27%	53.69% 1.4 pts worse	Numerator 46 · Denominator 88
Discharge mobility score	50%	50.94% 0.9 pts worse	Numerator 44 · Denominator 88
Pressure ulcers or injuries, new or worsened	10.48%	2.29% 8.2 pts worse	Numerator 13 · Denominator 124 · Adjusted rate 11.65%
Healthcare-associated infections requiring hospitalization	7.18%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 121 · Observed rate 6.61% · Lower 95% interval 4.56%
Staff COVID-19 vaccination coverage	15.38%	8.2% 7.2 pts better	Numerator 12 · Denominator 78
Staff flu vaccination coverage	26.85%	42% 15.1 pts worse	Numerator 29 · Denominator 108
Discharge function score	46.59%	56.45% 9.9 pts worse	Numerator 41 · Denominator 88
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 87 · Denominator 87
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	27.12%	25.2% 1.9 pts better	Numerator 16 · Denominator 59

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	93.6% 5.7 pts better	93.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.4% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.4% 4.6 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.8% 3.8 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	18.3%	24.6% 6.3 pts better	11.4% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 25.8% · Q3 20.7% · Q4 16.7% · 4Q avg 18.3%
Percentage of long-stay residents who lose too much weight	24.3%	5.6% 18.7 pts worse	5.4% 18.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 28.6% · Q3 25.7% · Q4 31.4% · 4Q avg 24.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	6.5%	23.5% 17 pts better	19.6% 13.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 8.6% · Q3 5.7% · Q4 2.8% · 4Q avg 6.5%
Percentage of long-stay residents who received an antipsychotic medication	3.5%	14.8% 11.3 pts better	16.7% 13.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 3.7% · Q3 3.2% · Q4 0.0% · 4Q avg 3.5% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	37.2%	13.3% 23.9 pts worse	16.3% 20.9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 37.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.2%	11.7% 3.5 pts better	14.9% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 6.5% · Q3 8.6% · Q4 2.8% · 4Q avg 8.2% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.9%	1.2% 3.7 pts worse	1.7% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.3% · Q3 8.3% · Q4 2.8% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.0%	24.2% 11.2 pts better	19.8% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 14.7% · Q3 18.4% · Q4 10.4% · 4Q avg 13.0%
Percentage of long-stay residents with pressure ulcers	6.5%	4.1% 2.4 pts worse	5.1% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 9.7% · Q3 3.6% · Q4 5.2% · 4Q avg 6.5% · Used in QM five-star
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 · Q1 100.0% · Q2 99.2% · Q3 99.1% · Q4 99.2% · 4Q avg 99.4%
Percentage of short-stay residents who had an outpatient emergency department visit	17.6%	10.5% 7.1 pts worse	12.0% 5.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 17.4% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.3% 0.1 pts better	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 1.4% · Q4 1.2% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.5%	79.0% 19.5 pts better	79.7% 18.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	32.9%	22.4% 10.5 pts worse	23.9% 9 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.9% · Observed 32.6% · Expected 23.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-10 · Fire 2025-01-10

15 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-02-01 · Fire 2024-02-01

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

7 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2022-12-08 · Fire 2022-12-08

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-02-01

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-04-09

F · Potential for more than minimal harm 2024-02-01

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-04-09

F · Potential for more than minimal harm 2024-02-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-09

E · Potential for more than minimal harm 2024-02-01

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-04-09

E · Potential for more than minimal harm 2024-02-01

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-04-26

D · Potential for more than minimal harm 2024-02-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-09

C · Minimal harm 2024-02-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-09

Inspection history

Recent health citations

G · Actual harm 2025-10-15

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-11-21

D · Potential for more than minimal harm 2025-07-01

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-25

F · Potential for more than minimal harm 2025-01-10

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 2025-02-14

E · Potential for more than minimal harm 2025-01-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-14

E · Potential for more than minimal harm 2025-01-10

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-02-14