New Carlisle, IN

Miller's Merry Manor

4-star overall rating with 4-star inspections with $10,255 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

220 E Dunn Rd, New Carlisle, IN

(574) 654-7244

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

70

Certified beds

Average residents

46

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Miller's Merry Manor

Operator or chain grouping

Approved since

1995-09-01

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

1.21

Registered nurse staffing · state 0.66 · national 0.68

LPN hours / resident day

0.42

Licensed practical nurse staffing · state 0.77 · national 0.87

Aide hours / resident day

1.96

Nurse aide staffing · state 2.27 · national 2.35

Total nurse hours

3.59

All reported nurse hours · state 3.71 · national 3.89

Licensed hours

1.63

RN + LPN hours · state 1.44 · national 1.54

Weekend hours

3.01

Weekend nurse staffing · state 3.24 · national 3.43

Weekend RN hours

0.73

Weekend registered nurse coverage · state 0.45 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.13

CMS adjusted RN staffing hours

Adjusted total hours

3.37

CMS adjusted total nurse staffing hours

Case-mix index

1.46

Higher values indicate more complex resident acuity

RN turnover

10%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,340

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

Performance score

27.06

Composite VBP score used to determine payment impact.

Payment multiplier

0.9844

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.15

Baseline 20.49% · Performance 20.90% · Measure score 1.15 · Achievement 1.15 · Improvement 0

Healthcare-associated infections

2.66

Baseline 7.44% · Performance 7.04% · Measure score 2.66 · Achievement 2.66 · Improvement 1.14

Total nurse turnover

6.03

Baseline 64.29% · Performance 39.02% · Measure score 6.03 · Achievement 6.03 · Improvement 5.91

Adjusted total nurse staffing

0.99

Baseline 3 hours · Performance 3.36 hours · Measure score 0.99 · Achievement 0.99 · Improvement 0.78

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.03%
10.72%
0.3 pts worse
No Different than the National Rate · Eligible stays 55 · Observed rate 14.55% · Lower 95% interval 7.43%
Discharge to community 41.41%
50.57%
9.2 pts worse
No Different than the National Rate · Eligible stays 55 · Observed rate 32.73% · Lower 95% interval 31.96%
Medicare spending per beneficiary 0.86
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 41 · Denominator 41
Falls with major injury 2.44%
0.77%
1.7 pts worse
Numerator 1 · Denominator 41
Discharge self-care score 48.28%
53.69%
5.4 pts worse
Numerator 14 · Denominator 29
Discharge mobility score 51.72%
50.94%
0.8 pts better
Numerator 15 · Denominator 29
Pressure ulcers or injuries, new or worsened 9.76%
2.29%
7.5 pts worse
Numerator 4 · Denominator 41 · Adjusted rate 8.09%
Healthcare-associated infections requiring hospitalization 7.04%
7.12%
0.1 pts better
No Different than the National Rate · Eligible stays 40 · Observed rate 7.5% · Lower 95% interval 3.91%
Staff COVID-19 vaccination coverage 5.36%
8.2%
2.8 pts worse
Numerator 3 · Denominator 56
Staff flu vaccination coverage 28.33%
42%
13.7 pts worse
Numerator 17 · Denominator 60
Discharge function score 58.62%
56.45%
2.2 pts better
Numerator 17 · Denominator 29
Transfer of health information to provider 90.48%
95.95%
5.5 pts worse
Numerator 19 · Denominator 21
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
93.6%
6.4 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 4.1%
3.8%
0.3 pts worse
3.3%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 5.9% · Q3 0.0% · Q4 5.0% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 3.2%
24.6%
21.4 pts better
11.4%
8.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 5.0% · Q4 3.0% · 4Q avg 3.2%
Percentage of long-stay residents who lose too much weight 11.0%
5.6%
5.4 pts worse
5.4%
5.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 21.2% · Q3 7.7% · Q4 10.8% · 4Q avg 11.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.6%
23.5%
8.9 pts better
19.6%
5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 21.2% · Q3 12.8% · Q4 10.8% · 4Q avg 14.6%
Percentage of long-stay residents who received an antipsychotic medication 8.8%
14.8%
6 pts better
16.7%
7.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 12.5% · Q3 8.3% · Q4 6.2% · 4Q avg 8.8% · 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 22.0%
13.3%
8.7 pts worse
16.3%
5.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 22.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 22.7%
11.7%
11 pts worse
14.9%
7.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.9% · Q2 20.0% · Q3 29.7% · Q4 14.7% · 4Q avg 22.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.7%
0.4%
0.3 pts worse
1.0%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 4.1%
1.2%
2.9 pts worse
1.7%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 2.9% · Q3 7.0% · Q4 0.0% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 6.3%
24.2%
17.9 pts better
19.8%
13.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 13.5% · Q3 5.1% · Q4 5.6% · 4Q avg 6.3%
Percentage of long-stay residents with pressure ulcers 6.0%
4.1%
1.9 pts worse
5.1%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.5% · Q3 7.8% · Q4 6.7% · 4Q avg 6.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.7%
81.6%
15.1 pts better
81.7%
15 pts better
Short Stay · 2024Q4-2025Q3 · Q1 92.1% · Q2 95.5% · Q3 100.0% · Q4 100.0% · 4Q avg 96.7%
Percentage of short-stay residents who had an outpatient emergency department visit 11.5%
10.5%
1 pts worse
12.0%
0.5 pts better
Short Stay · 20240701-20250630 · Adjusted 11.5% · Observed 10.7% · Expected 10.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 5.2%
1.3%
3.9 pts worse
1.6%
3.6 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 3.6% · Q3 5.0% · Q4 3.7% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.6%
79.0%
16.6 pts better
79.7%
15.9 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 15.8%
22.4%
6.6 pts better
23.9%
8.1 pts better
Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 14.3% · Expected 21.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-27 · Fire 2025-06-27

4 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 2024-08-19 · Fire 2024-08-19

1 health deficiencies

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

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-07-31 · Fire 2023-07-31

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-06-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-08-21

E · Potential for more than minimal harm 2025-06-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-08-21

E · Potential for more than minimal harm 2024-08-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-01

F · Potential for more than minimal harm 2023-07-31

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-08-30

E · Potential for more than minimal harm 2023-07-31

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-30

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-27

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 2025-07-18

D · Potential for more than minimal harm 2025-06-27

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-06-27

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-06-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-18

D · Potential for more than minimal harm 2024-08-19

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 2024-09-05

J · Immediate jeopardy 2023-07-31

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 2023-08-27

D · Potential for more than minimal harm 2023-07-31

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-08-27

D · Potential for more than minimal harm 2023-07-31

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-08-27

D · Potential for more than minimal harm 2023-07-31

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 2023-08-27

D · Potential for more than minimal harm 2023-07-31

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-08-27

D · Potential for more than minimal harm 2023-07-31

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-08-27

Penalties and ownership

What sits behind the stars

$10,255 2023-07-31

Fine

Fine · fine $10,255

Fine

Ownership

Johnson Memorial Hospital

5% Or Greater Direct Ownership Interest · Organization

100% 35 facilities 2013-06-01
Berkhouse, Steven

Corporate Director · Individual

0% 21 facilities 2021-10-18
Berkhouse, Steven

Corporate Officer · Individual

0% 21 facilities 2021-10-18
Boyle, Patrick

Operational/Managerial Control · Individual

0% 14 facilities 2013-03-01
Decola, Robert

W-2 Managing Employee · Individual

0% 33 facilities 2019-02-16
Dunkle, David

Operational/Managerial Control · Individual

0% 35 facilities 2019-03-01
Dunkle, David

Corporate Director · Individual

0% 35 facilities 2019-03-01
Dunkle, David

Corporate Officer · Individual

0% 35 facilities 2019-03-01
Martin, Jacob

Contracted Managing Employee · Individual

0% 1 facilities 2019-06-24
Millers Health Systems Inc

Operational/Managerial Control · Organization

0% 3 facilities 2013-06-01

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