Garrett, IN

Miller's Merry Manor

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

1367 S Randolph St, Garrett, IN

(260) 357-5174

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

76

Certified beds

Average residents

63

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Miller's Merry Manor

Operator or chain grouping

Approved since

1995-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.66

Registered nurse staffing

LPN hours / resident day

0.78

Licensed practical nurse staffing

Aide hours / resident day

2.36

Nurse aide staffing

Weekend hours

3.32

Weekend nurse staffing

RN turnover

41%

Annual RN turnover

Total nurse turnover

49%

Annual nurse turnover

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
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.4%
95.4%
3 pts better
95.5%
2.9 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.6%
3.8%
1.2 pts better
3.3%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 11.4%
24.6%
13.2 pts better
11.4%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.7%
5.6%
1.1 pts worse
5.4%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.0%
23.5%
4.5 pts better
19.6%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 12.7%
14.8%
2.1 pts better
16.7%
4 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 11.4%
13.3%
1.9 pts better
16.3%
4.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 14.4%
11.7%
2.7 pts worse
14.9%
0.5 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 1.8%
1.2%
0.6 pts worse
1.7%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 2.5%
24.2%
21.7 pts better
19.8%
17.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.4%
4.1%
2.3 pts worse
5.1%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.1%
81.6%
16.5 pts better
81.7%
16.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 9.4%
10.5%
1.1 pts better
12.0%
2.6 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.3%
1.3 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
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
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.9%
22.4%
0.5 pts worse
23.9%
1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-24 · Fire 2025-04-24

0 health deficiencies

No concentrated health issue counts in this cycle.

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-05-22 · Fire 2024-05-22

3 health deficiencies

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

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-05-19 · Fire 2023-05-19

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

E · Potential for more than minimal harm 2025-04-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-05

E · Potential for more than minimal harm 2025-04-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-06-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-05-22

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-05-22

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-06-27

D · Potential for more than minimal harm 2024-05-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-27

D · Potential for more than minimal harm 2023-05-19

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2023-06-09

D · Potential for more than minimal harm 2023-05-19

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-06-09

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
Decola, Robert

Operational/Managerial Control · Individual

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

Operational/Managerial Control · Individual

0% 35 facilities 2025-01-01
Dunkle, David

Corporate Director · Individual

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

Corporate Officer · Individual

0% 35 facilities 2019-03-01
Forvis Mazars Llp

Operational/Managerial Control · Organization

0% 80 facilities 2023-06-01
Freel, Zackary

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Haug, Lori

Operational/Managerial Control · Individual

0% 13 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
Offerle, Andrew

Operational/Managerial Control · Individual

0% 10 facilities 2025-01-01
Robinson, Tina

Operational/Managerial Control · Individual

0% 13 facilities 2025-01-01
Robinson, Tina

Corporate Director · Individual

0% 13 facilities 2025-01-01
Theracare Inc

Operational/Managerial Control · Organization

0% 13 facilities 2025-01-01

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