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MILLER'S MERRY MANOR

Overall Rating

Address

1651 N Campbell St

Indianapolis, IN 46218

Contact

3173578040

Certification Date

1995-04-01

Details

CMS Certification Number

155557

Ownership Type

For profit - Corporation

Number of Certified Beds

114

Average Number of Residents per Day

62.1

Provider Type

Medicare and Medicaid

Legal Business Name

JOHNSON MEMORIAL HOSPITAL

Affiliated Entity Name

MILLER'S MERRY MANOR

Affiliated Entity ID

352

Ratings

Health Inspection Rating

2

Quality Measure Rating

4

Staffing Rating

1

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.16401

Reported LPN Staffing Hours per Resident per Day

0.76790

Reported RN Staffing Hours per Resident per Day

0.75735

Reported Total Nurse Staffing Hours per Resident per Day

3.68926

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.08999

Registered Nurse Hours per Resident per Day on the Weekend

0.45292

Reported Physical Therapist Staffing Hours per Resident Per Day

0.05997

Quality Measures

Long-Stay Quality Measure Rating

4

Short-Stay Quality Measure Rating

4

Inspections

Total Weighted Health Survey Score

60.667

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

26

Number of Citations from Infection Control Inspections

5

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-05-19

Total Number of Health Deficiencies

10

Number of Standard Health Deficiencies

10

Number of Complaint Health Deficiencies

0

Health Deficiency Score

36

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

36

Rating Cycle 2

Standard Health Survey Date

2021-07-23

Total Number of Health Deficiencies

13

Number of Standard Health Deficiencies

10

Number of Complaint Health Deficiencies

3

Health Deficiency Score

84

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

84

Rating Cycle 3

Standard Health Survey Date

2019-12-06

Total Number of Health Deficiencies

18

Number of Standard Health Deficiencies

12

Number of Complaint Health Deficiencies

5

Health Deficiency Score

88

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

88

Penalties

Number of Fines

3

Total Amount of Fines in Dollars

29250.00

Number of Payment Denials

0

Total Number of Penalties

3