Overall Rating
Address
300 N Washington St
Wakarusa, IN 46573
Contact
5748624511
Certification Date
1995-10-01
CMS Certification Number
155582
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
133
Average Number of Residents per Day
103.5
Provider Type
Medicare and Medicaid
Legal Business Name
JOHNSON MEMORIAL HOSPITAL
Affiliated Entity Name
MILLER'S MERRY MANOR
Affiliated Entity ID
352
Health Inspection Rating
3
Quality Measure Rating
5
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
2.02673
Reported LPN Staffing Hours per Resident per Day
0.68965
Reported RN Staffing Hours per Resident per Day
0.58209
Reported Total Nurse Staffing Hours per Resident per Day
3.29847
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.90471
Registered Nurse Hours per Resident per Day on the Weekend
0.40441
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01042
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
32.667
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-02-06
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
7
Number of Complaint Health Deficiencies
0
Health Deficiency Score
32
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
32
Standard Health Survey Date
2019-10-21
Total Number of Health Deficiencies
6
Number of Standard Health Deficiencies
6
Number of Complaint Health Deficiencies
0
Health Deficiency Score
24
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
24
Standard Health Survey Date
2018-10-01
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
0
Health Deficiency Score
52
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
52
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0