Miller's Merry Manor
300 N Washington St, Wakarusa, IN 46573


Miller's Merry Manor is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 155582. The address is 300 N Washington St, Wakarusa, IN 46573. The zip code is 46573. The phone number is 5748624511.


Miller's Merry Manor · 300 N Washington St, Wakarusa, IN 46573

Federal Provider Number 155582
Provider Name MILLER'S MERRY MANOR
Address 300 N WASHINGTON ST
WAKARUSA, IN 46573
Phone Number 5748624511
SSA County Code 190
County Name Elkhart
Ownership Type For profit - Corporation
Certified Beds 133
Certified Beds Residents 111
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name JOHNSON MEMORIAL HOSPITAL
Date First Approved to Provide Medicare Medicaid Services 10/01/1995
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.32297
Reported LPN Staffing Hours per Resident per Day 0.91351
Reported RN Staffing Hours per Resident per Day 0.80676
Reported Licensed Staffing Hours per Resident per Day 1.72027
Reported Total Nurse Staffing Hours per Resident per Day 4.04324
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01306
Expected CNA Staffing Hours per Resident per Day 2.46994
Expected LPN Staffing Hours per Resident per Day 0.59545
Expected RN Staffing Hours per Resident per Day 1.00221
Expected Total Nurse Staffing Hours per Resident per Day 4.06761
Adjusted CNA Staffing Hours per Resident per Day 2.3077
Adjusted LPN Staffing Hours per Resident per Day 1.27334
Adjusted RN Staffing Hours per Resident per Day 0.60148
Adjusted Total Nurse Staffing Hours per Resident per Day 4.00675
Cycle 1 Total Number of Health Deficiencies 0
Cycle 1 Number of Standard Health Deficiencies 0
Cycle 1 Number of Complaint Health Deficiencies 0
Cycle 1 Health Deficiency Score 0
Cycle 1 Standard Survey Health Date 08/29/2016
Cycle 1 Number of Health Revisits 0
Cycle 1 Health Revisit Score 0
Cycle 1 Total Health Score 0
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Number of Complaint Health Deficiencies 0
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 08/17/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Health Revisit Score 0
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 0
Cycle 3 Number of Standard Health Deficiencies 0
Cycle 3 Number of Complaint Health Deficiencies 0
Cycle 3 Health Deficiency Score 0
Cycle 3 Standard Health Survey Date 07/21/2014
Cycle 3 Number of Health Revisits 0
Cycle 3 Health Revisit Score 0
Cycle 3 Total Health Score 0
Total Weighted Health Survey Score 6.667
Number of Facility Reported Incidents 0
Number of Substantiated Complaints 0
Number of Fines 0
Total Amount of Fines in Dollars $0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 08/01/2017

Owner or Manager · Miller's Merry Manor

Owner Name Role Association Date
GROSSNICKLE, ALAN (Individual) MANAGING EMPLOYEE since 03/01/2013
HEDDEN, ELIZABETH (Individual) OFFICER since 03/01/2013
HEYDON, LARRY (Individual) OFFICER since 03/01/2013
JOHNSON MEMORIAL HOSPITAL (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 03/01/2013

IN · Nursing Home

Waters of Indianapolis, The 3895 S Keystone Ave, Indianapolis, IN 46227
Trailpoint Village 1950 Ridgedale Rd, South Bend, IN 46614
Coventry Meadows 7843 W Jefferson Blvd, Fort Wayne, IN 46804
Mill Pond Health Campus 1014 Mill Pond Ln, Greencastle, IN 46135
Golden Living Center-Fountainview 609 W Tanglewood Ln, Mishawaka, IN 46545
Golden Living Center-Brookview 7145 E 21st Street, Indianapolis, IN 46219
American Village 2026 E 54th St, Indianapolis, IN 46220
Milton Home, The 206 E Marion St, South Bend, IN 46601
Pilgrim Manor 222 Parkview St, Plymouth, IN 46563
Morristown Manor 868 S Washington St, Morristown, IN 46161
Riveroaks Health Campus 1244 Vail St, Princeton, IN 47670
Lake Pointe Village 545 W Moonglo Rd, Scottsburg, IN 47170
Good Samaritan Society Northwood Retirement Comm 2515 Newton St, Jasper, IN 47547
Blair Ridge Health Campus 269 Meadowview Dr, Peru, IN 46970
Signature Healthcare of Fort Wayne 6006 Brandy Chase Cove, Fort Wayne, IN 46815
White Oak Health Campus 814 S 6th St, Monticello, IN 47960
Creekside Village 1420 E Douglas Rd, Mishawaka, IN 46545
Glen Oaks Health Campus 601 W Cr 200 S, New Castle, IN 47362
Kindred Transitional Care and Rehab-Harrison 150 Beechmont Dr, Corydon, IN 47112
Ashton Creek Health and Rehabilitation Center 4111 Park Place Drive, Fort Wayne, IN 46845
Breckenridge Health & Rehabilitation 325 W Northwood Dr, Sullivan, IN 47882
Miller's Merry Manor 200 26th St, Logansport, IN 46947
Miller's Merry Manor 1500 Grant St, Huntington, IN 46750
Waterford Place Health Campus 800 St Joseph Dr, Kokomo, IN 46901
Golden Living Center-Lincoln Hills 402 19th Street, Tell City, IN 47586
Lowell Healthcare 710 Michigan St, Lowell, IN 46356
Ambassador Healthcare 705 E Main St, Centerville, IN 47330
Morning Breeze Retirement Community and Healthcare 950 N Lakeview Dr, Greensburg, IN 47240
Loogootee Healthcare & Rehabilitation Center 313 Poplar St, Loogootee, IN 47553
Miller's Merry Manor 500 E Pickwick Dr, Syracuse, IN 46567
Woodmont Health Campus 1325 Rockport Rd, Boonville, IN 47601
Danville Regional Rehabilitation 255 Meadow Dr, Danville, IN 46122
Signature Healthcare of Muncie 4301 N Walnut St, Muncie, IN 47303
Wellbrooke of Crawfordsville 517 Concord Road, Crawfordsville, IN 47933
Golden Living Center-Petersburg 309 W Pike Ave, Petersburg, IN 47567
St Andrews Health Campus 1400 Lammers Pike, Batesville, IN 47006
Hoosier Christian Village 621 S Sugar St, Brownstown, IN 47220
Rawlins House Health & Living Community 300 J H Walker Dr, Pendleton, IN 46064
Aperion Care Kokomo 3518 S Lafountain St, Kokomo, IN 46902
Southfield Village 6450 Miami Cir, South Bend, IN 46614