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Miller's Health & Rehab By Miller's Merry Manor

3530 Monroe Street, La Porte, IN 46350 · For profit - Individual · 81 certified beds · (219) 841-8020 Medicare & Medicaid certified

Call the home — (219) 841-8020 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Apr 2023
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Apr 2023
  • a high number of inspection citations overall (26) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • about 27% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
300 Wile St · (219) 575-7663 · Call to confirm hours
Pharmacy
333 Boyd Blvd · (219) 325-3426 · Call to confirm hours
Grocery
702 E Lincolnway · (219) 362-8513 · Call to confirm hours
Park
Boyd Boulevard & Monroe St · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased17.5%11.0%15.4%worse
Long-stay residents who lose too much weight6.6%5.5%5.4%worse
Long-stay residents with a catheter left in their bladder1.2%0.4%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection4.7%1.1%2.0%worse
Long-stay residents with depressive symptoms0.0%25.2%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury0.7%3.9%3.3%better
Long-stay residents whose ability to walk worsened18.9%11.9%16.1%worse
Long-stay residents on antianxiety or hypnotic medication14.8%23.5%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%95.4%95.3%typical
Long-stay residents with pressure ulcers10.1%3.6%4.7%worse
Long-stay residents with worsening bladder/bowel control10.5%23.3%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table5.8%13.6%17.1%better
Short-stay residents who newly got an antipsychotic medication0.7%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine94.0%79.0%79.4%better
Short-stay residents rehospitalized after admission28.4%22.2%22.6%worse
Short-stay residents with an outpatient ER visit13.2%10.8%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.821.611.67typical
Long-stay outpatient ER visits per 1,000 resident days3.241.441.80worse

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

60.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 312 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

60.4%U.S. median 51.5%
Got home and stayed home
12.0%U.S. median 10.7%
Went back to hospital
74.6%U.S. median 56.6%
Met the expected recovery
0.55U.S. median 0.31
Therapy hours / resident / day
0.25hours / resident / day
Physical therapy
0.23hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 74.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 169 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.55 therapist hours per resident per day in 2026Q1 — more than 85% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF60.4%CMS range 55.7–65.251.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.0%CMS range 9.5–14.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge74.6%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge59.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge73.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified99.5%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge97.6%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.9%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened4.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.9%CMS range 6.2–13.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.071.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.87
RN hours/ resident / day
0.86
LPN hours/ resident / day
2.09
Aide hours/ resident / day
3.82
Total nurse hours/ resident / day
0.35
RN hoursweekends
50.7%
Total nursing turnover
18.2%
RN turnover

How full it usually is: this home is certified for 81 beds and averages 56.1 residents a day — about 69% occupied, or roughly 25 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.82 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.87 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.09 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.31 hrs/resident/day on weekends vs 4.03 on weekdays — 18% thinner on weekends. RN hours go from 1.08 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

6
deficiencies at the latest standard inspection (2025-07-25)
7
at the previous standard inspection (2024-05-22)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

  • Potential for harm · Dcited before2025-07-25 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure a resident was assessed to self-administer medications and had physician's orders for the medications for 2 of 2 residents reviewed for self-administration of medication. (Residents 23 and F)1. During random observations on 7/21/25 at 11:00 a.m. and 3:24 p.m., on 7/22/25 at 10:18 a.m. and 3:33 p.m., on 7/23/25 at 9:37 a.m. and 2:38 p.m., and on 7/24/25 at 11:13 a.m., Resident 23 was observed sitting in a recliner chair. At those times, there was a tube of Neosporin cream on the over bed table. During an interview on 7/21/25 at 11:00 a.m., the resident indicated he used the cream for his dry skin on his arms. On 7/24/25 at 11:26 a.m., RN 1 entered the resident's room and observed the Neosporin cream on the over bed table. During an interview on 7/24/25 at 11:30 a.m., RN 1 indicated the resident told her his family brought it in and he used it on his arms for the scabs. She removed the cream and will see about getting an order for it and complete an assessment for the resident to apply the cream himself.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-25 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure personal privacy was maintained related to the computer screen being left open with resident information visible on 1 of 2 units throughout the facility. (The 100 unit)Finding includes:During a random observation on 7/21/25 at 10:22 a.m., the computer screen on the front 100 unit medication cart was left open and resident information was visible. At 10:33 a.m., the computer screen was still open. RN 1 returned to the cart and walked away from the cart at 10:35 a.m. The RN did not close the computer prior to walking away. At 10:41 a.m., the RN returned to the medication cart. At 10:44 a.m., she walked away from the medication cart to answer a phone call, again, she did not close the computer prior to walking away. The RN returned to the medication cart at 10:46 a.m. At 10:50 a.m., the RN walked away from the medication cart with resident information visible. Staff and other residents were observed in the hallway at that time. During an interview on 7/23/25 at 4:45 p.m., the Nurse Consultant indicated…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a stat (immediate) chest X-ray was reported timely, eye drops were administered as ordered by the physician, a skin tear was treated and monitored, and a resident was treated for constipation for 1 of 1 resident reviewed for hospitalization and 1 of 1 resident reviewed for constipation. (Residents B and G)Findings include: 1. The closed record for Resident B was reviewed on 7/22/25 at 1:30 p.m. Diagnoses included but were not limited to, anemia, kidney failure, heart failure, high blood pressure, falls, glaucoma, and heart disease. The admission Minimum Data Set (MDS) assessment, dated 3/14/25, indicated the resident was moderately impaired for daily decision making. A Care Plan, dated 3/10/25, indicated the resident had visual impairment related to glaucoma. The approaches were to instill medication as per physician orders. A Care Plan, dated 3/17/25, indicated the resident had a skin tear to the right great toe. A Care Plan, dated 3/18/25,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-25 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure wound vac (vacuum) tubing was kept off the floor and treatments were followed as ordered by the physician for 2 of 4 residents reviewed for pressure ulcers. (Residents F and 44)Findings include:1. During random observations on 7/21/25 at 10:36 a.m., on 7/22/25 at 3:40 p.m., on 7/23/25 at 9:38 a.m., 11:40 a.m., 12:10 p.m., and 2:39 p.m., and on 7/24/25 at 11:14 a.m., Resident F was observed in bed. At those times a wound vac (a specialized dressing and a vacuum pump that creates gentle suction on a wound to help it heal faster) was contained in a bag and observed on the floor next to the bed. The wound vac tubing was not contained and was laying directly on the floor. On 7/24/25 at 11:26 a.m., LPN 1 entered the room and observed the wound vac tubing on the floor.During an interview at that time, LPN 1 indicated the tubing should be contained inside the bag and off the floor.During a wound treatment observation 7/25/25 at 10:30 a.m. the resident was observed with a large wound to the sacrum. The wound…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-25 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure indwelling Foley (urinary) catheter tubing was kept off the floor, urinary outputs were documented, and urinalysis was collected in a timely manner for 2 of 3 residents reviewed for catheters. (Residents H and E)Findings include:1. During random observations on 7/21/25 at 10:16 a.m. and 12:40 p.m., Resident H was observed sitting in a wheelchair. At those times, an indwelling Foley catheter was observed underneath the wheelchair and the bottom of the bag was on the floor. The record for Resident H was reviewed on 7/23/25 at 10:07 a.m. Diagnoses included, but were not limited to, right femur fracture, obstructive and reflux uropathy (a condition where urine flows backward from the bladder into the ureters and potentially the kidneys), urine retention and chronic kidney disease. The 6/26/25 admission Minimum Data Set (MDS) assessment indicated the resident was cognitively intact for daily decision making and had an indwelling Foley catheter. The Care Plan, dated 6/13/25, indicated the resident required…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-25 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure food consumption logs and health supplements were completed for a resident with a history of weight loss for 1 of 1 resident reviewed for nutrition. (Resident 3)Finding includes:The record for Resident F was reviewed on 7/23/25 at 10:50 a.m. Diagnoses included, but were not limited to, osteomyelitis of the sacral region, COPD (Chronic obstructive pulmonary disease), acute respiratory failure, pressure ulcer of the sacral region, emphysema, major depressive disorder, and anxiety disorder. The admission Minimum Data Set (MDS) assessment, dated 6/10/25, indicated the resident was moderately intact for daily decision making and needed supervision and set up assistance with eating. She weighed 93 pounds and received a regular diet. The Care Plan, dated 6/20/25, indicated the resident was at nutritional risk related to a pressure ulcer. The approaches were to serve a four-ounce house supplement at breakfast, lunch, and dinner and to monitor meal intakes. The resident weighed 93 pounds on 5/31/25. The resident weighed 89…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-22 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure clinical records were complete and accurately documented related to a resident's temperature on the Infection Control Assessment for 1 of 1 residents reviewed for urinary tract and respiratory infections, completed meal consumption and monitoring intake of nutritional supplements for 1 of 1 residents reviewed for nutrition, discontinuing pressure injury treatments for 1 of 2 residents reviewed for pressure ulcers, and the documentation of oxygen when not in use for 1 of 3 residents reviewed for oxygen therapy. (Residents 25, 40, 48 and 11) Findings include: 1. The record for Resident 25 was reviewed on 5/20/24 at 2:02 p.m. Diagnoses included, but were not limited to, obstructive uropathy, urine retention, high blood pressure, chronic kidney disease, stroke, and Alzheimer's dementia. The 5/1/24 admission minimum Data Set (MDS) assessment indicated the resident was moderately impaired for decision making. The resident was not…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-22 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a resident's preferences were honored related to the type of diet they received for 1 of 1 resident reviewed for choices. (Resident 50) Finding includes: During an interview on 5/16/24 at 10:23 a.m., Resident 50 indicated there was one issue that kept upsetting her. She indicated her doctor told her she could have whatever she wanted to eat, however, the staff here kept telling her she cannot have certain items. On Mother's Day, she was in the dining room and everyone at her table received ham and she got something else to eat. She asked the staff if she could have a piece of ham and was told No. She then handed the person the plate and said I want ham so get it for me please. The staff took the plate and brought back a piece of ham and mashed potatoes but there was no gravy on the potatoes. She asked the staff where the gravy was for the potatoes, and the staff stated, Well you wanted the ham so you do not get gravy on the potatoes because that…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-22 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure individualized Care Plans were developed and implemented related to behaviors for 1 of 15 residents reviewed for care plan development and implementation. (Resident 22) Finding includes: During an observation and interview on 5/16/24 at 10:25 a.m., Resident 22 voiced concerns of another resident stealing items from her room and indicated the same resident smacked her in the face after she had snatched a marker out of the other resident's hand. The resident indicated this resident consistently steals from everyone and she was attempting to stop her from stealing the marker. She indicated the Director of Nursing was informed about the incident. The resident's allegations of abuse were reported to the Administrator on 5/16/24 at 11:55 a.m. The Administrator indicated she was unaware of this incident and would report and investigate the matter. Resident 22's record was reviewed on 5/16/24 at 11: 00 a.m. Diagnoses included, but were not limited to, major depressive and anxiety disorder. An Annual Minimum…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure bruised areas were assessed and monitored, and non-pressure skin treatments were completed as ordered, for 2 of 4 residents reviewed for non-pressure skin conditions. (Residents 40 and 6) Findings include: 1. During a random observation on 5/17/24 at 9:00 a.m., Resident 40 was observed in a recliner chair in her room. At that time, a bruise was noted under the left eye. On 5/20/24 at 12:10 p.m., the resident was observed sitting in a wheelchair eating lunch in the main dining room. At that time, the bruise remained under the left eye. The record for Resident 40 was reviewed on 5/17/24 at 11:14 a.m. The resident was admitted to the facility on [DATE]. Diagnoses included,but were not limited to, fractured ribs, Alzheimer's disease, high blood pressure, acute kidney failure, falls, type 2 diabetes, high blood pressure and anxiety. The 4/24/24 admission Minimum Data Set (MDS) assessment indicated the resident was not cognitively intact…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 16 citations
  • Potential for harm · Dcited before2024-05-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed ensure adequate supervision was provided for a resident related to fall interventions for 1 of 1 resident reviewed for falls. (Resident 48) Finding includes: During a random observation on 5/16/24 at 11:30 a.m., Resident 48 was observed in bed. At that time, the bed was observed in a high position and there was no floor mat next to either side of the bed. The resident's spouse was seated in a chair by the window. On 5/17/24 at 9:00 a.m., the resident was observed in bed and CNA 1 was getting him dressed. At that time, the bed was in a very high position and the floor mat was against the wall. The CNA indicated she was preparing to get him up in the wheelchair by using the hoyer lift. At 9:05 a.m., the CNA left the room to get the hoyer lift and left the bed in the high position with the floor mat against the wall while the resident was still in the bed. At 9:11 a.m., the CNA came back to the unit with the hoyer lift and proceeded to get the resident into the chair. On 5/20/24 at 9:12 a.m., the resident was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure oxygen was set at the correct flow rate, for 2 of 3 residents reviewed for respiratory care (Residents 49 and 44) Findings include: 1. On 5/16/24 at 10:36 a.m., Resident 49 was observed sitting in a recliner chair in his room. At that time, he was wearing oxygen per nasal cannula and was connected to the room concentrator. The ball on the oxygen dial was all the way at the bottom of and well below 0.5 liters. On 5/17/24 at 8:59 a.m., the resident was observed wearing the oxygen and the ball on the oxygen dial was below the 0.5 liter mark. On 5/17/24 at 12:28 p.m., the resident was observed wearing the oxygen and the bottom of the ball on the dial was above the 0.5 liter mark. The record for Resident 49 was reviewed on 5/20/24 at 10:59 a.m. Diagnoses included, but were not limited to, fracture of left femur, COPD, heart failure, respiratory failure, type 2 diabetes, high blood pressure, and atrial fib. The 3/26/24 admission Minimum Data Set (MDS) assessment indicated the resident was cognitively intact…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-22 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure blood pressure and diuretic medications were not administered outside of their physician ordered parameters for 3 of 6 residents reviewed for unnecessary medications. (Residents 40, 49, and 6) Findings include: 1. The record for Resident 40 was reviewed on 5/17/24 at 11:14 a.m. The resident was admitted to the facility on [DATE]. Diagnoses included,but were not limited to, fractured ribs, Alzheimer's disease, high blood pressure, acute kidney failure, falls, type 2 diabetes, high blood pressure and anxiety. The 4/24/24 admission Minimum Data Set (MDS) assessment indicated the resident was not cognitively intact for daily decision making. A Care Plan, dated 4/17/24, indicated the resident had chronic cardiovascular disease related to high blood pressure. The approaches were to administer medications as ordered. Physician's Orders, dated 4/30/24, indicated Clonidine (a medication used to reduce blood pressure) 0.1 milligrams (mg), give 1 tablet by…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-02-01 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a resident was not given a medication listed as an allergy, making them at risk for potential adverse consequences, related to antibiotics for an urinary tract infection (UTI), for 1 of 3 residents reviewed for infections. (Resident B) Finding includes: The closed record for Resident B was reviewed on 2/1/24 at 10:23 a.m., Diagnoses included, but were not limited to, heart failure, heart disease, high blood pressure, edema, and pulmonary hypertension. The resident was allergic to Sulfadiazine (an sulfonamide antibiotic used to treat many different kinds of bacterial infections, like those of the brain, ears, and urinary tract). The admission Minimum Data Set (MDS) assessment, dated 10/4/23, indicated the resident was moderately impaired for daily decision making. The resident had a significant change in status on 10/31/23 at 9:49 a.m., and was sent to the hospital. The resident returned to the facility on [DATE] at 6:53 p.m. and was readmitted…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a resident was assessed and monitored after a fall, and failed to ensure the responsible party and Physician were notified after a fall for 1 of 3 residents reviewed for falls. (Resident C) The deficient practice was corrected on 10/31/23, prior to the start of the survey, and was therefore past noncompliance. The facility completed an investigation and inserviced staff regarding post fall procedures. Finding includes: Resident C's closed record was reviewed on 11/28/23 at 9:55 a.m. The resident was admitted to the facility on [DATE]. Diagnoses included, but were not limited to, encounter for surgical aftercare following surgery of the digestive system, congestive heart failure and anxiety. The resident was transferred to the hospital on [DATE] where he later passed away. The admission Minimum Data Set assessment, dated 10/20/23, indicated the resident had moderate cognitive impairment, and required partial/ moderate staff assistance for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · Dcited before2023-08-29 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure residents received the necessary treatment and services related to the lack of an assessment for a resident when the family had concerns with the resident potentially being shocked from his ICD (implantable cardioverter defibrillator) (sends a shock and resets an abnormal heartbeat back to normal) and not documenting resident's pulse daily as part of the plan of care for 3 of 3 residents reviewed for pacemaker/defibrillator devices. (Residents B, C, and D) Findings include: 1. Record review for Resident B was completed on 8/29/23 at 9:21 a.m. Diagnoses included, but were not limited to heart failure, hypertension, orthostatic hypotension, atrial fibrillation and cardiac pacemaker. The Medicare 5 Day Minimum Data Set (MDS) assessment, dated 4/28/23, indicated the resident was cognitively intact. A Care Plan, dated 2/28/23, indicated the resident had a pacemaker in place. Interventions included to count and record the apical pulse rate and rhythm…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-14 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure residents had Physician's Orders for medications and an assessment to self-administer their own medications for 1 of 1 residents reviewed for self-administration of medication. (Residents 36) Finding includes: On 4/10/23 at 9:42 a.m., Resident 36 was observed in bed. There was a container of Bacitracin ointment on a bedside table. The resident indicated the staff were applying it to his bottom at one time because it was reddened. On 4/11/23 at 9:57 a.m., the Bacitracin ointment was observed on a bedside table. On 4/12/23 at 11:39 a.m., the Bacitracin ointment was observed on a bedside table. Resident 36's record was reviewed on 4/12/23 at 1:23 p.m. Diagnoses included, but were not limited to, heart attack, heart failure, and renal insufficiency. The Quarterly Minimum Data Set (MDS) assessment, dated 1/11/23, indicated the resident was cognitively intact for daily decision making. There were no Physician's Orders for the Bacitracin ointment. There was no self-administration assessment of medication…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-14 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview, the facility failed to ensure the Physician was notified of treatment refusals for 1 of 1 residents reviewed for notification of change. (Resident 8) Finding includes: On 4/11/23 at 9:45 a.m., Resident 8 was observed in her room in bed. Her left elbow area did not have an ace wrap in place. On 4/12/23 at 10:33 a.m. and 1:52 p.m., the resident was observed in her room in bed. There was no ace wrap in use to the left elbow area. On 4/13/23 at 9:15 a.m., the resident was observed in her room in bed. There was no ace wrap in use to the left elbow area. The record for Resident 8 was reviewed on 4/11/23 at 1:20 p.m. Diagnoses included, but were not limited to, dementia with behavior disturbance and contracture (tightening of the muscles and tendons that cause the joints to become stiff) of the left elbow. The Quarterly Minimum Data Set (MDS) assessment, dated 3/21/23, indicated the resident was cognitively impaired for daily decision making and she had a functional limitation in range of motion (ROM) to one side of the upper extremities.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-14 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to protect the residents' right to be free from misappropriation of property related to stolen jewelry by CNA 1 for 2 of 2 residents reviewed for misappropriation of property. (Residents 50 and 23) The deficient practice was corrected by 2/17/23, prior to the start of the survey, and was therefore past noncompliance. The facility thoroughly investigated the missing jewelry as well as notified the police. A report was initiated by the police department and a detective was assigned to the case. CNA 1 was terminated as she failed to return phone calls or come back to the facility for a statement. The case was still open as some of the jewelry was still missing. Findings include: 1. During an interview, on 4/11/23 at 9:44 a.m., Resident 50 indicated 1 of her wedding rings was stolen about 2 months ago. She indicated she had heard the person confessed to stealing the rings, but was not sure if it was a CNA or a nurse who worked at the facility. They told her the staff member had pawned the jewelry. The record for Resident 50 was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2023-04-14 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure dependent residents received the necessary care to maintain Activities of Daily Living (ADLs) related to turning and repositioning in bed and dirty fingernails for 2 of 4 residents reviewed for ADLs. (Residents 164 and 36) Findings include: 1. During an interview on 4/10/23 at 11:02 a.m., Resident 164 indicated a couple nights ago, the CNAs put him to bed with the hoyer lift and left the pad underneath him. The hoyer pad remained underneath him until the next morning. He has asked staff to be turned and repositioned but they do not come back to help him and he cannot do it by himself. The resident indicated the midnight shift was the worst, they do not come and turn him like he should be. During an interview on 4/11/23 at 9:55 a.m., the resident indicated getting turned at night time was still a problem. The record for Resident 164 was reviewed on 4/11/23 at 2:10 p.m. The resident was readmitted to the facility on [DATE]. Diagnoses…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-14 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure areas of bruising were assessed and monitored, and geri-sleeves (protective skin sleeves) were applied as ordered for 1 of 1 residents reviewed for anticoagulant (blood thinning) medication side effects and 2 of 3 residents reviewed for skin conditions non-pressure related. (Residents 30, 22, and 33) Findings include: 1. On 4/10/23 at 2:05 p.m., Resident 30 was observed with a large area of reddish/purplish discoloration to his right forearm, no geri-sleeves were in use at that time. The record for Resident 30 was reviewed on 4/12/23 at 11:49 a.m. Diagnoses included, but were not limited to, stroke and muscle weakness. The Medicare 5 day Minimum Data Set (MDS) assessment, dated 3/25/23, indicated the resident required extensive assist with bed mobility and transfers. The resident had also received an anticoagulant medication within the last 7 days. A Care Plan, reviewed on 3/9/23, indicated the resident was at risk for developing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-14 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents received proper treatment and assistive devices to maintain hearing abilities related to not monitoring and assisting with a resident's hearing aid for 1 of 1 resident reviewed for hearing. (Resident 23) Finding includes: Interview with Resident 23 on [DATE] at 11:08 a.m., indicated the resident had difficulty with hearing and would like hearing aids. During a follow up interview on [DATE] at 1:40 PM, the resident indicated she wished she could hear the television. Resident 23's record was reviewed on [DATE] at 1:08 p.m Diagnoses included, but were not limited to, type 2 diabetes, transient cerebral ischemic attack, major depressive disorder, hypertension, dysphasia, and slurred speech. The Quarterly Minimum Data Set (MDS) assessment, dated [DATE], indicated the resident was cognitively intact. She required moderate assistance with activities of daily living and had minimal difficulty with hearing. The record lacked documentation…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-14 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure residents maintained acceptable parameters of nutritional status related to meal consumption records not completed for residents with a history of weight loss and supplements not provided as ordered for 1 of 1 residents reviewed for nutrition. (Resident 19) Finding includes: Interview with Resident 19 on 4/10/23 at 3:00 p.m., indicated she had lost weight and she was not always offered her supplement. The record for Resident 19 was reviewed on 4/13/23 at 8:53 a.m. Diagnoses included, but were not limited to, Parkinson's disease, dysphagia (difficulty swallowing), and gastroesophageal reflux disease (GERD). The Quarterly Minimum Data Set (MDS) assessment, dated 2/23/23, indicated the resident was cognitively intact and required supervision with eating. The resident also had a significant weight loss and was receiving a therapeutic diet. A Care Plan, reviewed on 2/2023, indicated the resident was at nutritional risk related to not always making healthy meal choices, weight fluctuations due to stomach problems,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-14 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to manage medications appropriately related to administering medications as ordered for 1 of 5 residents reviewed for unnecessary medications. (Resident 16) Finding includes: Resident 16's record was reviewed on 4/12/23 at 10:31 a.m. Diagnoses included, but were not limited to, senile degeneration of the brain, heart failure, depression, and hyperlipidemia. The admission Minimum Data Set (MDS) assessment, dated 3/30/23, indicated the resident was severely cognitively impaired. The March 2023 Physician's Order Summary (POS) indicated orders for the following: - Amlodipine besylate (blood pressure medication) tablet 5 milligram (mg) one time daily - Cholecalciferol (vitamin D3 supplement) tablet 25 microgram (mcg) one time daily - Mirtazapine (antidepressant medication) tablet 15 mg one time daily The March 2023 Medication Administration Record (MAR) indicated the following: - Amlodipine besylate tablet 5 mg was not marked as administered in the morning of 3/22/23, 3/23/23, 3/24/23, 3/27/23, 3/28/23, 3/29/23, and 3/30/23 -…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-14 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure medications were labeled correctly related to eye drops and insulin for 2 of 4 residents observed during medication pass (Residents 46 and 167) Findings include: 1. On 4/12/23 at 8:43 a.m., LPN 1 was observed preparing medication for Resident 46. She removed a medication eye drop of Timolol 0.25 mg (milligrams)/ 5 ml (milliliters) ophthalmic solution (eye drop). She administered one drop in each eye to the resident. The medication only had the name of the resident and strength of medication and did not have instructions related to how many drops to give and in which eye(s) . Interview with LPN 1 at that time, indicated the bag with the directions label was missing. The resident was supposed to get 1 drop in each eye. Interview with the Director of Nursing on 4/12/23 11:28 AM., indicated the eye drops should have been properly labeled. 2. On 4/12/23 at 9:18 a.m., LPN 2 was observed preparing medication for Resident 167. The LPN removed a package of insulin from the medication cart. At that time, the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-14 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure infection control guidelines were in place and implemented related to an indwelling foley catheter on the floor and improper cleaning of a glucometer for 1 of 1 residents reviewed for catheters and 1 of 1 observations of a glucometer. (Residents 164 and 46) Findings include: 1. On [DATE] at 11:03 a.m., Resident 164 was observed sitting in a recliner chair in his room. At that time, his foley (urinary) catheter was hanging on the side of the trash can with the bottom of the bag touching the floor. On [DATE] at 9:55 a.m. and at 2:45 p.m., the resident was observed sitting in his recliner chair. The foley catheter was observed hanging on the garbage bag on the side of the trash can. The spout was not tucked inside and was touching the floor, as was the bottom of the bag. On [DATE] at 11:20 a.m., the resident was observed sitting in his chair with visitors in the room. The foley catheter was hanging on the side of the trash can. The…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to MILLER'S MERRY MANOR — 14 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 53.5-0.5 vs chain
Health inspection 3 of 53.4-0.4 vs chain
Staffing 4 of 53.3+0.7 vs chain
Quality measures 3 of 53.7-0.7 vs chain
The other 13 homes this chain runs (chain average 3.5★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
JOHNSON MEMORIAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 06/01/2013
LAKE CITY BANKOrganization5% OR GREATER MORTGAGE INTERESTsince 08/01/2022
DUNKLE, DAVIDIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
FORVIS MAZARS, LLPOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2023
MILLERS HEALTH SYSTEMS INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2013
THERACARE INCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
BOYLE, PATRICKIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
DECOLA, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
HAUG, LORIIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
KAMRAN, NADEEMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025
ROBINSON, TINAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
SPRINGER, KARIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025

CMS files one row per role, so the 20 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$8.2M
Net patient revenuemost recent cost report
-17.2%
Operating marginrevenue minus expenses
$2.6M
Related-party expense27% of expenses
Who pays — share of resident-days
Medicaid 36%Medicare 34%Other / private 29%

This home reported $2.6M paid to related parties — landlords or management companies under common ownership — equal to about 27% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$499per resident / day
operating cost
$15,169per month
≈ monthly operating cost
$426per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Indiana Medicaid page.

Typical monthly cost in Indiana
$8,943/mo
Nursing home (semi-private)
$10,326/mo
Nursing home (private)
$5,639/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 155297. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-25, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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