Miller's Merry Manor

In the surveyor’s words

From the most serious findings on record at Miller's Merry Manor, in the surveyor’s own words.

• Actual harm, isolatedF689Oct 15, 2025

  Based on observation, record review, and interview, the facility failed to ensure a resident received proper assistance to prevent accidents, related to a CNA (CNA 1) transferring a dependent resident from a chair to the bed without following the plan of care, causing an injury to the left lower leg, which required an emergency room (ER) visit and 19 sutures to the injury, for 1 of 3 residents reviewed for mechanical lift usage. (Resident E)Finding includes: During an observation on 10/14/25 at 10:53 a.m., CNA 2 and CNA 3 used a mechanical lift and transferred Resident E from the bed to a chair. There was a light pink area observed on the resident's left lower calf area. […]

• No harm, potential for more than minimal, widespreadF812Jan 10, 2025

  Based on observation, record review, and interview, the facility failed to keep the kitchen clean and in good repair related to food not labeled and dated for 1 of 1 kitchen. (The Main Kitchen) This had the potential to affect all residents receiving food from the kitchen. Findings include: During the Initial Kitchen Sanitation Tour on 1/6/25 at 8:57 a.m., with the Assistant Kitchen Manager, the following was observed: a. There was a tray of individual cups of pickles and mayonnaise in the refrigerator which were not labeled. b. There was an undated, opened bag of sweet corn nuggets in the freezer. c. There was an undated, unlabeled, opened bag of white powder in a cabinet in the food preparation area. […]

• No harm, potential for more than minimal, patternF880Jan 10, 2025

  Based on observation, record review and interview, the facility failed to ensure infection control practices were in place and implemented related to staff failing to perform hand hygiene after glove removal and prior to donning personal protective equipment (PPE) for 1 of 8 residents observed during medication administration, enhanced barrier precautions (EBP) not followed, and glove use in the hallway during random infection control observations. (Residents 1, 51, and 13) Findings include: 1. On 1/9/25 at 8:45 a.m., LPN 1 was observed preparing medications for Resident 1. The LPN donned a pair of gloves to place medications into a medication cup. After placing the medications in four separate cups, he removed his gloves. […]

• No harm, potential for more than minimal, patternF921Jan 10, 2025

  Based on observation and interview, the facility failed to provide a sanitary, comfortable environment for staff, residents, and the public related to the strong odor of urine on 1 of 3 halls. (The 100 hall/ICF) This had the potential to affect all residents residing on the ICF wing. Finding includes: During multiple random observations throughout the day on 1/6/25 and 1/7/25, a pungent odor of urine was present upon entering and throughout the ICF hall. During an interview on 1/6/25 at 2:20 p.m., a resident's family member indicated the whole wing (ICF) constantly smelled of urine. During an interview on 1/8/25 at 11:02 a.m., LPN 1 indicated the smell may be coming from garbage in the dirty utility room. He took bags of garbage out of the room and sprayed air freshener around the unit. […]

• No harm, potential for more than minimal, isolatedF550Mar 6, 2026

  Based on record review and interview, the facility failed to ensure each residents' dignity and rights were maintained related to not responding to complaints of excessive television volume in a timely manner for 3 of 4 resident council members and one random resident that resided on the 100 unit. (Residents 6, 30, 41 and 45)Finding includes:The resident council interview was completed on 3/4/26 at 2:00 p.m. with four council members present. Residents 6, 30 and 41 indicated that Resident 25 on the 100 unit continually kept his television excessively loud and refused to close his door. The residents indicated they had complained to staff about the loud volume several times, but nothing had changed. Resident 6 indicated her room was next to his and the television would keep her up at night. […]