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, isolatedF686Jun 14, 2024

  Based on observation, interview, and record review, the facility failed to ensure staff accurately identified and monitored skin impairment for a cognitively impaired, dependent resident at risk to develop pressure injuries, failed to ensure interventions for effective pressure relief, and to promote healing, were implemented when an area of concern on the resident's skin was reported to a nurse, and failed to ensure care and services were provided to prevent the pressure injury from deteriorating for 1 of 2 residents reviewed for skin integrity (Resident 50). This deficient practice resulted in Resident 50 developing a facility-acquired stage three (full thickness tissue loss) pressure injury. Findings include: The clinical record for Resident 50 was reviewed on 6/11/24 at 3:00 p.m. […]

• Actual harm, isolatedF600Oct 5, 2022

  Based on interview and record review, the facility failed to protect residents from physical abuse for 3 of 3 residents reviewed for abuse, resulting in emergency room visits, a pelvic fracture, and emotional distress. (Residents B, N, and W) Findings include: The clinical record for Resident W was reviewed on 10/3/22 at 2:00 p.m. The diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . He was readmitted to the facility on [DATE] after an inpatient psychiatric stay. The clinical record for Resident N was reviewed on 10/3/22 at 11:03 a.m. The diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The clinical record for Resident B was reviewed on 10/3/22 at 2:30 p.m. […]

• Actual harm, isolatedF684Oct 5, 2022

  Based on interview and record review, the facility failed to timely address a resident's change of condition for 1 of 3 residents reviewed for hospitalization . This resulted in delayed hospitalization for a resident exhibiting signs and symptoms of a stroke. (Resident D) Findings include: The clinical record for Resident D was reviewed on 10/3/22 at 11:15 a.m. The resident's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident was admitted on [DATE]. The Quarterly MDS (Minimum Data Set) assessment dated [DATE], indicated Resident D was cognitively impaired. A care plan dated 4/12/22 indicated Pain: I [Resident D] have potential: for pain/discomfort related to my diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] .Notify MD [medical doctor] as needed . […]

• No harm, potential for more than minimal, isolatedF684Jun 26, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident was safely transferred by a Hoyer (mechanical lift) for 1 of 2 residents randomly observed for transfers. (Resident 253) Findings include: The clinical record for Resident 253 was reviewed on 6/23/25 at 9:00 a.m. The diagnosis included, but was not limited to, lymphoma. The resident was admitted to the facility on [DATE]. A fall risk care plan, dated 6/7/25, indicated the resident was to be transferred by a mechanical Hoyer lift. A physician order, dated 6/8/25, indicated the resident was to be transferred by a mechanical Hoyer lift. A physical therapist evaluation, dated 6/9/25, indicated the resident's baseline was dependent with transferring from chair to bed. […]

• No harm, potential for more than minimal, isolatedF744Jun 26, 2025

  Based on observation, interview, and record review, the facility failed to timely develop a person-centered behavior management care plan with individualized interventions and document approaches to care for a resident with dementia with behaviors of wandering for 1 of 2 residents reviewed for accidents. (Resident 1) Findings include: The clinical record for Resident 1 was reviewed on 6/24/25 at 12:00 p.m. The diagnoses included, but were not limited to, dementia, paranoid personality disorder, and psychotic disorder with delusions. An Annual Minimum Data Set (MDS) assessment, dated 5/30/25, indicated Resident 1 was cognitively impaired. During an interview on 6/23/25 at 8:55 a.m., Resident 40 indicated there was a resident who got lost and wandered into his room at times. […]