Deficiency Index

Miller's Merry Manor

Walkerton, Indiana · CCN 155574

15 surveys since 2011. The first finding at harm level was recorded in 2015.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
68
Surveys
15
Harm or worse
3
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file11/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
107
Ownership
For profit - Corporation
Chain
MILLER'S MERRY MANOR
County
St. Joseph
Medicare-certified since
1995

CMS ratings

Overall
2
Health inspection
2
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 67 for-profit facilities of 100–127 beds in Indiana.

Last survey on record

May 19, 2026

174 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.893.43
Registered-nurse hours per resident day0.58—
Annual nurse turnover41.8%48.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG16.3%H—I—
No harm, potential for more than minimalD1593.8%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 68 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • F5521×

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6021×

    Protect each resident from the wrongful use of the resident's belongings or money.

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, isolatedF600Oct 8, 2025

    Based on observation, interview and record review, the facility failed to ensure a resident was free from physical abuse for 2 of 3 residents reviewed. (Resident S and U). This deficient practice resulted in a hand injury and extensive bruising for 1 of 3 residents. (Resident S) Findings include:A report, dated 9/29/25, alleged Resident U had several physical altercations with Resident S due to Resident S wandering into her room. It was alleged there had been no interventions put in place to protect Resident S and staff had been instructed to not document these altercations. It was alleged during one of the altercations, Resident U had caused bruises on Resident S. […]

  • No harm, potential for more than minimal, patternF865Nov 21, 2022

    Based on interview and record review, the facility failed to ensure Quality Assurance and Performance Improvement Plan (QAPI) was carried out per their policy. Finding includes: On 11/21/2022 at 10:30 A.M., during the review of the QAPI facility task the Administrator indicated she had not done QAPI since the pandemic, she thought it was on hold. She recently started it back up on 10/25/2022. She should have been conducting QAIP meeting; their policy is monthly. The Infection Preventionist did the nursing part, but they did not meet as a group. […]

  • No harm, potential for more than minimal, isolatedF602May 19, 2026

    Based on interview and record review the facility failed to protect Resident Funds from misappropriation related to theft of funds by an employee. (Employee 2) This deficiant practice was corrected on 4/30/2026, prior to the start of the survey, and was therefore past noncompliance. Finding includes: During a record review of an incident that had occurred on 4/27/2026, Employee 2 had called to self-report she had borrowed $40.00 from petty cash and $240.00 from the Resident Trust account. Employee 2 was immediately terminated and a police report was filed. The corporate Field Accountant and the Regional [NAME] President were notified as well. In addition, an audit had been completed of financial and resident facility accounts. […]

  • No harm, potential for more than minimal, isolatedF656Dec 5, 2025

    Based on record review and interview, the facility failed to develop a comprehensive person-centered care plan for activities for 1 of 15 residents reviewed for care plans (Resident 5) Findings included:1.The clinical record of Resident 5 was reviewed on 12/3/2025 at 2:02 P.M. The resident's diagnoses included, but were not limited to: abdominal aortic aneurysm without rupture, adult failure to thrive, emphysema, difficulty in walking and pressure ulcer of the right hip. A Quarterly Minimum Data Set (MDS) assessment, dated 10/30/2025, indicated the resident was cognitively intact. […]

  • No harm, potential for more than minimal, isolatedF686Dec 5, 2025

    Based on observation, record review and interview, the facility failed to follow the treatment plan for a resident with a pressure injury and failed to notify the provider and responsible party of a worsening pressure injury for 1 of 2 residents who were reviewed for pressure injuries. (Resident 15)Finding includes:Resident 15 was observed in bed and was not wearing a palm guard on her left hand during the following observations: 12/1/2025 at 10:44 A.M., 12/1/2025 at 2:15 P.M. and 12/3/2025 at 9:44 A.M.Resident 15's record review was completed on 12/3/2025 at 10:45 A.M. Diagnoses included, but were not limited to: dementia, major depressive disorder, contracture of the left elbow and left hand. […]

Read 22 findings in full →The most serious and the most recent: 22 of 68 on record.

Every survey on record

FindingsAt actual harm or above

  • May 19, 2026Complaint1 finding
  • Dec 5, 2025Standard4 findings
  • Oct 8, 2025Complaint4 findings · 1 harm
  • Jan 12, 2024Standard7 findings
  • Nov 21, 2022Standard14 findings
  • Jul 17, 2019Standard6 findings
  • Jul 19, 2018Complaint2 findings
  • Jan 25, 2018Complaint2 findings · 1 harm
Show the 7 earlier surveys
  • Jun 30, 2015Standard4 findings · 1 harm
  • Jun 10, 2014Standard7 findings
  • May 13, 2013—1 finding
  • Mar 25, 2013—2 findings
  • Jan 10, 2013—2 findings
  • Mar 16, 2012—2 findings
  • Apr 29, 2011—10 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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