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.

• Immediate jeopardy, isolatedF689Jul 31, 2023

  Based on observation, interview, and record review, the facility failed to ensure environmental hazards were removed from the resident's room after a suicide attempt for 1 of 2 residents reviewed for accidents/hazards. (Resident 5) The immediate jeopardy began on June 6, 2023 when Resident 5 wrapped a bed remote cord around his neck and the facility failed to remove the hazard from his room. The administrator and regional nurse consultant were notified of the immediate jeopardy on July 26, 2023 at 4:50 P.M. […]

• Actual harm, isolatedF686Jun 7, 2022

  Based on record review, observation and interview, the facility failed to prevent the development of an unstageable pressure area, failed to assess a residents skin weekly, and failed to initiate a pressure ulcer treatment timely for 2 of 3 residents reviewed for pressure ulcers. (Residents 11 & 31) Findings included: 1. During an observation, on 6/1/2022 at 9:05 A.M., Resident 11 was observed in bed lying on her back. On 6/1/2022 at 9:15 A.M., along with LPN 6, Resident 11's buttocks were observed. Resident 11's coccyx area had an open area approximately the size of a quarter, with exposed red tissue with no dressing to the area. A clinical record review was completed on 6/2/2022 at 10:14 A.M. Resident 11's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF657Jun 7, 2022

  Based on observation, interview and record review, the facility failed to revise and individualize the care plans for 4 out of 23 residents charts reviewed for care plans. (Resident 3, 44, 49 and 253) Findings include: 1. A clinical record review was completed, on 6/2/22 at 1:29 P.M., and indicated Resident 44's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A Physician Order, dated 1/26/2022, indicated Resident 44's right leg, mid calf circumference measurement every month, for [CONDITION(S)] monitoring. During an interview, on 6/6/22 at 10:08 A.M., the Director of Nursing indicated that they are measuring her leg weekly, and the intervention is not on the care plan and it should have been. 2. […]

• No harm, potential for more than minimal, isolatedF657Jun 27, 2025

  Based on observation, record review and interview, the facility failed to update a resident's Care Plan timely related to activities for 1 of 2 residents reviewed for activities. (Resident 8) Finding includes: During an observation on 6/23/2025 at 9:38 A.M., Resident 8 was seated in front of the nurses station, alone and talking to herself. During an observation on 6/24/2025 at 10:40 A.M., Resident 8 was alone in her room, seated in her wheel chair and was talking to herself. A record review was completed on 6/26/2025 at 10:00 A.M., Resident 8's diagnoses included but were not limited to: dementia, hearing loss of both ears, dysphagia, major depressive disorder and contrature of the right hand. […]

• No harm, potential for more than minimal, isolatedF679Jun 27, 2025

  Based on observation, interview and record review, the facility failed to provide an ongoing resident centered activities program for 2 of 2 residents reviewed for activities. (Residents 36 and 8) Findings include: 1. A record review completed on 6/24/2025 at 2:30 P.M. indicated Resident 36's diagnoses included, but were not limited to, dementia, generalized anxiety disorder and cognitive communication deficit. An Annual Minimum Data Set (MDS) assessment, dated 5/6/2025, indicated Resident 36's cognition was severely impaired and activity preferences included listening to music, attending religious activities and doing things with groups of people. […]