Average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Miller's Health & Rehab By Miller's Merry Manor during CMS and state inspections, most recent first.
Surveyors found that two residents did not receive proper catheter care, including a catheter bag being observed on the floor, incomplete documentation of urinary output, and delays in obtaining a urine sample for urinalysis after a physician's order. These deficiencies involved residents with complex medical conditions requiring careful urinary management.
Two residents had medications in their rooms without the required self-administration assessments or physician orders. One resident had Neosporin cream on an over-bed table and said he used it on his arms, while another had Fluticasone nasal spray on a nightstand; staff confirmed there were no orders and no self-administration assessments or care plans for either resident.
Resident Information Left Visible on Medication Cart Computer: A nurse left a med cart computer screen open multiple times with resident information visible while walking away from the cart, including when staff and other residents were in the hallway. The Nurse Consultant stated the screen should have been closed each time the nurse stepped away, and the facility policy required the computer to be locked before walking away.
Pressure ulcer care and wound treatment orders were not followed for two residents. One resident with a Stage 4 sacral wound had wound vac tubing left on the floor during repeated observations, and an LPN confirmed it should have been kept inside the bag and off the floor. Another resident with dementia and diabetes had updated coccyx wound care orders from the wound clinic, but the wound nurse was not aware of the new orders and continued the prior treatment plan.
Failure to document meal intakes and house supplement consumption for a resident at nutritional risk. The resident had COPD, a sacral pressure ulcer, and a BMI of 16, and was ordered a house supplement with all meals due to weight loss risk. Meal and supplement intake records were missing on multiple occasions, and the Administrator had no additional information to provide.
The facility failed to ensure complete and accurate clinical records for several residents, including improper documentation of infection assessments, meal consumption, wound treatments, and oxygen therapy. The DON confirmed these deficiencies during interviews.
A resident expressed frustration over the facility's failure to honor her dietary preferences, despite being cognitively intact and having a doctor's approval to eat whatever she wanted. The resident experienced issues with receiving requested food items, such as ham and bacon, leading to dissatisfaction and distress.
The facility failed to develop and implement an individualized Care Plan for a resident with behavioral issues. The resident reported another resident stealing items and hitting her, but the Administrator was unaware of the incident until it was reported. Despite a history of making false allegations and manipulative behavior, a Care Plan addressing these issues was only created after the incident, indicating a lack of prior interventions.
The facility failed to monitor and treat non-pressure skin conditions as ordered for two residents. One resident's bruise was not documented or monitored after returning from the hospital, and another resident's foot dressing was not changed daily as required.
A facility failed to provide adequate supervision and follow fall interventions for a resident at risk for falls. The resident was repeatedly observed in a high bed position without the required floor mat, contrary to physician's orders. The resident's spouse had requested the bed be kept high for her convenience, but staff did not adhere to safety protocols.
The facility failed to ensure that oxygen was set at the correct flow rate for two residents. One resident had oxygen set incorrectly on multiple occasions, contrary to the physician's orders of 0.5 liters per minute. Another resident's oxygen was observed to be set at 3 liters instead of the ordered 2 liters. The DON acknowledged the concern but had no additional information.
The facility failed to ensure that blood pressure and diuretic medications were administered within the physician-ordered parameters for three residents. Medications such as Clonidine, Hydralazine, Metoprolol, Furosemide, Aldactone, and Losartan Potassium were given outside the specified blood pressure and pulse parameters on multiple occasions. The Director of Nursing acknowledged that the medications should have been administered as ordered by the physician.
Deficient Catheter Care and Urinary Output Documentation
Penalty
Summary
Surveyors observed that the facility failed to provide appropriate care for residents with indwelling Foley catheters. For one resident with diagnoses including right femur fracture, obstructive and reflux uropathy, urine retention, and chronic kidney disease, the Foley catheter bag was seen resting on the floor during two separate observations while the resident was in a wheelchair. The resident's care plan required documentation of urinary output, but review of records showed incomplete documentation of urinary output on multiple shifts. Facility policy required that catheter bags and tubing not touch the floor and that output be documented each shift, but these procedures were not consistently followed. For another resident with diabetes, heart failure, and acute kidney failure, staff did not obtain a urine sample for urinalysis and culture in a timely manner after the resident complained of pelvic and back pain. The physician ordered a straight catheterization to obtain the sample, but after an unsuccessful attempt, a Foley catheter was inserted the following day. The delay in obtaining the urine sample was acknowledged by the facility's nurse consultant. These findings demonstrate lapses in catheter care, documentation, and timely response to physician orders for residents requiring urinary management.
Failure to Assess and Order Self-Administered Medications
Penalty
Summary
The facility failed to ensure that two residents were assessed for self-administration of medications and had physician's orders for the medications found in their rooms. For Resident 23, staff observed a tube of Neosporin cream on the over-bed table during multiple observations, and the resident stated he used the cream on his arms for dry skin and scabs. The resident's record showed diagnoses including fracture of the left femur, anxiety disorder, major depressive disorder, heart disease, and high blood pressure, and the admission MDS dated 6/8/25 indicated he was moderately impaired for daily decision making. There was no care plan for self-administration, no self-administration assessment, and no physician's order for the Neosporin cream. For Resident F, staff observed a facility-labeled box of Fluticasone Nasal spray on the nightstand during multiple observations. An LPN stated the resident had no order for Fluticasone and could not self-administer the medication. The resident's record showed diagnoses including osteomyelitis of the sacral region, COPD, acute respiratory failure, pressure ulcer of the sacral region, emphysema, major depressive disorder, and anxiety disorder, and the admission MDS dated 6/10/25 indicated she was moderately intact for daily decision making. There was no care plan for self-administration, no self-administration assessment, and no physician's order for the Fluticasone Nasal spray.
Resident Information Left Visible on Medication Cart Computer
Penalty
Summary
The facility failed to keep resident personal and medical records private and confidential when a computer screen on the front 100 unit medication cart was left open with resident information visible. During observation on 7/21/25 at 10:22 a.m., the screen was open and resident information could be seen, and it remained open at 10:33 a.m. RN 1 returned to the cart at 10:35 a.m. but walked away without closing the computer. The RN returned at 10:41 a.m., then walked away again at 10:44 a.m. to answer a phone call without locking the screen. At 10:50 a.m., the RN again left the medication cart with resident information visible while staff and other residents were in the hallway. During interview on 7/23/25, the Nurse Consultant stated the nurse should have closed the computer screen each time she walked away, and the facility policy titled Medication Administration Procedure stated the computer screen was to be locked prior to walking away.
Pressure ulcer care and wound treatment orders not followed
Penalty
Summary
Provide appropriate pressure ulcer care and prevent new ulcers from developing was not ensured for two residents with pressure ulcers. Resident F had diagnoses including osteomyelitis of the sacral region, COPD, acute respiratory failure, pressure ulcer of the sacral region, emphysema, major depressive disorder, and anxiety disorder. The resident was admitted with a Stage 4 pressure ulcer and had a wound vac ordered to the coccyx with monitoring for suction and functioning every shift. During multiple observations, the wound vac was contained in a bag on the floor next to the bed, and the tubing was laying directly on the floor. An LPN later observed the tubing on the floor and stated it should have been contained inside the bag and off the floor. During a wound treatment observation, the resident was noted to have a large sacral wound that was pink with scant drainage. Resident 44 had diagnoses including dementia, diabetes, and pressure ulcer, and the admission MDS indicated moderate cognitive impairment with moderate assistance needed for ADLs and transfers. The wound care plan directed treatments as ordered, and a physician order required cleansing the coccyx wound with wound cleanser, applying Dakin's soaked gauze, and covering with a bordered foam dressing daily and as needed. Although the July treatment record showed this treatment was provided daily through 7/23/25, a wound clinic note on 7/9/25 changed the coccyx wound care orders to cleanse with Dakin's, tuck Exufiber into the wound, apply 4x4 gauze, and cover with bordered foam dressing daily. The wound nurse stated she was not aware of the new treatment orders and believed the treatment had not changed because the wound was healing.
Failure to Document Meal Intakes and Supplements for a Resident at Nutritional Risk
Penalty
Summary
The facility failed to ensure food consumption logs and health supplement documentation were completed for a resident with a history of weight loss. Resident 3 had diagnoses including osteomyelitis of the sacral region, COPD, acute respiratory failure, a sacral pressure ulcer, emphysema, major depressive disorder, and anxiety disorder. The admission MDS dated 6/10/25 indicated the resident was moderately intact for daily decision making, needed supervision and set-up assistance with eating, weighed 93 pounds, and received a regular diet. The care plan dated 6/20/25 identified the resident as nutritionally at risk related to a pressure ulcer and directed staff to provide a four-ounce house supplement at breakfast, lunch, and dinner and to monitor meal intakes. The resident’s weight was documented as 93 pounds on 5/31/25, 89 pounds on 6/10/25, 100 pounds on 7/14/25, and 94 pounds on 7/21/25. A Registered Dietitian progress note dated 6/24/25 stated the resident’s BMI was 16 and that she was to receive a house supplement with all three meals. However, meal intake documentation was missing for breakfast and lunch on multiple dates in June and July, and dinner on 7/1 and 7/2/25. House supplement intake documentation in the CNA task section was also missing for breakfast and lunch on multiple dates in July and for dinner on 7/2/25. During interview, the Administrator had no additional information to provide, and the facility policy stated documentation was required each shift for all assigned tasks, including meal intakes.
Incomplete and Inaccurate Clinical Records
Penalty
Summary
The facility failed to ensure clinical records were complete and accurately documented for several residents. For Resident 25, the Nursing Infection Assessment was not completed accurately, as the resident's temperature was not checked at the time the assessment was completed while the resident was receiving antibiotics. The Director of Nursing confirmed that the temperature should be checked at the time of the assessment. Resident 40 experienced significant weight loss, and there were multiple instances where meal consumption was not documented. Additionally, there was no Physician's Order for the healthshake recommended by the Dietary Manager, and the amount of healthshake consumed was not documented. The Director of Nursing indicated that meal consumption and healthshake intake should be documented after each meal. Resident 48 had conflicting documentation regarding wound treatment. The Treatment Administration Record indicated that both Santyl and dermasyn AG gel were signed out as being completed simultaneously, even though the Santyl should have been discontinued. The Director of Nursing confirmed that the Wound Nurse forgot to discontinue the Santyl. Resident 11 was observed multiple times without oxygen, despite having an order for continuous oxygen use. The Medication Administration Record indicated that oxygen was signed out as being administered, but the resident was not using it. The Director of Nursing acknowledged the concern but had no additional information to provide.
Failure to Honor Resident's Dietary Preferences
Penalty
Summary
The facility failed to honor a resident's dietary preferences, leading to dissatisfaction and distress for the resident. During an interview, the resident expressed frustration that despite her doctor's approval to eat whatever she wanted, the staff restricted her food choices. On Mother's Day, the resident was denied ham initially and later received it without gravy, which she had requested. The staff justified this by stating that the combination would be too high in salt. The resident also reported inconsistencies in receiving bacon, which she had requested on her meal ticket, indicating a lack of adherence to her dietary preferences. The resident's medical record showed she was on a 3-4 gram sodium controlled carbohydrate diet and was cognitively intact, capable of making her own dietary decisions. Despite this, the facility's staff did not consistently honor her meal preferences. The Director of Nursing confirmed the resident's cognitive status but did not provide additional information. The care plan indicated that staff should assess and honor the resident's preferences, which was not consistently followed, leading to the deficiency.
Failure to Implement Individualized Care Plan for Resident with Behavioral Issues
Penalty
Summary
The facility failed to ensure individualized Care Plans were developed and implemented for a resident with behavioral issues. Resident 22 reported that another resident had stolen items from her room and had smacked her in the face after she tried to retrieve a marker from the other resident. Despite the resident's allegations, the Administrator was unaware of the incident until it was reported on 5/16/24. The resident's record indicated diagnoses of major depressive and anxiety disorder, and an assessment dated 4/10/24 showed the resident was cognitively intact with no behaviors noted. However, the Care Plan addressing the resident's manipulative behavior and interactions with the alleged resident was only created on 5/20/24, after the incident was reported, indicating a lack of prior interventions for these behaviors. During interviews, the Director of Nursing and the Administrator acknowledged the resident's history of making false allegations and manipulative behavior. The Care Plan created on 5/20/24 noted the resident's history of making false allegations and her daughter's report that the resident had a history of lying. Despite a Care Plan meeting held on 4/10/24, where the resident mentioned taking a marker from another resident but did not report being hit, there was no Care Plan addressing her manipulative behavior with the alleged resident before 5/20/24. This lack of a timely and individualized Care Plan contributed to the deficiency in addressing the resident's behavioral needs effectively.
Failure to Monitor and Treat Non-Pressure Skin Conditions
Penalty
Summary
The facility failed to ensure bruised areas were assessed and monitored, and non-pressure skin treatments were completed as ordered for two residents. Resident 40 was observed with a bruise under her left eye on multiple occasions, but there was no documentation of the bruise in the Nursing Progress Notes from 5/6/24 to 5/16/24. The Director of Nursing indicated that the bruise should have been assessed and monitored after the resident returned from the hospital on 5/6/24, but this was not done. The facility's policy indicated that non-wound skin alterations such as bruising should be monitored daily for 7 days, which was not followed in this case. Resident 6 was observed with a dressing on her right foot that had not been changed as ordered. The resident indicated that the treatment for her foot was to be completed daily, but the dressing dated 5/14/24 had not been changed by 5/16/24. The resident's record indicated a physician's order to cleanse the right heel and change the dressing daily, which was not adhered to. The Director of Nursing acknowledged the missed dressing change but had no additional information to provide. The facility failed to follow the physician's orders and their own policies for monitoring and treating non-pressure skin conditions for both residents.
Failure to Ensure Adequate Supervision and Fall Interventions
Penalty
Summary
The facility failed to ensure adequate supervision and fall interventions for a resident identified as being at risk for falls. During multiple observations, the resident was found in bed with the bed in a high position and the floor mat against the wall, contrary to the physician's orders which required the bed to be in the lowest position with a floor mat in place for safety. On one occasion, a CNA left the resident in a high bed position while fetching a hoyer lift, leaving the resident unsupervised and without the prescribed safety measures in place. The resident, who had diagnoses including a thoracic spine fracture, Parkinson's disease, and anemia, was moderately impaired in daily decision-making and dependent on staff for transfers and bed mobility. Despite the care plan indicating the resident was at risk for falls and required specific safety interventions, these measures were not consistently followed. The Director of Nursing confirmed that the bed should have been in the lowest position with the floor mat beside the bed while the resident was in bed, but staff did not adhere to these instructions, partly due to the resident's spouse requesting the bed be kept in a high position for her convenience.
Failure to Ensure Correct Oxygen Flow Rates
Penalty
Summary
The facility failed to ensure that oxygen was set at the correct flow rate for two residents. Resident 49 was observed multiple times with the oxygen flow rate set incorrectly. On two occasions, the ball on the oxygen dial was below the 0.5-liter mark, and on another occasion, it was above the 0.5-liter mark. The resident's care plan indicated that oxygen should be provided as ordered, and the physician's orders specified a flow rate of 0.5 liters per minute. The Director of Nursing confirmed that the oxygen should be set at 0.5 liters with the ball centered in the middle of the line of the amount to be administered. Resident 44 was also observed with incorrect oxygen flow rates. The resident's oxygen was observed to be set just under the 3-liter line on two occasions, and at 3 liters on other occasions. The physician's orders indicated that the oxygen flow rate should be set at 2 liters. The Treatment Administration Record for May 2024 indicated that oxygen was signed out as being administered at 2 liters on multiple dates. The Director of Nursing acknowledged the concern regarding the resident's oxygen not being set at the correct rate and had no additional information to provide.
Failure to Administer Medications Within Ordered Parameters
Penalty
Summary
The facility failed to ensure that blood pressure and diuretic medications were administered within the physician-ordered parameters for three residents. Resident 40, who had diagnoses including high blood pressure and Alzheimer's disease, received Clonidine, Hydralazine, and Metoprolol outside of the specified blood pressure and pulse parameters on multiple occasions. For instance, Clonidine was administered with a blood pressure of 111/58, and Hydralazine was given with a blood pressure of 98/52. Similarly, Metoprolol was administered with a pulse of 49 and a blood pressure of 149/70, among other instances. The Director of Nursing acknowledged that the medications should have been given as ordered by the physician. Resident 49, who had conditions such as heart failure and high blood pressure, received Furosemide and Aldactone outside of the ordered parameters. For example, both medications were administered with a blood pressure of 138/72 and 133/74. Resident 6, diagnosed with heart failure and kidney disease, received Losartan Potassium despite having a systolic blood pressure below the ordered threshold on several occasions, such as 119/73 and 97/78. Additionally, there were inconsistencies in documenting the resident's blood pressure in the Medication Administration Record (MAR) and the electronic medical record. The Director of Nursing confirmed the concern regarding the administration of medication outside the ordered parameters.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near La Porte
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brickyard Healthcare - Laporte Care Center | 2.5 mi | ★★★★★ | 20 | 0 |
| Brickyard Healthcare - Terrace Care Center | 2.7 mi | ★★★★★ | 2 | 0 |
| Miller's Merry Manor | 11.6 mi | ★★★★★ | 0 | 0 |
| Aperion Care Arbors Michigan City | 12.2 mi | ★★★★★ | 23 | 1 |
| Life Care Center Of Michigan City | 13 mi | ★★★★★ | 9 | 0 |
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