Average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Merry Manor during CMS and state inspections, most recent first.
Staff failed to perform appropriate hand hygiene during meal service, including after touching residents, wheelchairs, hair, and drink cups. An activities aide handled a resident’s wheelchair and food, then served additional trays and refilled multiple drink cups without washing hands. On another occasion, an RN touched her hair before serving meal trays, and two RNs and an activities aide moved residents in wheelchairs and then assisted with feeding and served additional meals without handwashing. The regional dietician confirmed staff should wash hands after such contacts, and the facility relied on a general hand hygiene policy rather than a dining-specific one.
The facility failed to implement appropriate infection prevention and control practices for a resident in isolation for suspected C. diff and for multiple residents placed in Contact Isolation during a GI outbreak. Symptomatic residents were isolated and symptomatic staff were told to stay home, but no testing was done to confirm norovirus, and entrance signage only advised ill visitors not to enter. The IP nurse and CNAs reported that gowns and gloves were used only for direct care, that staff could enter isolation rooms without full PPE for tasks such as handing a remote, and that alcohol-based hand sanitizer was used instead of soap and water for hand hygiene, including for suspected C. diff and GI cases. Isolation signage on affected rooms did not specify the requirement for soap-and-water handwashing, the IP nurse was unaware of different types of Contact Isolation or the need for soap and water in these situations, and no documented, outbreak-specific education was provided. Facility policies and CDC guidance referenced in the report required soap-and-water hand hygiene for suspected or confirmed C. diff and norovirus, but practice in the facility did not align with these standards.
A staff member posted a video of a resident, undressed in a shower room, on social media, showing the resident's face, neck, and shoulders while instructing her to speak. The incident was discovered after a former employee reported it, and the DON confirmed the violation of facility policy prohibiting staff from capturing or sharing resident images or information electronically.
A resident with multiple health conditions, including diabetes, had several instances of low blood sugar levels that were not reported to the physician as required by the facility's policy. Despite the physician's orders to notify if blood sugar was below 70 mg/dL, documentation of such notifications was missing. Interviews with staff confirmed the oversight, highlighting a lapse in following the facility's procedures for maintaining safety.
A resident was inappropriately diagnosed with schizophrenia to secure insurance coverage for risperidone, despite lacking the necessary DSM-5 criteria. The facility's policy requires medication therapy to be based on an adequate indication for use, which was not followed.
Failure to Perform Hand Hygiene During Dining Service
Penalty
Summary
The deficiency involves staff failing to follow proper hand hygiene practices during meal service in the dining room, potentially affecting all 38 residents who ate there. During a continuous observation of a lunch meal service, an activities aide served a meal tray, readjusted a resident’s wheelchair, and cut the resident’s food, then returned to the kitchen to obtain additional trays without washing her hands after touching the resident’s equipment. She then served four more resident trays without performing hand hygiene. After all meals were served, the same aide carried residents’ empty cups from dining tables to the drink station and refilled nine drink cups without performing hand hygiene between handling and refilling the cups. In a separate continuous observation of another lunch meal service, an RN touched her ponytail and then served a tray with two meals to residents without washing her hands after touching her hair. During the same meal, two RNs and the activities aide moved three residents, who had already been served their meals, from one table to another by pushing their wheelchairs; none of them washed their hands afterward, and the two RNs then began assisting residents to eat while the aide served six more meals without hand hygiene. After all trays were served, the aide refilled two resident drinks by taking the cups from the table, refilling them at the drink station, and returning them to the residents without washing her hands before or after refilling. The regional dietician stated that staff should wash their hands anytime they touch their own clothing, body, or hair, and after touching a resident’s clothing or equipment, and that staff should wash their hands if they touch resident cups while refilling them. The executive director confirmed there was no dining-specific handwashing policy but stated the facility followed a general hand hygiene policy based on CDC standards.
Failure to Implement Appropriate Hand Hygiene and Contact Precautions During GI Outbreak and Suspected C. diff
Penalty
Summary
Surveyors identified a failure to maintain appropriate infection prevention and control practices for a resident in isolation for suspected Clostridioides difficile (C. diff) and for multiple residents placed in Contact Isolation during a gastrointestinal (GI) outbreak. At the facility entrance, signage only advised ill visitors not to enter and did not address specific transmission-based precautions. The Executive Director reported that the facility believed a GI virus, thought to be norovirus, was causing nausea, vomiting, and diarrhea among residents and staff. Symptomatic residents were placed in isolation and ate meals in their rooms, and symptomatic staff were told to stay home. However, the facility had not formally tested residents or staff to confirm norovirus. The Infection Preventionist (IP) nurse stated that residents with GI symptoms were placed in Contact Isolation and that staff were required to wear gowns, gloves, and masks only when providing direct resident care. During observation of a room where a resident was in isolation for a possible C. diff infection, the posted Contact Precautions sign instructed staff to clean hands before entering and when leaving the room and to don gloves and gowns before entry and discard them before exit, but it did not specify that soap and water were required for hand hygiene. The nurse assigned to that resident confirmed the isolation was due to possible C. diff. The CNA caring for the resident reported that she wore mask, gown, and gloves only when providing resident care, but not when answering call lights or handing the resident items such as the call light or television remote, and that she used alcohol-based hand sanitizer rather than soap and water before entering and after exiting the room. The IP nurse confirmed that the room was under Contact Isolation and stated that hand sanitizer was an acceptable hand hygiene method for a resident with potential C. diff, and that she was unaware that different types of Contact Isolation existed or that soap and water were specifically required for C. diff-related hand hygiene. She also acknowledged that no C. diff-specific hand hygiene education had been provided to staff after the resident was placed in isolation. The DON later stated that the IP nurse was incorrect and that the facility’s preferred method was soap and water for all hand hygiene unless unavailable, and that all staff had been trained accordingly, but she could not provide documentation of audits or training prior to survey exit. The DON also stated that all care was considered direct care and that staff should have worn gowns, gloves, and masks any time they entered an isolation room, including when handing a resident a remote, and further indicated she had not been informed in infection control meetings that soap and water was the only acceptable hand hygiene for certain Contact Isolation situations such as potential C. diff. During continuous observation, multiple rooms were identified as being in Contact Isolation for GI symptoms, with isolation signs posted that lacked any specific instruction to use soap and water only for hand hygiene upon entering and exiting. The IP nurse reported that all residents with current or recent nausea, vomiting, or diarrhea had been placed in Contact Isolation and that Contact Isolation required gloves, mask, and gown while providing resident care, but she again stated that hand sanitizer was acceptable for hand hygiene in these rooms and that staff were not required to wear gowns or gloves when answering call lights or performing non-direct care tasks such as handing a remote or refilling water. She stated that at the start of the GI outbreak she verbally instructed staff about masks, gowns, and gloves but did not instruct them to use soap and water for hand hygiene because she did not know it was required, and she did not document this education or obtain staff signatures. Review of the facility’s infection map showed that numerous rooms had been placed on Contact Isolation over several days for residents with nausea, vomiting, and/or diarrhea. A review of the call-off list showed several staff from different departments, including CNAs, nurses, cooks, and housekeeping, had called off work with GI symptoms during the same period. The facility’s Infection Control Surveillance Program policy required education on hand hygiene, standard precautions, and isolation protocols at orientation, annually, and in response to infection control/quality improvement data. The facility’s Hand Hygiene policy stated that employees would follow CDC standards and that hand washing with soap and water was required during care of residents with suspected or confirmed C. diff, with alcohol-based hand sanitizer preferred in most other clinical situations. CDC guidance cited in the report specified that during norovirus outbreaks, soap and water should be used for hand hygiene after caring for suspected or confirmed cases, that hand sanitizer alone does not work well against norovirus, and that washing hands with soap and water is the best way to prevent spread of C. diff.
Staff Posted Resident Video on Social Media in Violation of Facility Policy
Penalty
Summary
A staff member at the facility posted a video of a resident, who was undressed in a shower room, on a social media platform. The video showed the resident from the shoulders up, including her neck and face, while a CNA instructed her to say 'Hi' multiple times. The incident was discovered when a former employee reported the video to a current staff member, who then informed the night nurse. The Director of Nursing (DON) was notified and confirmed the existence of the video, which had been posted by the CNA. The CNA initially denied posting the video but was confronted with evidence during an interview with the DON. The facility's policy explicitly prohibited employees from capturing or sharing any resident-specific information, pictures, or videos via electronic communication or social media. Despite this policy, the CNA had signed the policy upon hire but still posted the video. The incident was reported to the Department of Health, and the DON began an investigation by interviewing alert residents about staff use of phones to take videos of them.
Failure to Notify Physician of Low Blood Sugar Levels
Penalty
Summary
The facility failed to notify the physician of out-of-range blood sugar levels for a resident who was being monitored for insulin. The resident, who had a history of unspecified dementia, diabetes mellitus, epilepsy, atrial fibrillation, hypertension, hemiparesis and hemiplegia following cerebral infarction, bilateral visual field deficits, and depression, was found to have blood glucose readings below the threshold set by the physician's orders. Specifically, the resident's blood glucose levels were recorded as 57 mg/dL and 60 mg/dL on multiple occasions, which were below the threshold of 70 mg/dL that required physician notification. The clinical record for the resident lacked documentation that the physician was notified of these low blood sugar readings. Interviews with facility staff, including Employee 1 and the Director of Nursing (DON), confirmed that the physician notification should have been documented in the nursing progress notes or the medication administration record. However, there was no evidence of such documentation. The facility's policy on new order transcription, which was provided by the DON, emphasized the importance of maintaining physician orders in a manner that ensures safety, but the policy was not adhered to in this instance.
Inappropriate Schizophrenia Diagnosis for Medication Coverage
Penalty
Summary
The facility failed to ensure physician services met professional standards of quality concerning the diagnosis of schizophrenia for a resident reviewed for unnecessary medications. The resident, who was admitted without a diagnosis of delusional disorder or schizophrenia, began exhibiting distress, screaming, yelling, and delusions. Despite these behaviors, the clinical record lacked documentation of other criteria necessary for a schizophrenia diagnosis according to DSM-5 standards. The resident's care plan included interventions such as administering psychological medications like risperidone and monitoring for gradual dose reduction. The facility's actions included changing the resident's diagnosis to schizophrenia to secure insurance coverage for risperidone, as indicated by interviews with the Social Service Director and the Director of Nursing. The NP had not consulted a psychiatrist before altering the diagnosis, and the insurance company required a more appropriate diagnosis to cover the medication cost. The facility's policy on psychotropic medication use mandates that medication therapy be based on an adequate indication for use, which was not adhered to in this case.
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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 Culver
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Miller's Merry Manor | 9.3 mi | ★★★★★ | 0 | 0 |
| Pilgrim Manor | 10.6 mi | ★★★★★ | 21 | 0 |
| Brickyard Healthcare - Knox Care Center | 11.1 mi | ★★★★★ | 0 | 0 |
| Hickory Creek At Winamac | 14.8 mi | ★★★★★ | 7 | 0 |
| Pulaski Health Care Center | 14.8 mi | ★★★★★ | 24 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.