Above 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.
The facility failed to provide adequate skin and wound care for a resident with diabetes, leading to an unstageable pressure ulcer. Another resident with severe dementia and dysphagia was improperly positioned during meals, contrary to her care plan. Additionally, new skin alterations identified as bug bites were not properly documented or followed up on, highlighting deficiencies in the facility's care practices.
A resident with a pressure ulcer on the left heel did not receive proper care according to facility policies. The RN failed to conduct a pain assessment during dressing changes and did not adhere to hand hygiene protocols, washing hands for less than the required time and not washing after touching potentially contaminated surfaces. These actions were against the facility's policies for infection prevention and pain management.
A resident with a history of diabetes and an unstageable pressure ulcer on the left heel experienced inadequate infection control during a dressing change. The RN did not follow proper handwashing protocols, washing hands for only 15 seconds and failing to wash hands after disposing of trash. This breach of the facility's infection control policy occurred despite the resident's ongoing treatment with antibiotics for a slow-healing wound.
Deficiencies in Skin Care and Positioning for Residents
Penalty
Summary
The facility failed to provide adequate skin and wound care for Resident 34, who had a history of diabetes, chronic kidney disease, and congestive heart failure. The resident developed an unstageable pressure ulcer on the left heel, which was not present upon admission. Despite having diabetic neuropathy, the care plan did not include specific interventions for diabetic foot care, such as heel protectors or regular visual inspections. The facility's Director of Nursing (DON) acknowledged the lack of a diabetic foot care policy and was unaware of the resident's recent podiatry evaluations. Resident 17 was observed in a semi-reclined position in a wheelchair with her neck hyperextended backward, which was not in accordance with her care plan that required a blue collar support device during meals. The resident, who had severe dementia and dysphagia, was assisted with eating and drinking by staff, but the use of the correct positioning device was not documented or followed. The facility's CNA assignment sheets did not include instructions for the use of the support device, and the therapy department was not informed of the resident's coughing during meals. Additionally, Resident 17 had new skin alterations identified as bug bites, but there was no documentation of follow-up assessments or treatment plans. The facility's policy required skin alterations to be assessed, measured, and documented, with updates to the care plan as changes occurred. The DON confirmed that follow-up assessments should have been documented, but there was no evidence of this in the resident's records.
Deficiency in Pressure Ulcer Care and Infection Control
Penalty
Summary
The facility failed to adhere to its own policies regarding infection prevention and pain management during the care of a pressure ulcer for a resident. The resident, who had a history of diabetes, chronic kidney disease, and congestive heart failure, developed an unstageable pressure ulcer on the left heel. The wound was assessed as a deep tissue injury with surrounding redness and swelling. Despite a physician's order for daily dressing changes with collagenase ointment, the registered nurse (RN) did not perform a pain assessment before, during, or after the dressing change, contrary to the facility's policy requiring pain assessments with all wound care procedures. Additionally, the RN did not follow proper hand hygiene protocols during the dressing change. The RN washed and dried their hands within 15 seconds, which is below the facility's policy requirement of 40 to 60 seconds. Furthermore, after disposing of the previous dressing and touching the bathroom door, the RN failed to wash their hands before handling the resident's ointment. These actions were inconsistent with the facility's infection control policies, which mandate changing gloves and washing hands at specific intervals during wound care to prevent infection.
Inadequate Hand Hygiene During Dressing Change
Penalty
Summary
The facility failed to maintain standard precautions for infection prevention during a dressing change for a resident with a wound on their left foot. The resident, who had a history of diabetes, chronic kidney disease, congestive heart failure, and an unstageable pressure ulcer on the left heel, was observed during a dressing change. The Registered Nurse (RN) involved did not adhere to proper handwashing protocols, washing and drying their hands within 15 seconds instead of the required 20 seconds. Additionally, the RN failed to wash their hands after disposing of the trash and before handling the resident's ointment, which was a breach of the facility's infection control policy. The resident had been prescribed antibiotics multiple times for the wound infection, indicating a slow healing process possibly exacerbated by a previous Covid-19 infection. The Director of Nursing (DON) acknowledged awareness of the handwashing concerns and the resident's antibiotic prescriptions. The facility's policy required gloves to be changed and hands washed after each step of the dressing change process, which was not followed by the RN, leading to the deficiency.
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Illustrative
What surveyors actually found near you
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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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Illustrative
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Nursing homes near Garrett
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Betz Nursing Home | 5.8 mi | ★★★★★ | 1 | 0 |
| Auburn Village | 6 mi | ★★★★★ | 2 | 0 |
| Ascension Living Sacred Heart Village | 6.2 mi | ★★★★★ | 8 | 0 |
| Lutheran Life Villages | 9.4 mi | ★★★★★ | 2 | 0 |
| Kendallville Manor | 9.4 mi | ★★★★★ | 5 | 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.