Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of August 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.
A resident with severe cognitive impairment and very limited mobility was being provided hygiene care by an LPN and CNA when the LPN left to get supplies and the CNA later left the room. The resident was then found on the floor beside the bed with a head hematoma and was sent to the ER, where fractures of the clavicle, ribs, and right hip were identified.
Unavailable Diabetes Medication: A resident with DM, dementia, and Parkinson's disease had an order for Trulicity weekly for diabetes, but the EMAR showed the medication was not administered on two scheduled doses because it was unavailable. An LPN stated she knew the medication was out but did not notify the pharmacy or physician, and other nursing staff stated unavailable meds should prompt contact with the pharmacy and, if needed, the physician.
A resident with cognitive intactness and multiple chronic diagnoses was burned when staff warmed her coffee in a microwave and it later spilled onto her leg after she bumped the table. The injury became a second-degree burn with blistering before healing, and the record noted no documentation that agency CNA staff were in-serviced on the facility hot beverage policy at the time of the incident.
The facility failed to provide scheduled bathing for three residents, including a cognitively intact resident with chronic conditions, a severely cognitively impaired resident dependent on staff for all ADLs, and a moderately cognitively impaired resident with chronic kidney disease. Records showed inconsistencies in bathing schedules, with missed baths and insufficient documentation of refusals, despite care plans specifying regular bathing routines.
A resident with a history of skin breakdown and at risk for pressure ulcers had a wound on their inner thigh caused by a mechanical lift. Despite the facility's policy requiring daily monitoring and documentation of new skin conditions, the resident's wound was not adequately documented or monitored. The Nursing-Weekly Assessment records and EMAR/ETAR lacked documentation of the wound, and an observation revealed a bleeding area during incontinence care, indicating insufficient monitoring.
Failure to Maintain Safe Supervision During Bed Care
Penalty
Summary
The facility failed to provide appropriate assistance to prevent an avoidable accident for a resident who was severely cognitively impaired, required extensive staff assistance for mobility, and had impairment of one side of the upper and lower extremities. The resident’s diagnoses included stroke, aphasia, and anxiety. A quarterly MDS assessment showed the resident needed extensive assistance, and staff later reported that the resident had very limited mobility in the right arm and right leg and required two staff members for bed mobility and a full body mechanical lift for transfers. During hygiene and dressing care, an LPN and a CNA placed the resident on his right side on the edge of the bed while the bed was waist high. The LPN left the room to get additional supplies, and the CNA was later observed outside the room in the hallway. When both staff returned, the resident was found lying on his back on the floor next to the bed with a hematoma on the back left side of his head. The resident was sent to the emergency room and was found to have a left clavicle fracture, left rib fracture, and sub-capital fracture of the right hip. The CNA stated she had left the resident turned on his side in the bed, and the LPN stated the CNA was still in the room when she left to get supplies.
Unavailable Diabetes Medication
Penalty
Summary
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist was not met when medications were not available to administer as prescribed for one resident reviewed for pharmacy services. The resident had diagnoses including diabetes mellitus, non-Alzheimer's dementia, and Parkinson's Disease, and a quarterly MDS dated 03/18/2026 indicated the resident was moderately cognitively impaired. A physician's order dated 05/04/2026 directed Trulicity 4.5 mg/0.5 ml subcutaneous autoinjector every Monday for diabetes, but the May 2026 EMAR showed the medication was not administered on 05/11/2026 or 05/18/2026. EMAR medication notes documented that on 05/11/2026 the Trulicity medication was not available, and on 05/18/2026 it was not available but on order. During interview, an LPN stated she knew the resident was out of Trulicity on 05/11/2026 but forgot to notify the pharmacy or physician about being unable to administer the medication. Another LPN stated that when a medication was unavailable, the pharmacy should be contacted for delivery as soon as possible and the physician should be notified if the medication was not available from the pharmacy. A clinical support nurse stated that if an ordered medication was not available, the nurse should contact the pharmacy for same-day delivery and contact the physician for additional orders if needed. The facility policy titled Unavailable Medications stated the facility must make every effort to ensure medications are available to meet the needs of each resident.
Hot coffee spill caused resident burn
Penalty
Summary
The facility failed to prevent a burn from hot coffee for one resident who was reviewed for accidents. Resident C was cognitively intact, had diagnoses including cardiorespiratory conditions, cancer, hypertension, thyroid disorder, Alzheimer's disease, and anxiety, and used a walker and wheelchair. On 09/20/2025, while eating lunch in her room, she asked staff to heat her coffee because it was not hot enough. A staff member warmed the coffee in the microwave, and later the resident bumped the table where the coffee was sitting, causing it to spill onto her right shin. The spill caused a light pink area and a blister measuring 2.0 cm x 1.5 cm x 0.5 cm, and the resident stated the hot coffee hurt her leg when it spilled on her. The clinical record showed the injury progressed to a second-degree burn on the right outer leg, with the blister rupturing and the wound later measuring 4.0 cm x 5.0 cm x 0.1 cm before eventually healing. The facility investigation determined that Agency CNA 4 had warmed the coffee per the resident's request. The Administrator and DON stated staff should not warm coffee in the microwave and should instead provide a fresh cup, and the report noted there was no documentation that agency CNA staff were in-serviced on the facility hot beverage policy at the time of the incident.
Failure to Provide Scheduled Bathing for Residents
Penalty
Summary
The facility failed to provide scheduled Activities of Daily Living (ADL) care related to bathing for three residents. Resident 4, who was cognitively intact and had diagnoses including chronic obstructive pulmonary disease and heart failure, reported going two weeks without a bath due to various interruptions. The resident's care plan specified a bed bath twice a week, but records showed inconsistencies in the bathing schedule, with the resident receiving only 15 out of the 23 expected baths from April to July 2024. No refusals were documented, and the resident expressed feeling dirty when baths were missed. Resident 15, who was severely cognitively impaired and dependent on staff for all ADLs, was also affected. The resident's care plan indicated a bath or shower twice a week, but records showed the resident received only four out of the 11 expected baths from June to July 2024. There were only two documented refusals, and the resident preferred a routine of receiving a bath or shower in the morning before breakfast. Resident 37, who was moderately cognitively impaired and had conditions including chronic kidney disease and diabetes, reported not receiving scheduled showers. The resident's care plan indicated a preference for showers twice a week, but records showed only one shower since admission in June 2024. The resident had declined showers on several occasions, and staff documented these refusals. The facility's admission packet stated that residents have the right to receive services included in their care plan, highlighting a failure to adhere to this policy.
Failure to Monitor Resident's Wound
Penalty
Summary
The facility failed to adequately monitor a wound for a resident at risk for skin breakdown. Resident 4, who was cognitively intact and had diagnoses including chronic obstructive pulmonary disease, heart failure, and post-polio syndrome, reported having a wound on their inner thigh caused by a mechanical lift. The wound was described as painful and had been present intermittently for years. Despite the resident's risk for pressure ulcers, the facility's records lacked documentation of the wound's monitoring and assessment. The Nursing-Weekly Assessment records from May to July did not document any new skin alterations, and the EMAR/ETAR for May 2024 did not show daily monitoring of the wound identified in May. The facility's policy required that new skin conditions be documented and monitored daily until healed, but this was not followed in Resident 4's case. The DON indicated that new skin alterations should be documented in the EMAR/ETAR and assessed weekly by the Wound Nurse. However, the resident's wound was not documented in the Nursing-Weekly assessments, and the Progress Notes from May to July also lacked documentation of the wound. An observation of incontinence care revealed a light pink area with irregular edges on the resident's backside, which started to bleed slightly during cleaning, further indicating inadequate monitoring and documentation of the resident's skin condition.
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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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A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hope
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hickory Creek At Columbus | 6.7 mi | ★★★★★ | 0 | 0 |
| Four Seasons Retirement Center | 7.6 mi | ★★★★★ | 0 | 0 |
| Silver Oaks Health Campus | 8.1 mi | ★★★★★ | 12 | 0 |
| Willow Crossing Health & Rehabilitation Center | 8.3 mi | ★★★★★ | 14 | 0 |
| Waldron Rehabilitation And Healthcare Center | 13.3 mi | ★★★★★ | 7 | 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 August 2026) and official state health department websites.