Below average — CMS composite of the measures below.
The next survey window likely opens around November 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 Merry Manor during CMS and state inspections, most recent first.
An employee admitted to taking money from petty cash and the Resident Trust cash box, and an audit confirmed shortages in both accounts. The employee self-reported the theft, and the record review documented the missing funds and the discrepancy between the ledger totals and the cash on hand.
A resident with AAA, failure to thrive, emphysema, difficulty walking, and a R hip pressure ulcer had no individualized activity care plan despite being cognitively intact and having an order for an individual activity program. The record did not identify the resident’s favorite activities, and the Activity Director stated the resident resisted group or individual activities but enjoyed Coke or Pepsi and fresh fruit, which should have been included in the activity care plan.
A resident with dementia and a left-hand contracture had a pressure injury on the hand and was supposed to wear a palm guard while awake and a splint at night. Staff observed the resident without the palm guard, and the record did not document refusals of the device or show that the treatment plan was updated when the wound worsened. The chart also lacked documentation that the MD and responsible party were notified of the decline, and staff interviews confirmed the notifications were not made.
Failure to follow fall-prevention interventions and unsafe room appliance use. A resident with a history of falls was left in her wheelchair in her room instead of being assisted to bed or her recliner, and she was later found on the floor with facial bruising and two skin tears. In another room, a resident had a power strip and electric coffee pot set up by the sink, even though his record did not allow a coffee maker in the room and the ADON stated he should not have had either item there.
Expired CNA and QMA Certifications: Record review showed two employees had expired CNA and/or QMA certifications, yet both continued working in those roles on multiple scheduled shifts. One CNA stated she was unaware her certification had expired, and the DON reported the same for the other employee, who worked as both a QMA and CNA after both credentials had lapsed. The Executive Director said the staff member responsible for certifications had left months earlier, and the facility used a task list that called for monthly checks of CNA and QMA renewals.
Two residents experienced repeated physical altercations, resulting in one sustaining a hand injury and extensive bruising. Despite staff and family witnessing these incidents and being aware of one resident's history of aggressive behavior, no interventions or care plan changes were implemented to prevent further harm. Injuries were not thoroughly assessed or investigated, and key facility staff were not fully informed of the events.
A resident recovering from knee replacement surgery was not informed or involved in decisions regarding her opioid pain management. Staff changed her medication from as-needed to routine dosing without documenting the reason or discussing risks, benefits, or alternatives with her. The resident later experienced withdrawal symptoms after a dose reduction and reported not being educated about opioid side effects or non-pharmacological pain interventions. Facility leadership confirmed the lack of resident involvement and documentation.
Two cognitively impaired residents were involved in multiple physical altercations, resulting in injuries such as a skin tear and extensive bruising. Despite staff and family witnessing at least one incident and documentation of injuries, there was no evidence of follow-up, investigation, or required reporting to authorities. Staff were reportedly instructed not to document the altercations, and the administrator was not informed of the incidents or injuries, contrary to facility policy.
A resident with dementia and a history of physical aggression towards peers was involved in multiple altercations, including incidents resulting in injury, without the facility updating the behavioral care plan or implementing specific interventions to prevent further incidents. Staff tracked aggressive behaviors only towards staff, not other residents, and the Interdisciplinary Team did not document reviews or changes to the care plan as required by facility policy.
Misappropriation of Resident Funds by Employee
Penalty
Summary
The facility failed to protect resident funds from misappropriation when an employee admitted to taking $40.00 from petty cash and $240.00 from the Resident Trust cash. The incident occurred when the employee called to self-report that she had borrowed the money from both accounts. A statement from the employee confirmed the taking of the funds, and an audit of the financial records showed discrepancies in both the petty cash and Resident Trust cash box balances. The record review showed the petty cash General Ledger total was $200.00 while the actual cash counted was $159.65, with a cash withdrawal of $40.35 noted. The Resident Trust Cash Box General Ledger total was $250.00 while the actual cash counted was $10.00, with a cash withdrawal of $240.00 noted. The corporate Senior Financial Analyst later reviewed the accounts and found no additional missing funds. The report also states that the employee was terminated and a police report was filed after the theft was reported.
Failure to Develop Individualized Activity Care Plan
Penalty
Summary
The facility failed to develop a comprehensive person-centered care plan for activities for one resident. The resident had diagnoses including abdominal aortic aneurysm without rupture, adult failure to thrive, emphysema, difficulty walking, and a pressure ulcer of the right hip. A quarterly MDS dated 10/30/2025 indicated the resident was cognitively intact, and an admission MDS dated 5/15/2025 stated it was very important for the resident to do her favorite activities, but the assessment did not identify what those favorite activities were. A physician’s order dated 5/8/2025 stated the resident could participate in an individual activity program according to the care plan. The resident’s clinical record lacked an individualized care plan related to activities. During interview, the Activity Director stated there was no individualized activity care plan for the resident and reported the resident had been resistant to participating in group or individual activities, but enjoyed drinking Coke or Pepsi and eating fresh fruit. The Activity Director stated these preferences should have been included in the resident’s activity care plan. The facility policy titled Care Plan Development & Review stated the comprehensive care plan is designed to build on the resident’s strengths, reflect treatment goals and objectives in measurable outcomes, and show evidence of efforts to find alternative means to address problems when the resident is refusing treatment.
Failure to Follow Pressure Injury Treatment Plan and Notify of Worsening Wound
Penalty
Summary
The facility failed to follow the treatment plan for a resident with a left-hand pressure injury and failed to notify the provider and responsible party when the wound worsened. Resident 15 had diagnoses including dementia, major depressive disorder, and contracture of the left elbow and left hand. Her care plan directed staff to have her wear a palm guard on the left hand while awake and a splint during sleeping hours because she was at risk for complications related to the contracture. During observations, she was found in bed without the palm guard on her left hand, and the record did not show documentation that she had refused the device in October, November, or December 2025. Wound assessments showed the left-hand pressure injury measured 0.4 cm by 0.7 cm by less than 0.1 cm on 11/19/2025 and 11/26/2025 and was marked healing, but on 12/2/2025 it measured 0.5 cm by 0.7 cm by less than 0.1 cm and was marked not healing. The record lacked documentation that the treatment plan had been updated or that the physician or family member had been notified of the change. Staff interviews indicated the resident was non-compliant with the palm guard and splint, that the physician should have been notified of refusal, and that the physician and family had not been notified when the wound declined. The facility policy provided by the ADON required physician and family notification of changes in condition and documentation of those notifications.
Failure to Follow Fall Care Plan and Unsafe Room Appliance Use
Penalty
Summary
The facility failed to follow fall-prevention care plan interventions for a resident with a history of falling. The resident was found lying face down on the floor in front of her wheelchair after being left in her room, and she sustained facial bruising and two skin tears. Her care plan included an intervention, initiated earlier, stating she was to be assisted into her recliner or into bed when returned to her room. The resident’s daughter stated she had pushed the call light after the resident said she wanted to go to bed, and an agency CNA answered and said he would return with linens to put her to bed, but the resident was later found to have fallen from her wheelchair. The DON confirmed CNA assignment sheets identified that the resident was not to be left alone in her room in her wheelchair and was to be put in bed if left alone. The facility also failed to ensure supervision related to an electrical power strip and coffee maker in another resident’s room. During observations, the resident had an electrical power strip plugged in above the sink and resting on the sink counter with an electric coffee pot plugged into it and turned on. The resident stated he had been permitted to have the coffee pot and make coffee whenever he wanted. Record review showed diagnoses including osteomyelitis of the left foot and left ankle, a below-the-knee amputation of the right leg, type 2 diabetes, and major depressive disorder, and his cognition was intact. His record did not contain a care plan indicating he was permitted to have a coffee maker in his room, and the ADON stated he should not have had a power strip on the counter next to the sink or a coffee maker in his room.
Expired CNA and QMA Certifications
Penalty
Summary
The facility failed to ensure that nurses and nurse aides had active certifications for residents' care when record review showed 2 of 28 employees reviewed had expired credentials. Employee 3, a CNA, had a hire date listed in the record, and the employee's CNA certification had expired on the date identified in the report. The facility schedule showed Employee 3 worked as a CNA on multiple dates after the certification had expired, and during interview Employee 3 stated she had not known her CNA certification had expired. Employee 4 was hired on the date listed in the report, and both the employee's QMA certification and CNA certification had expired on the dates identified in the record. The facility schedule showed Employee 4 worked as a QMA on multiple dates after the QMA certification expired and worked as a CNA on multiple dates after the CNA certification expired. During interview, the DON stated she had called Employee 4, who said she was not aware of the expired certifications. The Executive Director stated the person responsible for employee certifications was the Director of Staff Development, who had left the facility several months ago, and the President of Operations provided a task list used by the facility that included monthly checks to ensure CNA and QMA certifications were renewed timely.
Failure to Protect Residents from Physical Abuse and Inadequate Response to Resident-to-Resident Altercations
Penalty
Summary
The facility failed to protect two residents from physical abuse, resulting in one resident sustaining a hand injury and extensive bruising. Resident S, who had early-onset Alzheimer's and severe dementia, was non-verbal and frequently wandered throughout the memory care unit, including into Resident U's room. Resident U, who had a known history of physically aggressive behaviors, engaged in multiple physical altercations with Resident S, including hitting, kicking, and punching. Despite these incidents, there were no interventions implemented to prevent Resident S from entering Resident U's room, nor were there any changes made to either resident's care plans to address the ongoing altercations. Staff and family members witnessed several of these altercations, and staff expressed concerns for Resident S's safety. Documentation revealed that Resident S suffered a skin tear on her hand and multiple bruises on her legs as a result of these encounters. However, there was a lack of thorough assessment and documentation regarding the extent of Resident S's injuries, and no investigation was conducted to determine the cause of the bruising or to prevent further harm. Additionally, staff interviews indicated that management was aware of Resident U's behavioral history prior to admission, but no preventive measures were put in place. The facility's policy required immediate assessment and investigation of abuse allegations, as well as the implementation of interventions to ensure resident safety. Despite this, the interdisciplinary team did not assess the situation or recommend interventions following the altercations. The administrator and social services designee were not fully informed of the incidents or injuries, and there was no evidence of a plan to protect Resident S or other residents from further abuse by Resident U.
Failure to Involve Resident in Pain Management Care Planning and Education
Penalty
Summary
A deficiency occurred when a resident admitted for short-term rehabilitation following a right knee replacement was not properly informed or involved in her pain management care planning. The resident was initially prescribed Percocet as needed every six hours for moderate to severe pain, but the order was changed to a routine schedule of every four hours without documentation of the reason for the change or evidence that the resident was notified or involved in the decision. The resident reported that she was not informed about the risks, benefits, or potential side effects of routine opioid use, including the risk of withdrawal symptoms, nor was she offered non-pharmacological alternatives for pain management. During her stay, the resident experienced withdrawal symptoms after requesting a decrease in the opioid medication's dose and frequency. She reported symptoms such as chills, hot flashes, runny nose, pain, anxiety, nausea, vomiting, tremors, watery eyes, decreased appetite, and difficulty sleeping. The resident stated that she had not been told why the medication was to be taken every four hours and was not involved in the decision-making process regarding her pain management plan. Nursing staff confirmed that they had not discussed the plan to administer opioids routinely or explained the associated risks and benefits to the resident. Interviews with facility leadership, including the DON and Regional Nurse Consultant, revealed that there was no specific policy for resident rights beyond following federal guidelines. They acknowledged that the resident should have been consulted and educated about her pain management options, including the risks of opioid use and the potential for withdrawal symptoms. Documentation in the clinical record was lacking regarding the rationale for medication changes and resident notification.
Failure to Report and Investigate Alleged Physical Abuse Between Residents
Penalty
Summary
The facility failed to ensure that allegations of physical abuse involving two cognitively impaired residents were reported and investigated as required. Multiple incidents occurred in which one resident physically assaulted another, resulting in injuries such as a skin tear and extensive bruising. Documentation showed that staff and family witnessed at least one altercation, and there were several documented injuries, including a 1-centimeter skin tear and multiple bruises of varying sizes on the resident's legs. Despite these events, there was no evidence of follow-up documentation, investigation, or required reporting to authorities. Additionally, the facility's records indicated that staff were instructed not to document the altercations, and the administrator was not informed of the extensive bruising or the circumstances surrounding the repeated altercations. There was also a lack of documentation regarding the assessment of injuries, such as the color of bruises or pain evaluation, and no investigation into injuries of unknown origin. The facility's policy required immediate reporting and investigation of abuse allegations, but these procedures were not followed in the cases reviewed.
Failure to Implement and Document Effective Behavioral Interventions for Resident with Dementia
Penalty
Summary
The facility failed to provide appropriate treatment and services to a resident diagnosed with dementia, specifically by not ensuring an effective behavioral care plan, behavior monitoring, and documentation. The resident in question had a history of physical altercations with other residents, particularly when other residents wandered into her room. Despite multiple incidents where the resident physically struck peers, resulting in injuries such as bruises and a skin tear, there were no changes made to her care plan or interventions implemented to prevent further altercations. Staff were aware of these incidents and expressed concern for the safety of other residents, but no specific safety measures or interventions were documented or put in place. The resident's clinical record indicated diagnoses of dementia, psychotic disorder with delusions, depression, and sleep disorder, with moderately impaired cognition and a history of physical behaviors towards others. Behavior tracking forms only monitored aggressive behaviors towards staff, not towards other residents, despite documented incidents of aggression towards peers. The care plan included general interventions for mood issues and confusion but did not address the specific risk of resident-to-resident altercations. Additionally, the CNA care sheet noted the resident was combative and at high risk for falls but did not specify interventions to prevent altercations with other residents. Interviews with staff and the Social Services Designee revealed that the facility's policy required documentation and interdisciplinary review of new dangerous behaviors, but this process was not followed. The Interdisciplinary Team did not document meetings or evaluations after new behaviors were identified, and the Social Services Designee was unaware of several altercations and injuries. As a result, the facility did not implement or document effective interventions to address the resident's aggressive behaviors towards other residents, nor did it ensure ongoing monitoring and care plan updates as required by policy.
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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 Walkerton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pilgrim Manor | 11.9 mi | ★★★★★ | 21 | 0 |
| Miller's Merry Manor | 12.8 mi | ★★★★★ | 0 | 0 |
| Miller's Health & Rehab By Miller's Merry Manor | 13.7 mi | ★★★★★ | 0 | 0 |
| Brickyard Healthcare - Knox Care Center | 13.8 mi | ★★★★★ | 0 | 0 |
| Brickyard Healthcare - Laporte Care Center | 15.3 mi | ★★★★★ | 20 | 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.