Miller's Merry Manor

While we were not high on this nursing home overall, we gave it a B- for inspections. This score is more respectable than the facility's overall grade. We would argue that one of the most critical factors in evaluating an inspection report is deficiencies. We especially look at the severity of those deficiencies. While this place had some minor dings on its inspection report, it had no severe deficiencies. Severe deficiencies are found in categories G through L. This means CMS did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility was cited by CMS for possible abuse or neglect. We would not recommend this facility under any circumstance.

We awarded this facility a respectable grade in the area of nursing as well, with a grade of B-. Nursing scores are primarily associated with the nursing home's nurse staffing. This facility provided just 0.4 hours of nursing care per patient per day. This is a relatively low total compared to most nursing homes. Despite having low quantities of nursing care, this nursing home surprisingly fared better in some of the quality-based metrics we assessed. It scored well in the area of minimizing its residents' pressure ulcers and major falls. Many consider these areas to be measures of the quality of nursing care. In some cases, the quality of nursing care is just as important as the number of hours of care offered.

This nursing home received its next highest category grade in the category of short-term care. We awarded this nursing home a B- in this area, which is a reasonably acceptable score. Our short-term care grade is typically used to grade a nursing home's performance with rehabilitation In order to have highly graded rehabilitation services, nursing homes generally must feature better levels of highly skilled nursing services. Skilled nursing includes registered nurses, physical therapists, speech therapists and other licensed professionals. In this place's case, we were surprised to learn that it actually provides less physical therapist and registered nurse hours per patient than a typical facility. Finally, we considered the percentage of patients who were able to return to the community from this facility. We found that 5.2 percent of this facility's patients returned home. At most nursing homes, closer to half of their patients are able to return home so this figure is below average.

The final category we assessed was long-term care, which proved to be this facility's least impressive area. We awarded this facility a grade of D in that area. When nursing homes receive this type of score in long-term care it is often a bad sign for resident care and it may indicate that the nursing home is not as well-staffed with nurses and aids. In addition to considering the amount of care provided by nurses and other staff, we looked at the number of residents vaccinated against pneumonia. This facility vaccinated 92.578125 percent of its patients, which is a bit lower than we expected. To our surprise, this nursing home was actually able to limit hospitalizations. With just 0.03 hospitalizations per 1,000 long-term resident days, this nursing home had less hospitalizations than many nursing homes. This was its best feature in this category.