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Basic Information Address: 505 N BRADNER AVE City: MARION Telephone: (765) 662-3981 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: MILLER'S HEALTH SYSTEMS INC 1690 S COUNTY RD WARSAW IN 46580 Ownership type: PROFIT Officer(s): VERNON RICHARD MILLER R JAMES MILLER BARBARA MILLER BEVERLY MILLER PATRICK BOYLE LORI HAUG TINA ROBINSON Name of previous owner: PREMIER PROVIDERS INC Date of last change of ownership: 12/21/2007 Administrator: JOHN VELASQUEZ Administrator start date: 12/01/2007 License number: 12-000089-1 License effective date: 12/01/2012 License expiration date: 11/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 128 Number of comprehensive care resident rooms with battery operated smoke detectors: 128 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - JOHN VELASQUEZ Title - ADMINISTRATOR Date form completed - 11/20/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 02/05/2008 NATCEP expires: 04/01/2014 NATCEP banned: YES NATCEP ban expires: 02/19/2009 This facility is a Clinical training site for the following NAT classroom sites: IVY TECH COMMUNITY COLLEGE REGION 6 Approved: 06/30/2008 Terminated: N/A MILLER'S MERRY MANOR - MARION Approved: 10/12/2010 Terminated: N/A TUCKER CAREER & TECHNOLOGY CENTER Approved: 03/12/2010 Terminated: N/A MILLER'S MERRY MANOR Approved: 06/17/2009 Terminated: N/A THERACARE, INC Approved: 06/17/2009 Terminated: N/A THE SYNECTIC Approved: N/A Terminated: 02/20/2007 Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 22 # of Medicare/Medicaid beds (SNF/NF): 154 Total number of comprehensive care beds: 176 # of non-certified comprehensive care beds: 0 Total number of residential beds: 24 Total number of beds in facility: 200 Facility census: 125 as of: 02/14/2012 Results of Surveys Date of last annual health survey: 02/10/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 04/10/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 0 # of substantiated complaints: 2 years previous 0 Substandard quality of care designations: 02/20/2007 05/17/2005 Immediate jeopardy designations: N/A 02/20/2007 05/17/2005 State Licensure Actions Event ID: G7K911 Notice to facility: N/A Appeal: N/A Action Cease/Recind: 06/01/2007 Case Closed: 06/01/2007 Initial Amount: $0 Event ID: 90FY11 Action - Citation / Fine Notice to facility: 10/05/2006 Appeal: N/A Action Cease/Recind: 03/14/2007 Case Closed: 03/14/2007 Initial Amount: $4000 Event ID: 899Y12 Notice to facility: 09/09/2005 Appeal: N/A Action Cease/Recind: 06/01/2007 Case Closed: 06/01/2007 Initial Amount: $0 Federal Certification Actions Imposed Date terminated from Medicare.Medicaid: N/A MILLER'S MERRY MANOR - MARION
CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility ProfileReturn to Search Page