Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 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.
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.
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 | — | 0 | 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.