Miller's Merry Manor: PASARR Screening Failures - IN
Resident 81 arrived at the facility with diagnoses of dementia, depression and anxiety. The resident was prescribed three psychiatric medications: Risperdal for behavioral symptoms, escitalopram for depression, and lorazepam for anxiety.
But the PASARR screen submitted to state authorities on January 5 told a different story. It listed only dementia and anxiety as diagnoses. It mentioned only Risperdal as a psychiatric medication.
The screening omitted the depression diagnosis entirely. It also failed to report escitalopram, an antidepressant prescribed the day after the screening, and lorazepam, an anti-anxiety medication ordered the same day.
PASARR screenings determine whether nursing home residents require specialized mental health services. Federal law requires facilities to report all mental health diagnoses and psychiatric medications to help state authorities identify residents who need additional support.
The facility's own records contradicted the incomplete screening. A physician's order dated January 6 prescribed escitalopram oxalate 5 milligrams once daily for depression. Another order the same day prescribed lorazepam 0.5 milligrams twice daily for anxiety, though this medication was discontinued two weeks later.
An admission assessment completed January 12 acknowledged what the screening had missed. It documented the resident's depression diagnosis and noted the resident was taking both antianxiety and antidepressant medications.
The Assistant Director of Nursing acknowledged the problem during an April 8 interview with inspectors. The PASARR screen was completed before the resident's arrival and should have included all mental health diagnoses and medications, she said. A new screening needed to be submitted to capture everything the facility had missed.
The facility's own policy outlined exactly what had gone wrong. The Pre-admission Process policy, dated December 2018, required staff to notify state mental health authorities within 14 days of significant changes in a resident's mental condition.
The policy specifically identified two scenarios that trigger new screenings: a new mental health diagnosis not listed on previous reviews, and newly prescribed psychiatric medications for mental illness. Resident 81's case involved both.
Federal regulations governing nursing home admissions require complete and accurate reporting of residents' mental health status. The PASARR process helps ensure residents receive appropriate care and prevents inappropriate placements in nursing facilities when community-based treatment would be more suitable.
The screening failure meant state authorities lacked complete information about Resident 81's mental health needs during the critical admission period. Depression in dementia patients requires careful monitoring and often specialized interventions that might have been identified through proper screening.
Miller's Merry Manor's violation was classified as causing minimal harm with potential for actual harm, affecting few residents. But the administrative failure highlighted gaps in the facility's admission procedures for residents with complex psychiatric conditions.
The facility had established policies requiring comprehensive mental health reporting but failed to follow them. Staff completed the PASARR screening before gathering complete information about the resident's diagnoses and medications, then failed to update it when additional mental health conditions became apparent.
Indiana Administrative Code requires nursing facilities to conduct thorough pre-admission screenings and promptly report changes in residents' mental health status. The regulations aim to ensure residents receive appropriate care and that facilities can meet their specialized needs.
Resident 81's admission assessment ultimately determined the resident was not considered to have serious mental illness requiring state-level PASARR review. But that determination should have been made with complete information from the start, not after the facility discovered its own oversights.
The inspection found the facility's screening process left state authorities operating with incomplete information about a vulnerable resident's mental health needs during the crucial admission period.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Miller's Merry Manor from 2026-04-10 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
MILLER'S MERRY MANOR in LOGANSPORT, IN was cited for violations during a health inspection on April 10, 2026.
Resident 81 arrived at the facility with diagnoses of dementia, depression and anxiety.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.