Hobart Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Hobart Nursing & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jun 2, 2026

  Based on observation, record review, and interview, the facility failed to ensure:a. a resident with known exit seeking/wandering behaviors had adequate supervision to prevent elopement for 1 (#1) of 5 sampled residents reviewed for adequate supervision to prevent elopement; andb. adequate supervision to prevent access to the kitchen for 2 (#2 and #3) of 5 sampled residents reviewed for adequate supervision to prevent accidents and hazards.The DON identified five residents at risk for elopement and wandering. 1. On 04/24/26, an Immediate Jeopardy (IJ) situation was determined to have existed related to the facility's failure to prevent a resident with known exit seeking behaviors from eloping from the facility. […]

• No harm, potential for more than minimal, patternF558Mar 5, 2025

  Based on record review and interview, the facility failed to have an adequate hot water supply to ensure showers were conducted as scheduled for 3 (#2, 6, and #7) of 3 sampled residents reviewed for showers. The DON reported 35 residents resided in the facility. Findings: A Resident Showers policy, dated 04/15/24, read in part, Residents will be provided showers as per request or as per facility schedule protocols and based upon resident safety. 1. Resident #2 had diagnoses which included paraplegia. The resident was admitted to the facility on [DATE]. The resident discharged from the facility on 02/23/25. A monthly shower record for December 2024 showed 13 scheduled showers. […]

• No harm, potential for more than minimal, patternF582Feb 9, 2023

  Based on record review and interview, the facility failed to ensure residents were informed, with a signed acknowledgment from the resident, of items and services for which the resident might be charged for skilled services, for three (#2, #19 and #37) of three residents sampled for beneficiary notification review. The Administrator reported 18 residents who had discharged from skilled services in the last six months. Findings: The clinical record for Resident #2 documented the resident was admitted to skilled services on 08/02/22 and was discharged on [DATE]. The Advanced Beneficiary Notice (ABN), form CMS-10055, was not signed by the resident or their representative. […]

• No harm, potential for more than minimal, patternF837Jun 17, 2022

  Based on record review and interview, the facility failed to appoint an Administrator, licensed by the State, to actively engage in the operations of the facility. The Director of Nurses reported 30 residents who resided at the facility. Findings: On 06/16/22 at 9:20 a.m., the DON reported the facility was looking for an Administrator. She stated they had a corporate employee in charge that day. The corporate employee was identified as the dietary consultant for the facility and reported she did not have an Administrator's license. On 06/16/22 at 9:20 a.m., the DON stated both she and the corporate dietary consultant filled in as Administrator. The DON reported the previous Administrator's last day in the facility was 05/16/22.

• No harm, potential for more than minimal, isolatedF641Jun 2, 2026

  Based on record review and interview, the facility failed to ensure a comprehensive assessment accurately reflected wandering/exit seeking behavior for 1 (#1) of 3 sampled residents reviewed for comprehensive assessments. The DON identified 37 residents resided in the facility.Findings:On 04/23/26 at 1:26 p.m., Resident #1 was observed in their room in bed. A housekeeper was observed seated outside of the resident's room providing one on one supervision with a clip board to document the resident's one on one supervision.On 04/28/26 at 1:36 a.m., Resident #1 was observed in their room in bed. Driver #1 was observed outside the room in a chair to perform one on one supervision with a log on a clip board to document the resident's location hourly. […]