Waters of Hobart Skilled Nursing Facility, The

In the surveyor’s words

From the most serious findings on record at Waters of Hobart Skilled Nursing Facility, The, in the surveyor’s own words.

• Actual harm, isolatedF684Aug 30, 2023

  Based on observation, record review and interview, the facility failed to assess a resident and promptly notify the Physician in a timely manner after a fall resulting in a three day delay in treatment and hospitalization for a fracture (Resident N) and also failed to complete an assessment of a resident including vital signs after a fall (Resident E) for 2 of 4 residents reviewed for falls. Findings include: 1. 8/30/23 at 9:15 a.m. Resident N was observed in bed with her eyes closed. The bed was low and there was a floor mat on the left side, the right side of the bed was against the wall. At that time, the Nurse Practitioner (NP) was seated on a chair by the bed. […]

• No harm, potential for more than minimal, widespreadF812Jun 17, 2025

  Based on observation, record review, and interview, the facility failed to ensure food was stored and prepared under safe conditions related to storage of housekeeping chemical test kits in the walk-in cooler near food items, unlabeled and undated opened stored food, and lack of accurate temperature and sanitation logs for 1 of 1 kitchen. This had the potential to affect 57 of 59 residents who resided in the facility and received food from the kitchen. (The Main Kitchen) Findings include: During the Initial Kitchen Sanitation Tour on 6/9/25 at 8:49 a.m. with the Kitchen Supervisor, the following was observed: a. […]

• No harm, potential for more than minimal, widespreadF812May 12, 2023

  Based on observation and interview, the facility failed to ensure a sanitary kitchen for food preparation related to trash behind the stove, grease on the vent hood above the stove, and dried food spillage on the steam table in 1 of 1 kitchens observed (Main Kitchen). This had the potential to affect all 46 residents who received food from the kitchen. Findings include: During the initial kitchen tour on 5/08/23 at 9:20 a.m., with dietary manager, the following was observed: a. There was trash on the floor behind the stove. b. There was grease on the vent hood above the stove. c. There was dried food spillage on the steam table. Interview with the Dietary Manager at that time, indicated she would clean the areas and there should not have been trash on the floor. 3.1-21(i)(3)

• No harm, potential for more than minimal, patternF684Jul 23, 2026

  Based on observation, record review, and interview, the facility failed to ensure antihypertensive medications and insulin were held per parameters for 1 of 2 residents reviewed for blood pressure parameters and 1 of 2 residents reviewed for insulin. The facility also failed to ensure follow-up documentation was completed after a fall for 1 of 3 residents reviewed for a change in condition and dry scaly feet were assessed and treated for 1 of 2 residents reviewed for non-pressure related skin conditions. (Residents M, L, E, and N) Findings include: 1. The record for Resident M was reviewed on 7/21/26 at 10:11 a.m. Diagnoses included, but were not limited to, dementia without behavior disturbance and hypertension (high blood pressure). […]

• No harm, potential for more than minimal, patternF880Jul 23, 2026

  Based on observation, record review and interview, the facility failed to ensure infection control practices were in place and implemented related to the improper storage of bed pans and urinals during random room observations and staff failing to wear the correct personal protective equipment (PPE) for residents in droplet and enhanced barrier precautions for 2 of 2 units. (The East and [NAME] Units, Residents O and K) Findings include: 1. During a random observation on 7/19/26 at 8:50 a.m., a half full urinal was observed on the over bed table in room [ROOM NUMBER] on the East Unit. 2. During a random observation on 7/19/26 at 9:09 a.m., a half full urinal was observed hanging from the side rail of the bed in room [ROOM NUMBER] on the East Unit. 3. […]