Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Hobart Nursing & Rehabilitation during CMS and state inspections, most recent first.
A resident with a history of exit-seeking and wandering eloped from the facility after staff failed to recognize the resident had left until law enforcement called from a neighborhood three blocks away. The resident had a high elopement risk score, dementia, and repeated documented attempts to leave. In a separate event, two residents with wandering behaviors were observed near an open, unattended kitchen with hot food, knives, chemicals, and an unlocked exterior door, while kitchen staff were away on break.
Inaccurate Comprehensive Assessment for Wandering Behavior: A resident with severely impaired cognition, dementia, and anxiety disorder had a comprehensive assessment that stated the resident did not wander and was independent with ambulation and transfers, despite a nurses note documenting an attempted exit from the facility and redirection back to the room. The MDS coordinator and DON both stated the assessment was not correct because it did not reflect the resident's wandering/exit-seeking behavior, and the resident was identified as an elopement risk.
The facility failed to provide adequate hot water, resulting in missed showers for three residents. One resident with paraplegia required substantial assistance and filed a grievance due to missed showers. Another resident with spinal stenosis refused showers until the issue was resolved, while a third resident with morbid obesity reported not receiving scheduled showers. Staff interviews revealed ongoing hot water supply problems, particularly in certain halls, affecting shower availability.
A resident with dementia and depression eloped from the facility due to inadequate supervision and interventions. The resident was found outside with injuries after being left unattended for 10 minutes. The door alarm was not activated, and the elopement book lacked the resident's face sheet due to a software issue.
Failure to Supervise Residents at Risk for Elopement and Kitchen Access
Penalty
Summary
The facility failed to ensure adequate supervision to prevent elopement for a resident with known exit-seeking and wandering behaviors. The resident had a history of attempted exits, including a documented attempt to leave after following a hospice nurse and another note showing exit-seeking behavior. The resident’s elopement risk assessments repeatedly scored the resident at 10, indicating high risk, and the resident had diagnoses including dementia and anxiety disorder with a severely impaired BIMS score of 4. On the morning of the elopement event, the resident told staff they wanted to leave the facility to care for children and was redirected to the room. The facility did not realize the resident had left until law enforcement notified staff that the resident had been found wandering and confused in a residential neighborhood three blocks from the facility. The police report showed the resident was located at 7:48 a.m., and the facility was notified shortly afterward that the resident had been found and was being held in an ambulance before being returned to the facility. The resident’s care plan identified elopement risk and included interventions such as one-on-one supervision, redirection, and observation of location in the community. However, the record review and interviews showed the resident’s wandering and exit-seeking behaviors were not reflected in the annual assessment, and staff stated the care plan was not revised to capture the documented wandering behavior. Staff also reported the resident had a pattern of trying to follow others out and was considered an elopement risk. The facility also failed to provide adequate supervision to prevent residents with wandering behaviors from accessing the kitchen. Two residents identified as elopement risks were observed near an open kitchen-to-dining room door while no staff were present in the kitchen or dining area. The kitchen was observed with a pot heating on the stove, knives on a magnetic rail, hazardous chemicals stored in an open storeroom, and an unlocked exterior back door leading to an unsecured area. A cook was observed exiting through the back kitchen door, which did not sound an alarm. Records showed one resident had severe cognitive impairment, wandered, and had recently attempted to exit the facility by grabbing the front door. The other resident had a care plan identifying elopement risk and was documented as wandering inside the facility and in and out of other residents’ rooms. Staff interviews confirmed both residents wandered and could access doors, and the administrator stated both kitchen staff had gone on break at the same time, leaving the kitchen unattended and open.
Inaccurate Comprehensive Assessment for Wandering Behavior
Penalty
Summary
The facility failed to ensure a comprehensive assessment accurately reflected wandering and exit-seeking behavior for one resident. The resident had a BIMS score of 4, indicating severely impaired cognition, and diagnoses that included dementia and anxiety disorder. The comprehensive assessment dated 03/29/26 documented the resident as independent with ambulation and transfers and stated the resident did not wander, while an elopement risk assessment from the same date showed no history of elopements but scored the resident at 10, indicating a high risk for elopement. Record review showed a nurses note dated 03/25/26 documented that the resident attempted to exit the facility and had to be redirected back to the room. During interviews, the MDS coordinator stated the resident had dementia, had tried to follow others out of the facility, and was an elopement risk. The MDS coordinator later reviewed the annual comprehensive assessment and stated it was not correct because it did not reflect the resident's wandering behavior documented in the nurses note. The DON also reviewed the assessment and stated it was not correct because it did not document the wandering behaviors from the nurses note.
Inadequate Hot Water Supply Leads to Missed Showers
Penalty
Summary
The facility failed to provide an adequate hot water supply, resulting in missed scheduled showers for three residents. Resident #2, who had paraplegia and required substantial assistance for showers, was admitted to the facility and discharged later. During their stay, numerous scheduled showers were not conducted due to the lack of hot water, and the resident filed a grievance about this issue. The resident's care plan indicated the need for two staff members to assist with transfers to a shower chair, and the resident had to request showers at unusual hours to ensure hot water availability. Resident #6, diagnosed with spinal stenosis and chronic obstructive pulmonary disease, required setup help for showers. Despite being cognitively intact, the resident refused to take showers until the hot water issue was resolved. The resident's shower schedule indicated multiple missed showers due to the inadequate hot water supply. Similarly, Resident #7, who had morbid obesity and an ataxic gait, was dependent on staff for showers and experienced several missed showers due to the same issue. The resident reported not receiving showers as scheduled, citing a lack of hot water and insufficient staff. Interviews with staff, including CNAs and the maintenance supervisor, revealed ongoing problems with the hot water supply, particularly in the 200 and 300 halls. The maintenance supervisor acknowledged the issue and mentioned that the hot water system was shared with the laundry and kitchen, affecting availability during certain times. Despite attempts to address the problem, the Director of Nursing was unaware of the extent of the issue, and residents were offered bed baths as an alternative when hot water was unavailable.
Failure to Prevent Resident Elopement Due to Inadequate Supervision
Penalty
Summary
The facility failed to provide adequate supervision and interventions to prevent the elopement of a resident diagnosed with dementia and depression. The resident was admitted with no initial risk for elopement, but was later found outside the facility, unattended, with scrapes on both knees and a red area on the cheekbone. The incident report indicated that the resident was left unattended for approximately 10 minutes after being toileted, and the resident was only oriented to person. The elopement risk assessment conducted after the incident showed a significant risk for elopement, with interventions such as staff awareness of wander risk, exit alarms, and hourly checks. The investigation revealed that the resident exited through the front door in the dining room, which had an alarm that was not activated for unknown reasons. The facility's elopement book, which should have contained the resident's face sheet with a picture, was incomplete due to a software issue. Although all nurses had a picture of the resident on their phones, the lack of a proper face sheet in the elopement book contributed to the deficiency in supervision and intervention to prevent the resident's elopement.
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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 Hobart
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cordell Nursing And Rehabilitation | 19.6 mi | ★★★★★ | 0 | 0 |
| Mangum Skilled Nursing And Therapy | 24.9 mi | ★★★★★ | 0 | 0 |
| Ayers Nursing Home | 27.4 mi | ★★★★★ | 0 | 0 |
| Carnegie Nursing Home, Inc. | 28.4 mi | ★★★★★ | 0 | 0 |
| Magnolia Creek Skilled Nursing And Therapy | 28.5 mi | ★★★★★ | 1 | 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.