Inspection Reports for The Waters of Hobart Skilled Nursing Facility
2901 W 37TH AVE, IN, 46342
Back to Facility ProfileInspection Report Summary
The most recent inspection on February 20, 2025, found no deficiencies related to the investigated complaints. Earlier inspections showed a pattern of deficiencies primarily involving resident care issues such as pressure ulcer treatment, medication administration, infection control, and communication with healthcare providers. Several complaint investigations substantiated deficiencies in these areas, including medication errors, infection control lapses, and incomplete documentation, but no fines, immediate jeopardy findings, or license actions were listed in the available reports. Most complaints were unsubstantiated or corrected upon re-inspection, and enforcement actions were not noted. The facility’s inspection history shows ongoing challenges in clinical care and infection control, with some improvement indicated by the absence of deficiencies in the most recent inspection.
Deficiencies (last 3 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Census
Based on a February 2025 inspection.
Census over time
Inspection Report
Complaint InvestigationInspection Report
Plan of CorrectionInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Kevin Mehay | Executive Director | Signed plan of correction and facility representative |
| LPN 1 | Nurse involved in pressure ulcer treatment observation | |
| CNA 1 | Staff involved in pressure ulcer care and infection control observation | |
| QMA 2 | Staff involved in pressure ulcer care and infection control observation | |
| Corporate Regional RN | Interviewed regarding wound care, dialysis communication, and documentation issues | |
| Assistant Director of Nursing | Interviewed regarding dialysis communication and infection control issues | |
| LPN 3 | Signed nurse progress note related to dialysis | |
| LPN 4 | Interviewed regarding dialysis discharge documentation | |
| Dialysis Staff 1 | Interviewed regarding resident discharge from dialysis | |
| RD 6 | Registered Dietitian | Informed about resident skin issues |
Inspection Report
Life SafetyInspection Report
Life Safety| Name | Title | Context |
|---|---|---|
| Kristina Herrera | Executive Director | Named during exit conference and report signature |
| Environmental Director | Interviewed regarding sprinkler and electrical deficiencies | |
| Maintenance Supervisor | Performed corrective actions on ceiling tiles, doors, electrical boxes, and panels | |
| Administrator | Verified corrective actions and provided staff in-service |
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Kristina Herrera | Executive Director | Signed the report and involved in notification and corrective action |
Inspection Report
RenewalInspection Report
Plan of CorrectionInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Kristina Herrera | Executive Director | Signed report |
| Director of Nursing | Interviewed regarding monitoring of external cardiac device and infection control practices | |
| Hospice Aid 1 | Observed failing to wear PPE and perform hand hygiene in isolation room | |
| Hospice Nurse 1 | Observed not wearing required PPE in isolation room | |
| Laundry Aid 1 | Observed entering isolation room without PPE | |
| Speech Therapist 1 | Observed entering isolation room without eye protection | |
| Activity Aid 1 | Observed entering isolation room without PPE and unaware of isolation status |
Inspection Report
Complaint InvestigationInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Kristina Herrera | Executive Director | Signed the report |
| RN 1 | Prepared medications during observed medication pass with errors; no longer employed by facility | |
| LPN 1 | Observed medication pass, interviewed regarding medication errors and infection control lapses | |
| QMA 1 | Observed medication pass, did not perform hand hygiene between residents, educated on medication administration and infection control | |
| Director of Nursing | DON | Interviewed regarding pharmacy ordering difficulties and corrective actions |
| Infection Control Nurse | Provided education on handwashing and infection control to staff |
Inspection Report
Plan of CorrectionInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Kelly Duhaime | Interim Administrator | Signed the report |
Inspection Report
Re-InspectionInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Judith Hoese | Administrator | Signed the report |
Inspection Report
Re-InspectionInspection Report
Routine| Name | Title | Context |
|---|---|---|
| Jarrett Mitchell | Administrator | Named as facility administrator and involved in corrective action oversight |
| Maintenance Supervisor | Involved in findings related to emergency preparedness exercises, corridor obstructions, door repairs, fire watch policy, sprinkler system maintenance, electrical panel security, HVAC issues, and power strip use | |
| Maintenance Assistant #1 | Involved in observations and exit conference discussions related to multiple deficiencies |
Inspection Report
Plan of CorrectionInspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Jarrett Mitchell | Administrator | Signed the report |
Inspection Report
Plan of CorrectionInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Jarrett Mitchell | Administrator | Signed the report and identified as facility administrator |
| Assistant Director of Nursing | Interviewed regarding medication self-administration assessment; no full name provided | |
| Director of Nursing | Interviewed regarding pressure ulcer care and wound nurse protocol; no full name provided |
Report
Report
Report
Report
Report
Report
Report
Report
Report
Report
Loading inspection reports...



