Sebo's Nursing And Rehabilitation Center - Hobart Nursing Home
General Information
UPDATEFederal Provider Number
155469
Provider Name
SEBO'S NURSING AND REHABILITATION CENTER
Provider Address
4410 W 49TH AVE
HOBART, IN 46342
HOBART, IN 46342
Provider Phone Number
(219) 947-1507
Provider SSA County
440
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
138
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAJOR HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1992-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11832
Reported LPN Staffing Hours per Resident per Day
0.98702
Reported RN Staffing Hours per Resident per Day
0.43473
Reported Licensed Staffing Hours per Resident per Day
1.42176
Reported Total Nurse Staffing Hours per Resident per Day
3.54007
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10076
Expected CNA Staffing Hours per Resident per Day
2.37534
Expected LPN Staffing Hours per Resident per Day
0.71056
Expected RN Staffing Hours per Resident per Day
1.12240
Expected Total Nurse Staffing Hours per Resident per Day
4.20831
Adjusted CNA Staffing Hours per Resident per Day
2.18820
Adjusted LPN Staffing Hours per Resident per Day
1.15293
Adjusted RN Staffing Hours per Resident per Day
0.28941
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39083
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-08-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
Cycle 3 Total Number of Health Deficiencies
24
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-04-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
81.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
34
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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