SKILLED NURSING FACILITY / NURSING FACILITY DISTINCT PART
Created on: 3/8/2024
Posted to the Web on: 3/20/2024
Basic Information
FACILITY CONTACT INFORMATION:
Address: 2901 W 37TH AVE
City: HOBART
Telephone: (219) 942-2170
Web Site:
NAME CHANGES:
Most recent name change: MILLER'S MERRY MANOR
Date of most recent name change: 11/15/2022 1:02:19 PM
LICENSE INFORMATION:
License number: 24-000154-1
License effective date: 3/1/2024
License expiration date: 2/28/2025
Administration and Staff
Administrator: KRISTINA HERRERA
Start date: 1/9/2024
Director of Nursing: CHRISTIE LONG
Start date: 7/10/2023
Medical director: Lauren Harting
Start date: / /
Wound care specialist:
Start date: / /
Infection preventionist:
Start date: / /
Ownership
CURENT OWNERSHIP:
Owning corporation: JOHNSON MEMORIAL HOSPITAL
1125 W JEFFERSON ST
FRANKLIN IN 46131
Ownership type: OTHER
Officer(s): SAUNDRA (SANDI) HUDDLESTON
R MARTIN UMBARGER
JERRY ENGLE
STEVE BERKHOUSE
KEVIN MCGINNIS
DAVID WIESMAN
RICK KESTER
ROBERT DECOLA
DAVID DUNKLE
ANNE-MARIE SCHENK
PREVIOUS OWNERSHIP CHANGES:
Name of previous owner: MILLER'S HEALTH SYSTEMS INC
Date of last change of ownership: 3/1/2013
Bed Counts and Census
COMPREHENSIVE CARE BEDS:
Number of Medicaid beds (NF): 0
Number of Medicare beds (SNF): 14
Number of Medicare/Medicaid beds (SNF/NF): 96
Number of non-certified comprehensive care beds (State Licensed only): 0
Total number of comprehensive care beds: 110
RESIDENTIAL CARE BEDS:
Total number of residential beds: 0
Total number of beds in facility: 110
CENSUS:
Facility census: 42
As reported by the facility on: 9/14/2023
Number of comprehensive care beds occupied in this facility. 0
As reported by the facility on: 9/14/2023
Residential care beds occupied: 0
As reported by the facility on: 9/14/2023
Alzheimer Beds: 0
Alzheimer Beds Occupied: 0
As reported by the facility on: / /
Ventilator Beds: 0
Ventilator Beds Occupied: 0
As reported by the facility on: / /
Sprinklers and Smoke Detectors
This facility is: FULLY SPRINKLERED
Number of comprehensive care resident rooms: 70
Number of comprehensive care resident rooms with battery
operated smoke detectors: 70
Number of comprehensive care resident rooms
with hard wired and/or wireless smoke detectors: 0
Person completing form - KEVIN MCGEE
Title of the person who completed the sprinkler, smoke detector form submitted to the ISDH. MAINTENANCE SUPERVIS
Date form completed - 3/20/2023
Nurse Aide Training
NURSE AIDE TRAINING PROGRAM APPROVALS:
Nurse aide training and competency evaluation program (NATCEP) approved: 8/27/2012
Nurse aide training and competency evaluation program (NATCEP) expires: 4/1/2024
Nurse aide training and competency evaluation program (NATCEP) banned: Yes
Nurse aide training and competency evaluation program (NATCEP) ban expires: 9/10/2011
CLINICAL TRAINING SITES:
This facility is a Clinical training site for the following nurse aide training (NAT) classroom sites:
SPECIALIZED MEDICAL EDUCATION AND TRAINING
Approved: 1/3/2002
Terminated: 12/19/2008
NORTHWEST INDIANA INSTITUTE
Approved: 4/27/2004
Terminated: 12/19/2008
GARY AREA CAREER CENTER
Approved: 8/14/2012
Terminated: N/A
SOCKTECH INTERNATIONAL, INC
Approved: 9/8/2006
Terminated: 12/19/2008
V R ASHWOOD TRAINING INSTITUTE LLC
Approved: 11/2/2015
Terminated: N/A
DIXIE MEDICAL EDUCATION TRAINING
Approved: 8/27/2012
Terminated: 5/6/2021
WATERS OF HOBART SKILLED NURSING FACILITY, THE
Approved: 8/27/2012
Terminated: N/A
ALL STAR HEALTH CAREERS AND TRAINING
Approved: 7/10/2013
Terminated: 4/1/2017
IVY TECH COMMUNITY COLLEGE
Approved: 9/23/2014
Terminated: N/A
ADONIS COLLEGE OF NURSING
Approved: 11/7/2016
Terminated: 5/16/2018
MEDICAL CAREER ACADEMY
Approved: 2/19/2019
Terminated: N/A
TRAVAIL WITH US LLC
Approved: 8/14/2019
Terminated: 10/27/2021
VICTORY TRAINING
Approved: 3/22/2017
Terminated: N/A
PORTER COUNTY CAREER CENTER
Approved: 3/9/2016
Terminated: N/A
DESTINATION UNLIMITED TRAINING CENTER
Approved: 10/1/2021
Terminated: N/A
DESTINY SCHOOL OF NURSING
Approved: 12/19/2016
Terminated: 5/6/2021
IVY TECH COMMUNITY COLLEGE-LAKE COUNTY
Approved: 10/23/2020
Terminated: N/A
HOPE EDUCATIONAL TRAINING CENTER
Approved: 1/23/2024
Terminated: N/A
Complaints
NUMBER OF SUBSTANTIATED COMPLAINTS:
Current year: 0
Previous year: 0
2 years previous: 1
Facility Report Card
3/1/2020 Current QTR
12/1/2019 Previous QTR
9/1/2019 Previous QTR
6/1/2019 Previous QTR
Report Card Score
353
305
276
267
Rank of Score
49
69
78
79
Average Score
302
296
295
296
*Facility report card scores have not been updated since March 1, 2020 due to changes in the survey process during the ongoing COVID-19 pandemic.
The facility report card score is calculated four times per calendar year
for the two most recent nursing home health surveys. The facility report card score
also includes all complaint surveys, life safety code surveys, emergency preparedness surveys,
and any follow-up surveys that occur within the two most recent nursing home health surveys.
The facility report card score ranges from 500 to 0, with 500 being the best score possible.
View the Scope and Severity gridView the scoring methodology
Overview of Survey findings
The Most Recent Set
2ND Most Recent Set
3RD Most Recent Set
Immediate Jeopardy
No
No
No
Substandard Quality of Care
No
No
No
Administrator Change
No
No
No
Owner Change
No
No
No
Number of Substantiated Complaints With Deficiencies
0
0
0
Deficiency Free Standard Health Survey
No
No
No
The term 'Recent Set' referenced above relates to the referenced annual survey,
and any other surveys performed between it and the previous annual survey.
Enforcement Actions
Federal Certification Actions Imposed
Date terminated from Medicare/Medicaid: N/A
Survey History
The survey report is not posted until the report has been provided to the facility and their plan of correction submitted and approved.
The survey report therefore will likely not be posted until four to six weeks after the exit date.
In the grid below click on an event ID that is underlined to see the survey report for that event.
