SFF Candidate

Overview

Address
4410 W 49TH AVE, HOBART, IN 46342
Phone
2199471507
Certified beds
138
Avg daily residents
91 (66% of beds filled)
Ownership
Government (county)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1992-10-01
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 23.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
3/5
Quality Measures breakdown
Long-Stay Quality Measures 3/5
Short-Stay Quality Measures 2/5

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-01-29 25 17 12 112 1 112
Cycle 2/3 (prior) 2023-11-02 53 16 39 331 1 331
Total weighted health score
166.8
lower is better

Deficiencies (100)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

4 A/B/C No actual harm — minor
94 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-06-17 2025-07-14
0880 Provide and implement an infection prevention and control program. D 2025-06-17 2025-07-14
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-05-14 2025-06-03
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-05-14 2025-06-03
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-05-14 2025-06-03
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2025-05-14 2025-06-03
0773 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. D 2025-05-14 2025-06-03
0880 Provide and implement an infection prevention and control program. E 2025-05-14 2025-06-03
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2025-01-29 2025-02-25
0583 Keep residents' personal and medical records private and confidential. D 2025-01-29 2025-02-25
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. D 2025-01-29 2025-02-25
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-01-29 2025-02-25
0679 Provide activities to meet all resident's needs. C 2025-01-29 2025-02-25
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-01-29 2025-02-25
0687 Provide appropriate foot care. D 2025-01-29 2025-02-25
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-01-29 2025-02-25
0692 Provide enough food/fluids to maintain a resident's health. D 2025-01-29 2025-02-25
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2025-01-29 2025-02-25
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. E 2025-01-29 2025-02-25
0791 Provide or obtain dental services for each resident. D 2025-01-29 2025-02-25
0880 Provide and implement an infection prevention and control program. E 2025-01-29 2025-02-25
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-01-29 2025-02-25
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-01-29 2025-02-25
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-01-29 2025-02-25
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2025-01-29 2025-02-25
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2024-12-18 2025-01-10
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. D 2024-12-18 2025-01-10
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-12-18 2025-01-10
0622 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. D 2024-09-16 2024-10-02
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-08-15 2024-08-28
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-08-15 2024-08-28
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-08-15 2024-08-28
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-08-15 2024-09-04
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-08-15 2024-08-28
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-08-15 2024-09-04
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-08-15 2024-09-04
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2024-07-02 2024-07-25
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-07-02 2024-07-25
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-07-02 2024-07-19
0880 Provide and implement an infection prevention and control program. E 2024-07-02 2024-07-19
0557 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. D 2024-05-29 2024-06-20
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-05-29 2024-06-20
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-05-29 2024-06-20
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-05-29 2024-07-25
0880 Provide and implement an infection prevention and control program. E 2024-05-29 2024-07-25
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2024-03-27 2024-04-20
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-03-27 2024-04-20
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2024-03-27 2024-04-20
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. J 2023-12-12 2023-12-13
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-11-02 2023-11-24

Showing 50 most recent of 100. See the All Data CSV for the full list.

Penalties (1)

Fines issued
1
last 3 years
Total fines
$14,433
Date Type Fine amount
2023-11-02 Fine $14,433

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 8.0% Medicaid 64.8% Other 27.2%

Operating performance

Operating Margin
-4.6%
Total Margin
-4.5%
Occupancy Rate
66.8%
Cost per Resident Day
$26

Revenue & costs

Net Patient Revenue
$11.1M
Total Costs
$881K
Net Income
-$501K

Balance sheet

Total Assets
$6.8M
Total Liabilities
$7.3M
Fund Balance
-$501K
Current Ratio
0.97

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CASA CONSULTING

Chain ID
695
Facilities in chain
7
Legal business name
MAJOR HOSPITAL
Chain-average star ratings (for peer context)
Overall
1.1
Health
1.1
Staffing
1.0
QM
3.3

Owner / manager organizations (2)

Organization Role Association
MAJOR HOSPITAL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/01/2013
SEBO'S CASA, LLC OPERATIONAL/MANAGERIAL CONTROL since 09/01/2020

Owner / manager individuals (4)

Name Role Association
CLAXTON, RYAN OPERATIONAL/MANAGERIAL CONTROL since 03/27/2025
GLASSBURN, ZACHARY OPERATIONAL/MANAGERIAL CONTROL since 01/01/2024
HEAD, DANIEL OPERATIONAL/MANAGERIAL CONTROL since 02/01/2024
CLAXTON, RYAN CORPORATE OFFICER since 03/27/2025

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Special focus status
SFF Candidate
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $26 metrics.cost_per_resident_day
Cost Report Current Ratio 0.97 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 64.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 8.0% metrics.medicare_day_share
Cost Report Net Income ($) $-500,537 metrics.net_income
Cost Report Net Patient Revenue ($) $11,109,219 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 66.8% metrics.occupancy_rate
Cost Report Operating Margin (%) -4.6% metrics.operating_margin
Cost Report Total Assets ($) $6,800,501 metrics.total_assets
Cost Report Total Costs ($) $880,600 metrics.total_costs
Cost Report Total Fund Balances ($) $-500,541 metrics.fund_balance
Cost Report Total Liabilities ($) $7,301,042 metrics.total_liabilities
Cost Report Total Margin (%) -4.5% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 26 Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 90.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.1 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 1.1 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.3 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.0 Chain Average Staffing Rating
Provider Information Chain ID 695 Chain ID
Provider Information Chain Name CASA CONSULTING Chain Name
Provider Information City/Town HOBART City/Town
Provider Information CMS Certification Number (CCN) 155469 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Lake County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1992-10-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 41.5293 Latitude
Provider Information Legal Business Name MAJOR HOSPITAL Legal Business Name
Provider Information Location 4410 W 49TH AVE,HOBART,IN,46342 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -87.312 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 138 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 7 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type Government - County Ownership Type
Provider Information Physical Therapist Staffing Footnote 23 Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 4410 W 49TH AVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name CASA OF HOBART Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 440 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 112 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 12 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 17 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-29 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 112 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 25 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 16 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-11-02 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 331 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 39 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 331 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 53 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 26 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote 23 Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Candidate Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote 23 Staffing Rating Footnote
Provider Information State IN State
Provider Information Telephone Number 2199471507 Telephone Number
Provider Information Total Amount of Fines in Dollars 14433.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover Total nursing staff turnover
Provider Information Total nursing staff turnover footnote 26 Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 166.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 46342 ZIP Code