nursing home in Hawthorne, NV
Lefa Seran SNF
1st and A St, Hawthorne, NV 89415 · (775) 945-2461
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lefa Seran SNF at a glance
Lefa Seran SNF is a 24-bed government nursing home in Hawthorne, Nevada (Mineral County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Nevada average of 3.1.
Residents receive about 5.6 hours of nursing care per day (1.1 of them from registered nurses), better than the state average of 4.3 hours.
Its most recent standard health inspection (April 10, 2025) found 18 health citations. The Nevada average is 9.6.
It has not received a federal fine in the past three years.
Nursing staff turnover is 79.3% per year (state average 45.1%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 24
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- January 1, 1967
- Resident/family council
- Resident
- County
- Mineral County
- CMS Certification Number
- 295001
Ratings
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.4 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.8 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.8 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.57 hrs | 4.34 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.07 hrs | 1.12 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.57 hrs | 2.38 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 5.11 hrs | 3.86 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 79.3% | 45.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 83.3% | 43.4% | 42.9% | Worse |
Inspections
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 18 | 10 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 89 | 54 | 80.6 | Worse |
Penalties
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $13,952 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 24 | 110 | 107 | |
| Average residents per day | 21 | 94 | 86 | |
| Occupancy | 86.2% | 87% | 80.9% |
Long-stay residents
| Measure | This facility | Nevada avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.3% | 2% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.8% | 5.4% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 39.3% | 17.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4% | 1.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.6% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 38% | 12.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 36.5% | 13.5% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 17.3% | 5.5% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.5% | 5.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 29.5% | 22.2% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 24.8% | 15.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 78.3% | 89.6% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 94.9% | 92.9% | 93.6% | Average |
Inspection citations
State inspectors cited this home for 47 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 10, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected April 29, 2025 |
| April 10, 2025 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected May 19, 2025 |
| April 10, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | F Potential harm, widespread | Corrected May 12, 2025 |
| April 10, 2025 Standard | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Tag F0945 | D Potential harm, isolated | Corrected May 19, 2025 |
| April 10, 2025 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | D Potential harm, isolated | Corrected May 19, 2025 |
| April 10, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 10, 2025 Standard | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | D Potential harm, isolated | Corrected May 19, 2025 |
| April 10, 2025 Standard | Provide training in compliance and ethics. Administration Deficiencies · Tag F0946 | D Potential harm, isolated | Corrected May 19, 2025 |
| April 10, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 15, 2025 |
| April 10, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 10, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 30, 2025 |
| April 10, 2025 Standard | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Tag F0942 | D Potential harm, isolated | Corrected May 19, 2025 |
| April 10, 2025 Standard | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Tag F0941 | D Potential harm, isolated | Corrected May 19, 2025 |
| April 10, 2025 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected May 2, 2025 |
| April 10, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 29, 2025 |
| April 10, 2025 Standard | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | D Potential harm, isolated | Corrected May 19, 2025 |
| April 10, 2025 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected May 19, 2025 |
| April 10, 2025 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected May 2, 2025 |
| April 10, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected May 19, 2025 |
| May 23, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected June 27, 2024 |
| May 23, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected July 20, 2024 |
| May 23, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | C No harm, widespread | Corrected May 29, 2024 |
| May 23, 2024 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | F Potential harm, widespread | Corrected July 5, 2024 |
| May 23, 2024 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected July 1, 2024 |
| May 23, 2024 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected July 5, 2024 |
| May 23, 2024 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected July 9, 2024 |
| May 23, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 28, 2024 |
| May 23, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 5, 2024 |
| May 23, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 5, 2024 |
| May 23, 2024 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected July 12, 2024 |
| May 23, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected July 6, 2024 |
| May 23, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 9, 2024 |
| August 10, 2023 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | E Potential harm, pattern | Corrected October 15, 2023 |
| August 10, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | E Potential harm, pattern | Corrected September 30, 2023 |
| August 10, 2023 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | D Potential harm, isolated | Corrected September 15, 2023 |
| August 10, 2023 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | D Potential harm, isolated | Corrected August 15, 2023 |
| August 10, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected August 15, 2023 |
| August 10, 2023 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | F Potential harm, widespread | Corrected October 15, 2023 |
| August 10, 2023 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | F Potential harm, widespread | Corrected October 15, 2023 |
| August 10, 2023 Standard | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Tag F0942 | E Potential harm, pattern | Corrected September 15, 2023 |
| August 10, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 15, 2023 |
| August 10, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 15, 2023 |
| August 10, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected October 15, 2023 |
| August 10, 2023 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected September 18, 2023 |
| August 10, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 14, 2023 |
| August 10, 2023 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected October 15, 2023 |
| August 10, 2023 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected October 15, 2023 |
| August 10, 2023 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected October 15, 2023 |
| August 10, 2023 Standard | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | D Potential harm, isolated | Corrected August 10, 2023 |
| August 10, 2023 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | D Potential harm, isolated | Corrected September 28, 2023 |
| August 10, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected October 15, 2023 |
| August 10, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected October 15, 2023 |
| August 10, 2023 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | D Potential harm, isolated | Corrected September 28, 2023 |
| August 10, 2023 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected October 15, 2023 |
| August 10, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected August 10, 2023 |
| August 10, 2023 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | C No harm, widespread | Corrected September 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MT GRANT GENERAL HOSPITAL Organization | 5% or greater direct ownership interest | 100% | 11/01/1966 |
| FERGUSON, DENISE Individual | adp of the snf | NOT APPLICABLE | 06/01/2022 |
| MT GRANT GENERAL HOSPITAL Organization | adp of the snf | NOT APPLICABLE | 11/01/1966 |
| RUCH, SHARON Individual | adp of the snf | NOT APPLICABLE | 07/01/2021 |
| DOW, MICHELLE Individual | corporate director | NOT APPLICABLE | 01/01/2012 |
| REED, PAULA Individual | corporate director | NOT APPLICABLE | 04/01/2020 |
| RUCH, SHARON Individual | corporate director | NOT APPLICABLE | 07/01/2021 |
| RUTHERFORD, NANCY Individual | corporate director | NOT APPLICABLE | 03/01/2020 |
| SCHUMANN, RICHARD Individual | corporate director | NOT APPLICABLE | 10/01/2017 |
| WOMACK, KAREN Individual | corporate director | NOT APPLICABLE | 11/01/2017 |
| DOW, MICHELLE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2012 |
| FERGUSON, DENISE Individual | operational/managerial control | NOT APPLICABLE | 06/01/2022 |
| LEHMAN, SANDRAE Individual | operational/managerial control | NOT APPLICABLE | 03/01/2020 |
| MT GRANT GENERAL HOSPITAL Organization | operational/managerial control | NOT APPLICABLE | 11/01/1966 |
| REED, PAULA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2020 |
| RUCH, SHARON Individual | operational/managerial control | NOT APPLICABLE | 07/01/2021 |
| RUTHERFORD, NANCY Individual | operational/managerial control | NOT APPLICABLE | 03/01/2020 |
| WOMACK, KAREN Individual | operational/managerial control | NOT APPLICABLE | 11/01/2017 |
Other nursing homes near Lefa Seran SNF
- ★★★★★1Much below average
Frequently asked questions
What is Lefa Seran SNF's rating?
Lefa Seran SNF has 1 out of 5 stars on the CMS overall star rating. The average for Nevada nursing homes is 3.1 stars.
How many inspection citations did Lefa Seran SNF receive?
Its most recent standard health inspection found 18 citations, compared with a Nevada average of 9.6. Every citation is listed on this page with its severity.
Does Lefa Seran SNF accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Lefa Seran SNF?
It is government - hospital district. The ownership section on this page lists the owners and managers reported to CMS.
Where is Lefa Seran SNF and how do I contact it?
Lefa Seran SNF is at 1st and A St, Hawthorne, NV 89415. Phone: (775) 945-2461.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.