Nursing homes › Nevada › Lefa Seran SNF
1St and a St, Hawthorne, NV 89415 · 7759452461 · 24 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Government - Hospital district.
Total nurse staffing: 5.57 (Nevada median: 3.91). RN hours: 1.07. Weekend total: 5.11. Nursing staff turnover: 79%.
All-time on record: 47 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-04-10 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Health | corrected 2025-05-19 |
| 2025-04-10 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | Health | corrected 2025-05-12 |
| 2025-04-10 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-04-30 |
| 2025-04-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-05-01 |
| 2025-04-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-05-01 |
| 2025-04-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-05-15 |
| 2025-04-10 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-05-19 |
| 2025-04-10 | 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. | D | Health | corrected 2025-05-02 |
| 2025-04-10 | 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. | D | Health | corrected 2025-05-19 |
| 2025-04-10 | 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. | D | Health | corrected 2025-05-19 |
| 2025-04-10 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-04-29 |
| 2025-04-10 | 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. | D | Health | corrected 2025-05-02 |
| 2025-04-10 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Health | corrected 2025-05-19 |
| 2025-04-10 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Health | corrected 2025-05-19 |
| 2025-04-10 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Health | corrected 2025-05-19 |
| 2025-04-10 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Health | corrected 2025-05-19 |
| 2025-04-10 | Provide training in compliance and ethics. | D | Health | corrected 2025-05-19 |
| 2025-04-10 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Health | corrected 2025-05-19 |
| 2024-05-23 | 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. | F | Health | corrected 2024-07-05 |
| 2024-05-23 | 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. | E | Health | corrected 2024-07-01 |
| 2024-05-23 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2024-07-09 |
| 2024-05-23 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-06-28 |
| 2024-05-23 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2024-07-05 |
| 2024-05-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-07-05 |
| 2024-05-23 | 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. | D | Health | corrected 2024-07-12 |
| 2024-05-23 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-07-06 |
| 2024-05-23 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Health | corrected 2024-07-05 |
| 2024-05-23 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-07-09 |
| 2023-08-10 | 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. | F | Health | corrected 2023-10-15 |
| 2023-08-10 | 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. | F | Health | corrected 2023-10-15 |
| 2023-08-10 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Health | corrected 2023-09-15 |
| 2023-08-10 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2023-10-15 |
| 2023-08-10 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2023-10-15 |
| 2023-08-10 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | corrected 2023-10-15 |
| 2023-08-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-10-15 |
| 2023-08-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-10-15 |
| 2023-08-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2023-10-15 |
| 2023-08-10 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2023-08-10 |
| 2023-08-10 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | corrected 2023-10-15 |
| 2023-08-10 | 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. | D | Health | corrected 2023-09-28 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MT GRANT GENERAL HOSPITAL | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 11/01/1966 |
| DOW, MICHELLE | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2012 |
| REED, PAULA | Corporate Director | Individual | NOT APPLICABLE | since 04/01/2020 |
| RUCH, SHARON | Corporate Director | Individual | NOT APPLICABLE | since 07/01/2021 |
| RUTHERFORD, NANCY | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2020 |
| SCHUMANN, RICHARD | Corporate Director | Individual | NOT APPLICABLE | since 10/01/2017 |
| WOMACK, KAREN | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2017 |
| MT GRANT GENERAL HOSPITAL | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/1966 |
| DOW, MICHELLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2012 |
| FERGUSON, DENISE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/01/2022 |
| LEHMAN, SANDRAE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2020 |
| REED, PAULA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2020 |
| RUCH, SHARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2021 |
| RUTHERFORD, NANCY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2020 |
| WOMACK, KAREN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 295001. Corrections: data@carerecords.org.