LEFA SERAN SNF
1ST AND A ST, HAWTHORNE, NV 89415 · CCN 295001
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 24
- Avg residents/day
- 20.1
- Phone
- 7759452461
Inspection history vs Nevada & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Nevada avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-10 | 18 | 9.6 | 9.5 | +8.4 worse |
| 2 | 2024-05-23 | 10 | 11.9 | 9.8 | -1.9 better |
| 3 | 2023-08-10 | 21 | 13.7 | 9.3 | +7.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Pharmacy service | 1 |
| Administration | 5 |
| Infection control | 4 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 5.62 | 61.8% |
| RN staffing (reported) | 1.13 | 83.3% |
| Total nurse staffing (adjusted) | 6.49 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (49)
- DF0641Ensure each resident receives an accurate assessment.2025-04-10 · Health · corrected 2025-04-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-10 · Health · corrected 2025-05-01
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-10 · Health · corrected 2025-05-01
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-10 · Health · corrected 2025-05-15
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-04-10 · Health · corrected 2025-05-19
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-04-10 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0758Implement 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.2025-04-10 · Health · corrected 2025-05-19
Potential for more than minimal harm
- DF0838Conduct 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.2025-04-10 · Health · corrected 2025-05-19
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-04-10 · Health · corrected 2025-05-19
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-04-10 · Health · corrected 2025-04-29
Potential for more than minimal harm
- FF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-04-10 · Health · corrected 2025-05-12
Potential for more than minimal harm
- DF0887Educate 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.2025-04-10 · Health · corrected 2025-05-02
Potential for more than minimal harm
- DF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-04-10 · Health · corrected 2025-05-19
Potential for more than minimal harm
- DF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2025-04-10 · Health · corrected 2025-05-19
Potential for more than minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-04-10 · Health · corrected 2025-05-19
Potential for more than minimal harm
- DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-04-10 · Health · corrected 2025-05-19
Potential for more than minimal harm
- DF0946Provide training in compliance and ethics.2025-04-10 · Health · corrected 2025-05-19
Potential for more than minimal harm
- DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-04-10 · Health · corrected 2025-05-19
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-05-23 · Health · corrected 2024-07-09
Potential for more than minimal harm
- EF0584Honor 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.2024-05-23 · Health · corrected 2024-07-01
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-05-23 · Health · corrected 2024-06-28
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0700Try 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.2024-05-23 · Health · corrected 2024-07-12
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-05-23 · Health · corrected 2024-07-06
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-05-23 · Health · corrected 2024-07-09
Potential for more than minimal harm
- FF0887Educate 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.2024-05-23 · Health · corrected 2024-07-05
Potential for more than minimal harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-08-10 · Health · corrected 2023-10-15
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-08-10 · Health · corrected 2023-10-15
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-08-10 · Health · corrected 2023-10-15
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-10 · Health · corrected 2023-10-15
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-10 · Health · corrected 2023-10-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-10 · Health · corrected 2023-10-15
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-08-10 · Health · corrected 2023-08-10
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-08-10 · Health · corrected 2023-10-15
Potential for more than minimal harm
- FF0700Try 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.2023-08-10 · Health · corrected 2023-10-15
Potential for more than minimal harm
- DF0727Have 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.2023-08-10 · Health · corrected 2023-09-28
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-08-10 · Health · corrected 2023-10-15
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-08-10 · Health · corrected 2023-10-15
Potential for more than minimal harm
- FF0758Implement 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.2023-08-10 · Health · corrected 2023-10-15
Potential for more than minimal harm
- DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-08-10 · Health · corrected 2023-09-28
Potential for more than minimal harm
- DF0838Conduct 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.2023-08-10 · Health · corrected 2023-08-10
Potential for more than minimal harm
- CF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.2023-08-10 · Health · corrected 2023-09-15
Potential for minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-08-10 · Health · corrected 2023-09-18
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-08-10 · Health · corrected 2023-09-14
Potential for more than minimal harm
- EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2023-08-10 · Health · corrected 2023-09-15
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-04-05 · Health · corrected 2023-05-15
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-05 · Health · corrected 2023-05-15
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| MT GRANT GENERAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1966-11-01 |
| MT GRANT GENERAL HOSPITAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1966-11-01 |
| COEN, PATRICIA | Individual | CORPORATE DIRECTOR | — | 2012-01-01 |
| DOW, MICHELLE | Individual | CORPORATE DIRECTOR | — | 2012-01-01 |
| QUALLS, HUGH | Individual | CORPORATE DIRECTOR | — | 2017-10-01 |
| SCHUMANN, RICHARD | Individual | CORPORATE DIRECTOR | — | 2017-10-01 |
| WOMACK, KAREN | Individual | CORPORATE DIRECTOR | — | 2017-11-01 |
| QUALLS, HUGH | Individual | W-2 MANAGING EMPLOYEE | — | 2017-10-01 |
Other facilities in HAWTHORNE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.