Starfile

Starfile / Nevada

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.

CycleInspection dateThis facilityNevada avgNational avgvs state
12025-04-10189.69.5+8.4 worse
22024-05-231011.99.8-1.9 better
32023-08-102113.79.3+7.3 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care2
Resident assessment and care planning3
Nursing and physician services1
Resident rights1
Pharmacy service1
Administration5
Infection control4

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.6261.8%
RN staffing (reported)1.1383.3%
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)

  1. DF0641Ensure each resident receives an accurate assessment.2025-04-10 · Health · corrected 2025-04-30

    Potential for more than minimal harm

  2. 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

  3. 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

  4. 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

  5. DF0692Provide enough food/fluids to maintain a resident's health.2025-04-10 · Health · corrected 2025-05-19

    Potential for more than minimal harm

  6. 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

  7. 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

  8. 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

  9. 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

  10. DF0880Provide and implement an infection prevention and control program.2025-04-10 · Health · corrected 2025-04-29

    Potential for more than minimal harm

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. DF0946Provide training in compliance and ethics.2025-04-10 · Health · corrected 2025-05-19

    Potential for more than minimal harm

  18. 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

  19. 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

  20. 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

  21. DF0641Ensure each resident receives an accurate assessment.2024-05-23 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  22. 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

  23. 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

  24. 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

  25. DF0759Ensure medication error rates are not 5 percent or greater.2024-05-23 · Health · corrected 2024-07-06

    Potential for more than minimal harm

  26. 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

  27. DF0880Provide and implement an infection prevention and control program.2024-05-23 · Health · corrected 2024-07-09

    Potential for more than minimal harm

  28. 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

  29. 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

  30. 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

  31. 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

  32. 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

  33. 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

  34. 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

  35. DF0692Provide enough food/fluids to maintain a resident's health.2023-08-10 · Health · corrected 2023-08-10

    Potential for more than minimal harm

  36. 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

  37. 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

  38. 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

  39. 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

  40. 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

  41. 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

  42. 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

  43. 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

  44. 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

  45. 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

  46. DF0880Provide and implement an infection prevention and control program.2023-08-10 · Health · corrected 2023-09-14

    Potential for more than minimal harm

  47. 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

  48. 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

  49. 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

OwnerTypeRolePercentSince
MT GRANT GENERAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%1966-11-01
MT GRANT GENERAL HOSPITALOrganizationOPERATIONAL/MANAGERIAL CONTROL1966-11-01
COEN, PATRICIAIndividualCORPORATE DIRECTOR2012-01-01
DOW, MICHELLEIndividualCORPORATE DIRECTOR2012-01-01
QUALLS, HUGHIndividualCORPORATE DIRECTOR2017-10-01
SCHUMANN, RICHARDIndividualCORPORATE DIRECTOR2017-10-01
WOMACK, KARENIndividualCORPORATE DIRECTOR2017-11-01
QUALLS, HUGHIndividualW-2 MANAGING EMPLOYEE2017-10-01

Other facilities in HAWTHORNE

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.