LEFA SERAN SNF
Certified for Medicare and Medicaid since 1967-01-01, LEFA SERAN SNF is a 24-bed nursing home in HAWTHORNE, Nevada, averaging 20.7 residents a day.
Has LEFA SERAN SNF been cited for violations?
CMS lists 47 health-inspection deficiencies for LEFA SERAN SNF, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-04-10.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-04-10 | F0867, F0883 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | F |
| 2025-04-10 | F0641, F0656, F0657, F0689, F0692, F0726, F0758, F0838, F0880, F0887, F0941, F0942, F0943, F0945, F0946, F0949 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / 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. / 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. / 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. / Provide and implement an infection prevention and control program. / 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. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Provide training in compliance and ethics. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D |
| 2024-05-23 | F0887 | 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 |
| 2024-05-23 | F0584 | 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 |
| 2024-05-23 | F0552, F0641, F0657, F0689, F0700, F0759, F0867, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure medication error rates are not 5 percent or greater. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. | D |
| 2023-08-10 | F0700, F0758 | 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. / 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 |
| 2023-08-10 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E |
| 2023-08-10 | F0552, F0561, F0640, F0656, F0657, F0689, F0692, F0697, F0727, F0756, F0757, F0835, F0838, F0867, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. | D |
| 2023-08-10 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | C |
How is LEFA SERAN SNF staffed?
| Measure | This facility | NV average |
|---|---|---|
| Total nurse staffing hours per resident per day | 5.57480 | 4.30047 |
| Total nursing staff turnover (%) | 79.3 | 45.1 |
| Average number of residents per day | 20.7 | 94.3 |
Who owns LEFA SERAN SNF?
LEFA SERAN SNF is registered with CMS as Government - Hospital district, operates under the legal business name MT GRANT GENERAL HOSPITAL.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | MT GRANT GENERAL HOSPITAL | since 11/01/1966 |
| CORPORATE DIRECTOR | DOW, MICHELLE, REED, PAULA, RUCH, SHARON, RUTHERFORD, NANCY, SCHUMANN, RICHARD, WOMACK, KAREN | since 01/01/2012 |
| OPERATIONAL/MANAGERIAL CONTROL | MT GRANT GENERAL HOSPITAL, DOW, MICHELLE, FERGUSON, DENISE, LEHMAN, SANDRAE, REED, PAULA, RUCH, SHARON, RUTHERFORD, NANCY, WOMACK, KAREN | since 01/01/2012 |
| ADP OF THE SNF | MT GRANT GENERAL HOSPITAL, FERGUSON, DENISE, RUCH, SHARON | since 06/01/2022 |