Elder Care Record

Nevada › Mineral County › Hawthorne

Lefa Seran SNF

1st And A St, Hawthorne, NV 89415

CCN 295001 · Government, hospital district · 24 certified beds

Located in a hospital
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 24 beds, Lefa Seran SNF serves Hawthorne in Mineral County, Nevada and has taken Medicare and Medicaid residents since 1967.

CMS gives it 1 of 5 stars overall, below the Nevada median of 3; the health inspection rating is 1, staffing 4 and quality measures 1.

Inspectors recorded 47 health deficiencies across the three most recent survey cycles (18, 10, 19 by cycle, most recent first), none at the actual-harm level. That is 195.8 per 100 beds, more than the state median of 27.8.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 5.6 hours per resident per day (1.1 RN), above the Nevada median of 3.9; nursing staff turnover is 79.3%.

47health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
5.6nurse hours per resident per daystate median 3.9
86%occupancy (residents ÷ beds)21 residents a day

Compared with county, state and nation

MeasureThis facilityMineral Co. medianNevada medianUS average
Overall star rating1133.0
Health citations, 3 cycles47472928.7
Citations per 100 beds195.8195.827.826.8
Total nurse hours per resident day5.65.63.93.9
RN hours per resident day1.11.10.90.7
Nursing staff turnover79.3%79.3%45.1%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (1 in the county, 66 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)18
Cycle 210
Cycle 319

Dark bar: this facility. Grey bar: Nevada average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Apr 2025, 23 May 2024.

Severity mix: D ×39 E ×2 F ×5 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
10 Apr 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey19 May 2025
10 Apr 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.FStandard survey12 May 2025
10 Apr 2025F0641Ensure each resident receives an accurate assessment.DStandard survey30 Apr 2025
10 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey1 May 2025
10 Apr 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey1 May 2025
10 Apr 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 May 2025
10 Apr 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey19 May 2025
10 Apr 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey2 May 2025
10 Apr 2025F0758Implement 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.DStandard survey19 May 2025
10 Apr 2025F0838Conduct 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.DStandard survey19 May 2025
10 Apr 2025F0880Provide and implement an infection prevention and control program.DStandard survey29 Apr 2025
10 Apr 2025F0887Educate 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.DStandard survey2 May 2025
10 Apr 2025F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DStandard survey19 May 2025
10 Apr 2025F0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DStandard survey19 May 2025
10 Apr 2025F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard survey19 May 2025
10 Apr 2025F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.DStandard survey19 May 2025
10 Apr 2025F0946Provide training in compliance and ethics.DStandard survey19 May 2025
10 Apr 2025F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DStandard survey19 May 2025
23 May 2024F0887Educate 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.FStandard survey5 Jul 2024
23 May 2024F0584Honor 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.EStandard survey1 Jul 2024
23 May 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey9 Jul 2024
23 May 2024F0641Ensure each resident receives an accurate assessment.DStandard survey28 Jun 2024
23 May 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey5 Jul 2024
23 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey5 Jul 2024
23 May 2024F0700Try 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.DStandard survey12 Jul 2024
23 May 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey6 Jul 2024
23 May 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey5 Jul 2024
23 May 2024F0880Provide and implement an infection prevention and control program.DStandard survey9 Jul 2024
10 Aug 2023F0700Try 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.FStandard survey15 Oct 2023
10 Aug 2023F0758Implement 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.FStandard survey15 Oct 2023
10 Aug 2023F0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.EStandard survey15 Sep 2023
10 Aug 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey15 Oct 2023
10 Aug 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey15 Oct 2023
10 Aug 2023F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey15 Oct 2023
10 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 Oct 2023
10 Aug 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey15 Oct 2023
10 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey15 Oct 2023
10 Aug 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey10 Aug 2023
10 Aug 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey15 Oct 2023
10 Aug 2023F0727Have 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.DStandard survey28 Sep 2023
10 Aug 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey15 Oct 2023
10 Aug 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey15 Oct 2023
10 Aug 2023F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard survey28 Sep 2023
10 Aug 2023F0838Conduct 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.DStandard survey10 Aug 2023
10 Aug 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey18 Sep 2023
10 Aug 2023F0880Provide and implement an infection prevention and control program.DStandard survey14 Sep 2023
10 Aug 2023F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.CStandard survey15 Sep 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing5.57 h
Nurse aides3.57 h
LPN0.93 h
RN1.07 h
Weekend total5.11 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nevada average. Turnover: nursing staff 79.3%, RNs 83.3%; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNevada medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay38.0%12.7%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay4.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.3%1.7%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay36.5%13.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.8%4.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay39.3%14.6%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, hospital district. Legal business name: Mt Grant General Hospital.

OrganisationRole in the CMS recordInterestSince
Mt Grant General Hospital5% or greater direct ownership interest100%11/01/1966
Mt Grant General HospitalOperational/managerial controlNOT APPLICABLE11/01/1966
Mt Grant General HospitalAdp of the snfNOT APPLICABLE11/01/1966

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Lefa Seran SNF been cited for?

47 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Nevada median is 29 per facility.

Has Lefa Seran SNF been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Lefa Seran SNF compare?

Reported total nurse staffing is 5.6 hours per resident per day against a Nevada median of 3.9 and a national average of 3.9.

Who operates Lefa Seran SNF?

Ownership type is government, hospital district. Organisations in the CMS ownership record include Mt Grant General Hospital and Mt Grant General Hospital. Individual owners and managers are not listed on this site.

When was Lefa Seran SNF last inspected?

The most recent survey or investigation in the CMS record is dated 10 Apr 2025; the most recent standard health survey was 10 Apr 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.