Lefa Seran SNF

Nursing Home · Hawthorne, NV

CMS overall rating 1/5 Government - Hospital district

CMS certification number295001

Contact & location

1ST and a ST
Hawthorne, NV 89415
Mineral County
Phone
(775) 945-2461
ZIP code
89415 – all care providers

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Facility details

Certified beds
24
Residents per day
20.7 (86% occupied)
Ownership
Government - Hospital district
Legal name
MT Grant General Hospital
Medicare certified since
January 1, 1967
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.2
Health inspections★★★★★ 1/5
State avg 2.9
Staffing★★★★★ 4/5
State avg 3.3
Quality measures★★★★★ 1/5
State avg 3.8
Long-stay quality★★★★★ 1/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
5.57 (state 4.30 · U.S. 3.86)
Registered nurses (RN)
1.07 (state 1.09 · U.S. 0.69)
Licensed practical nurses
0.93 (state 0.84 · U.S. 0.86)
Nurse aides
3.57 (state 2.37 · U.S. 2.32)
Weekend total
5.11 (state 3.83 · U.S. 3.42)
Nursing staff turnover
79.3 (state 45.1 · U.S. 45.8)%
RN turnover
83.3 (state 43.4 · U.S. 42.9)%

Inspections

Last standard inspection
April 10, 2025
Health deficiencies (last cycle)
18.0 (state 9.6 · U.S. 9.3)
From complaints
0
Citations on record (3 years)
47 health · 9 fire safety
DateCitationSeverityStatus
2025-04-10 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-19
2025-04-10 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-12
2025-04-10 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-15
2025-04-10 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0726 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0838 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-19
2025-04-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0887 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0941 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0942 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0945 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-19
2025-04-10 Provide training in compliance and ethics.
F0946 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-19
2025-04-10 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0887 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-01
2024-05-23 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-09
2024-05-23 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0700 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-12
2024-05-23 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0867 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-05
2024-05-23 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0700 · Quality of Life and Care Deficiencies
F
No actual harm, potential for more than minimal harm
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.
F0758 · Pharmacy Service Deficiencies
F
No actual harm, potential for more than minimal harm
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.
F0942 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2023-09-15
2023-08-10 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0561 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0640 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-15
2023-08-10 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-10
2023-08-10 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
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.
F0727 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-28
2023-08-10 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-15
2023-08-10 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-15
2023-08-10 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-28
2023-08-10 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.
F0838 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-10
2023-08-10 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-18
2023-08-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-14
2023-08-10 Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F0847 · Administration Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2023-09-15

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
MT Grant General Hospital (organization)5%+ Direct Ownership Interest · 100%
Ferguson, Denise (individual)Administrator · NOT APPLICABLE
MT Grant General Hospital (organization)Administrator · NOT APPLICABLE
Ruch, Sharon (individual)Administrator · NOT APPLICABLE
Dow, Michelle (individual)Corporate Director · NOT APPLICABLE
Reed, Paula (individual)Corporate Director · NOT APPLICABLE
Ruch, Sharon (individual)Corporate Director · NOT APPLICABLE
Rutherford, Nancy (individual)Corporate Director · NOT APPLICABLE
Schumann, Richard (individual)Corporate Director · NOT APPLICABLE
Womack, Karen (individual)Corporate Director · NOT APPLICABLE
Dow, Michelle (individual)Operational/managerial Control · NOT APPLICABLE
Ferguson, Denise (individual)Operational/managerial Control · NOT APPLICABLE
Lehman, Sandrae (individual)Operational/managerial Control · NOT APPLICABLE
MT Grant General Hospital (organization)Operational/managerial Control · NOT APPLICABLE
Reed, Paula (individual)Operational/managerial Control · NOT APPLICABLE
Ruch, Sharon (individual)Operational/managerial Control · NOT APPLICABLE
Rutherford, Nancy (individual)Operational/managerial Control · NOT APPLICABLE
Womack, Karen (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Lefa Seran SNF?

Lefa Seran SNF has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Nevada.

How many beds does Lefa Seran SNF have?

It has 24 certified beds and cares for about 21 residents per day.

Has Lefa Seran SNF been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Lefa Seran SNF?

(775) 945-2461. The facility is located at 1ST and a ST, Hawthorne, NV 89415.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.