Nevada ›Hawthorne

Lefa Seran SNF

1st and A St, Hawthorne, NV 89415 · Mineral County · 24 certified beds · avg 21 residents/day · certified since Jan 1, 1967

1/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
6.14
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (47)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Apr 10, 2025F · Potential for harm, facility-wideThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Apr 10, 2025F · Potential for harm, facility-wideThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Apr 10, 2025D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 10, 2025D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 10, 2025D · Potential for harm, one-offThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 10, 2025D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 10, 2025D · Potential for harm, one-offThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Apr 10, 2025D · Potential for harm, one-offThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Apr 10, 2025D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Apr 10, 2025D · Potential for harm, one-offThe facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Apr 10, 2025D · Potential for harm, one-offThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 10, 2025D · Potential for harm, one-offThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Apr 10, 2025D · Potential for harm, one-offThe facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents.
Apr 10, 2025D · Potential for harm, one-offThe facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about.
Apr 10, 2025D · Potential for harm, one-offThe facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation.
Apr 10, 2025D · Potential for harm, one-offThe facility did not include required infection control training — with written standards, policies, and procedures — as part of its infection prevention program.
Apr 10, 2025D · Potential for harm, one-offThe facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated.
Apr 10, 2025D · Potential for harm, one-offThe facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs.
May 23, 2024F · Potential for harm, facility-wideThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
May 23, 2024E · Potential for harm, repeatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 23, 2024D · Potential for harm, one-offThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
May 23, 2024D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 23, 2024D · Potential for harm, one-offThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 23, 2024D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 23, 2024D · Potential for harm, one-offThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
May 23, 2024D · Potential for harm, one-offThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
May 23, 2024D · Potential for harm, one-offThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
May 23, 2024D · Potential for harm, one-offThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 10, 2023F · Potential for harm, facility-wideThe facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Aug 10, 2023F · Potential for harm, facility-wideThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Aug 10, 2023E · Potential for harm, repeatedThe facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about.
Aug 10, 2023D · Potential for harm, one-offThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Aug 10, 2023D · Potential for harm, one-offThe facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Aug 10, 2023D · Potential for harm, one-offThe facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Aug 10, 2023D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 10, 2023D · Potential for harm, one-offThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 10, 2023D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 10, 2023D · Potential for harm, one-offThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 10, 2023D · Potential for harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it.
Aug 10, 2023D · Potential for harm, one-offThe facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Aug 10, 2023D · Potential for harm, one-offThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Aug 10, 2023D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Aug 10, 2023D · Potential for harm, one-offThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Aug 10, 2023D · Potential for harm, one-offThe facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Aug 10, 2023D · Potential for harm, one-offThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Aug 10, 2023D · Potential for harm, one-offThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 10, 2023C · Minimal risk, facility-wideThe facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (10 → 18).

YearCitationsSerious (G–L)Worst severity that year
2023190F
2024100F
2025180F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityNevada avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)6.144.053.95top 6% in Nevada; top 4% in the U.S.
Registered Nurse hours1.180.980.69top 27% in Nevada; top 10% in the U.S.
Weekend total nurse staffing5.633.613.50top 6% in Nevada; top 3% in the U.S.
Weekend RN hours (not acuity-adjusted)0.710.870.48top 43% in Nevada; top 16% in the U.S.
Total nursing staff turnover (%)79.345.145.8bottom 2% in Nevada; bottom 2% in the U.S.
RN turnover (%)83.343.442.9bottom 5% in Nevada; bottom 4% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.57, RN 1.07, weekend 5.11. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

Government - Hospital district

Owner / managerTypeRoleStakeSince
Mt Grant General HospitalOrganization5% or Greater Direct Ownership Interest100%11/01/1966
Dow, MichelleIndividualCorporate DirectorNOT APPLICABLE01/01/2012
Dow, MichelleIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2012
Ferguson, DeniseIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2022
Ferguson, DeniseIndividualADP of the SNFNOT APPLICABLE06/01/2022
Lehman, SandraeIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2020
Mt Grant General HospitalOrganizationOperational/Managerial ControlNOT APPLICABLE11/01/1966
Mt Grant General HospitalOrganizationADP of the SNFNOT APPLICABLE11/01/1966
Reed, PaulaIndividualCorporate DirectorNOT APPLICABLE04/01/2020
Reed, PaulaIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2020
Ruch, SharonIndividualCorporate DirectorNOT APPLICABLE07/01/2021
Ruch, SharonIndividualOperational/Managerial ControlNOT APPLICABLE07/01/2021
Ruch, SharonIndividualADP of the SNFNOT APPLICABLE07/01/2021
Rutherford, NancyIndividualCorporate DirectorNOT APPLICABLE03/01/2020
Rutherford, NancyIndividualOperational/Managerial ControlNOT APPLICABLE03/01/2020
Schumann, RichardIndividualCorporate DirectorNOT APPLICABLE10/01/2017
Womack, KarenIndividualCorporate DirectorNOT APPLICABLE11/01/2017
Womack, KarenIndividualOperational/Managerial ControlNOT APPLICABLE11/01/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

No other Medicare-certified nursing homes within 20 miles in the current records.

All facilities in Hawthorne →

Facility data as of CMS processing date 2026-08-01. CCN 295001.