Lefa Seran SNF
1st and a St · Hawthorne, NV · 89415 · 7759452461
24 certified beds Government - Hospital district Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 73 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
85% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 5.86 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.09 | 0.55–0.75 |
| Weekend hours / resident-day | 5.15 | ≈ weekday level |
| Nursing turnover / year | 85% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (47 in the current record)
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Potential for harm · D April 10, 2025
Ensure each resident receives an accurate assessment.
Corrected April 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D April 10, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected May 19, 2025 · Quality of Life and Care
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Potential for harm · D April 10, 2025
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.
Corrected May 2, 2025 · Nursing and Physician Services
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Potential for harm · D April 10, 2025
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.
Corrected May 19, 2025 · Pharmacy Service
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Potential for harm · D April 10, 2025
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.
Corrected May 19, 2025 · Administration
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Potential for harm · F April 10, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 19, 2025 · Administration
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Potential for harm · D April 10, 2025
Provide and implement an infection prevention and control program.
Corrected April 29, 2025 · Infection Control
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Potential for harm · F April 10, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected May 12, 2025 · Infection Control
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Potential for harm · D April 10, 2025
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.
Corrected May 2, 2025 · Infection Control
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Potential for harm · D April 10, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected May 19, 2025 · Administration
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Potential for harm · D April 10, 2025
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected May 19, 2025 · Resident Rights
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Potential for harm · D April 10, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected May 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 10, 2025
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected May 19, 2025 · Infection Control
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Potential for harm · D April 10, 2025
Provide training in compliance and ethics.
Corrected May 19, 2025 · Administration
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Potential for harm · D April 10, 2025
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected May 19, 2025 · Administration
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Potential for harm · D May 23, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected July 9, 2024 · Resident Rights
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Potential for harm · E May 23, 2024
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.
Corrected July 1, 2024 · Resident Rights
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Potential for harm · D May 23, 2024
Ensure each resident receives an accurate assessment.
Corrected June 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · D May 23, 2024
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.
Corrected July 12, 2024 · Quality of Life and Care
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Potential for harm · D May 23, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected July 6, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 295001 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.