Mineral County, Nevada · Nursing home
Lefa Seran SNF
1 of 5 overall from CMS
1st and A St, Hawthorne, NV 89415
At a glance
- Overall rating 1 of 5 Below the state average of 3.1
- Nurse time per resident, per day 5.57 hours Above the state average of 4.34
- Nursing staff who left in a year 79.3% Above the state average of 45.1%
- Health citations, last 3 inspection cycles 47 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 86.2% of 24 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Lefa Seran SNF is a 24-bed nursing home in Hawthorne, Nevada (Mineral County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 5.57 nurse staffing hours per resident per day, above the Nevada average of 4.34. CMS lists no fines in the past three years.
- Certified beds
- 24
- Residents per day (average)
- 20.7
- Certified since
- 1967 (59 yrs)
Government - Hospital district Participates in Medicare and MedicaidLocated in a hospital
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Lefa Seran SNF
Chosen from this home's public data.
- CMS counts 18 health deficiencies in the latest inspection cycle (the standard inspection on Apr 10, 2025 plus complaint and infection-control inspections); the Nevada average is 9.7. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 79.3%, above the Nevada average of 45.1%. How often would the same aides care for my relative?Turnover in CMS data
- Registered nurse time is 1.07 hours per resident per day; the Nevada average is 1.12. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Nevada average 3.1
- Health inspections 1 of 5 Nevada average 2.9
- Staffing 4 of 5 Nevada average 3.4
- Quality measures 1 of 5 Nevada average 3.8
The vertical line marks the Nevada average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 5.57 h Nevada average 4.34
- Nurse aides 3.57 h Nevada average 2.38
- Licensed practical nurses 0.93 h Nevada average 0.84
- Registered nurses 1.07 h Nevada average 1.12
- All staff, weekends 5.11 h Nevada average 3.86
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Nevada average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover79.3%
- Nevada average45.1%
- Registered nurse turnover83.3%
- Nevada average43.4%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Nevada and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Nevada | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 38.0% | 12.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 17.3% | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 4.0% | 1.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.5% | 5.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% | 2.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% | 92.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 36.5% | 13.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.5% | 22.2% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 78.3% | 89.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.8% | 5.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.8% | 15.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 39.3% | 17.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.85 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.45 | 1.78 |
Short-stay residents
| Measure | This home | Nevada | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Too few residents or stays to report | 84.6% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.8% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 80.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Data missing or not submitted | 23.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Data missing or not submitted | 9.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 47 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 10, 2025 | 18 | 1 |
| May 23, 2024 | 10 | 3 |
| Aug 10, 2023 | 19 | 5 |
Nevada homes averaged 9.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (47)
-
FPotential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (May 19, 2025)
-
FPotential for more than minimal harm, widespread
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (May 12, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 30, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 1, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 1, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (May 19, 2025)
-
DPotential for more than minimal harm, isolated
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.
Nursing and Physician Services · Deficient, Provider has date of correction (May 2, 2025)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (May 19, 2025)
-
DPotential for more than minimal harm, isolated
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.
Administration · Deficient, Provider has date of correction (May 19, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 29, 2025)
-
DPotential for more than minimal harm, isolated
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.
Infection Control · Deficient, Provider has date of correction (May 2, 2025)
-
DPotential for more than minimal harm, isolated
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration · Deficient, Provider has date of correction (May 19, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights · Deficient, Provider has date of correction (May 19, 2025)
-
DPotential for more than minimal harm, isolated
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 19, 2025)
-
DPotential for more than minimal harm, isolated
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control · Deficient, Provider has date of correction (May 19, 2025)
-
DPotential for more than minimal harm, isolated
Provide training in compliance and ethics.
Administration · Deficient, Provider has date of correction (May 19, 2025)
-
DPotential for more than minimal harm, isolated
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration · Deficient, Provider has date of correction (May 19, 2025)
-
FPotential for more than minimal harm, widespread
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.
Infection Control · Deficient, Provider has date of correction (Jul 5, 2024)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Jul 1, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Jul 9, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 28, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 5, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 5, 2024)
-
DPotential for more than minimal harm, isolated
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.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 12, 2024)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Jul 6, 2024)
-
DPotential for more than minimal harm, isolated
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Jul 5, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 9, 2024)
-
FPotential for more than minimal harm, widespread
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.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 15, 2023)
-
FPotential for more than minimal harm, widespread
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.
Pharmacy Service · Deficient, Provider has date of correction (Oct 15, 2023)
Showing the 30 most recent of 47.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Nevada homes averaged 0.5 fines and $13,952 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Nevada
- Size63 of 66 by certified beds
- Nevada average residents per day94.3
- ChainNone listed
- Resident or family councilResident
- Homes in Mineral County1
Common questions
What is the CMS star rating for Lefa Seran SNF?
Lefa Seran SNF has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 1.
How many beds does Lefa Seran SNF have?
Lefa Seran SNF has 24 certified beds. It averages 20.7 residents per day, about 86.2% of its certified beds.
How much nursing care do residents get at Lefa Seran SNF?
The home reports 5.57 hours of nurse staffing per resident per day, including 1.07 hours from registered nurses. The Nevada average is 4.34 hours and 1.12 hours from registered nurses.
Has Lefa Seran SNF been fined?
CMS lists no fines for this home in the past three years.
Does Lefa Seran SNF accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 South Lyon Medical Center 49beds 64.9%in use 4.22nurse hours a day
- 1 of 5 Highland Manor of Fallon Rehabilitation LLC 102beds 94.4%in use 3.06nurse hours a day
- 1 of 5 Gardnerville Health & Rehabilitation Center 60beds 83.5%in use 3.69nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Mineral County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 295001. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.