General Information: LEFA SERAN SNF
Nursing home name LEFA SERAN SNF
Address1ST AND A ST/ PO BOX 1510
HAWTHORNE, NV 89415
Phone number (775) 945-2461
Located within a hospital No
Type of ownership Government - Hospital district
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 24
Total number of residents 23
Perc of occupied beds 95
Sprinkler status Partial
Number of Facility Reported Incidents0
Number of Substantiated Complaints2
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: LEFA SERAN SNF
Overall rating 4
4
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 4
4
Quality Measures 2
2
Nursing Home Staffing Info: LEFA SERAN SNF
National AverageNevada AverageLEFA SERAN SNF
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 23
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.4 hours 4.62 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.99 hours 1.39 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.15 hours 0.65 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.84 hours 0.75 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.41 hours 3.23 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.17 hours 0.08 hours
Health Survey: LEFA SERAN SNF
Heath Survey Summary on 2014-01-08
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-11-01
Total Number of Health Deficiencies 9
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-10-20
Total Number of Health Deficiencies 11
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: LEFA SERAN SNF
Inspection Results: 01/08/2014
Corrected Deficiency Scope and Severity
Allow residents to self-administer drugs if determined safe. Isolated/Minimal harm or potential for actual harm
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated/Minimal harm or potential for actual harm
Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
Store, cook, and serve food in a safe and clean way. Isolated/Minimal harm or potential for actual harm
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm
Inspection Results: 11/01/2012
Corrected Deficiency Scope and Severity
11/21/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
11/20/2012 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern/Minimal harm or potential for actual harm
11/15/2012 Ensure that residents are fully informed and understand their health status, care and treatments. Isolated/Minimal harm or potential for actual harm
11/19/2012 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
11/20/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
11/27/2012 Train all employees on what to do in an emergency, and carry out unannounced staff drills. Isolated/Minimal harm or potential for actual harm
11/17/2012 Develop policies and procedures for influenza and pneumococcal immunizations. Isolated/Minimal harm or potential for actual harm
11/19/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
11/17/2012 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern/Minimal harm or potential for actual harm
Inspection Results: 10/20/2011
Corrected Deficiency Scope and Severity
01/13/2012 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
01/13/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
01/13/2012 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
01/13/2012 Keep residents' personal and medical records private and confidential. Pattern/Potential for minimal harm
01/13/2012 Provide medically-related social services to help each resident achieve the highest possible quality of life. Isolated/Minimal harm or potential for actual harm
01/13/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
01/13/2012 Post nurse staffing information/data on a daily basis. Pattern/Potential for minimal harm
01/13/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
01/13/2012 Dispose of garbage and refuse properly. Pattern/Minimal harm or potential for actual harm
01/13/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
01/13/2012 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: LEFA SERAN SNF
Fire Safety Survey Summary on 2014-01-08
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2012-11-01
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2011-10-26
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: LEFA SERAN SNF
Not available

Resident Complaints: LEFA SERAN SNF
Date Complaint Substantiated: 05/08/2013
CorrectedCategoryDeficiencySeverity
07/22/2013Provide necessary care and services to maintain or improve the highest well being of each resident . D

Quality Measures: LEFA SERAN SNF
Quality Measures National Average Nevada Average LEFA SERAN SNF
Overall quality rating NA NA 2
2
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 16.1% 21.9%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 10.1% 14.0%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 7.0% 17.1%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 5.8% 0.0%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 50.1% 53.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 4.6% 5.2%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.7% 3.3%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 4.0% 6.9%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.1% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.3% 3.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 89.3% 100.0%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 90.5% 100.0%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.6% 21.5%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.8% 50.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.2% 7.1%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 81.6% 94.1%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 82.8% 100.0%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.2% %

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