Lefa Seran Snf
1st and A St/ Po Box 1510, Hawthorne, NV 89415


Lefa Seran Snf is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 295001. The address is 1st and A St/ Po Box 1510, Hawthorne, NV 89415. The zip code is 89415. The phone number is 7759452461.


Lefa Seran Snf · 1st and A St/ Po Box 1510, Hawthorne, NV 89415

Federal Provider Number 295001
Provider Name LEFA SERAN SNF
Address 1ST AND A ST/ PO BOX 1510
HAWTHORNE, NV 89415
Phone Number 7759452461
SSA County Code 100
County Name Mineral
Ownership Type Government - Hospital district
Certified Beds 24
Certified Beds Residents 23
Provider Type Medicare and Medicaid
Resides in Hospital true
Legal Business Name MT GRANT GENERAL HOSPITAL
Date First Approved to Provide Medicare Medicaid Services 01/01/1967
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 1
Quality Measure Rating 2
Staffing Rating 5
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.91957
Reported LPN Staffing Hours per Resident per Day 0.49783
Reported RN Staffing Hours per Resident per Day 0.99348
Reported Licensed Staffing Hours per Resident per Day 1.4913
Reported Total Nurse Staffing Hours per Resident per Day 4.41088
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07826
Expected CNA Staffing Hours per Resident per Day 2.04586
Expected LPN Staffing Hours per Resident per Day 0.61741
Expected RN Staffing Hours per Resident per Day 0.82793
Expected Total Nurse Staffing Hours per Resident per Day 3.4912
Adjusted CNA Staffing Hours per Resident per Day 3.50158
Adjusted LPN Staffing Hours per Resident per Day 0.66925
Adjusted RN Staffing Hours per Resident per Day 0.89661
Adjusted Total Nurse Staffing Hours per Resident per Day 5.09276
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 60
Cycle 1 Standard Survey Health Date 10/13/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 60
Cycle 2 Total Number of Health Deficiencies 15
Cycle 2 Number of Standard Health Deficiencies 15
Cycle 2 Health Deficiency Score 112
Cycle 2 Standard Health Survey Date 11/19/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 112
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Health Deficiency Score 48
Cycle 3 Standard Health Survey Date 10/22/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 48
Total Weighted Health Survey Score 75.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Lefa Seran Snf

Owner Name Role Association Date
MT GRANT GENERAL HOSPITAL (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 11/01/1966
MT GRANT GENERAL HOSPITAL (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/1966
MUNGER, RICHARD (Individual) DIRECTOR since 01/29/2010
MUNGER, RICHARD (Individual) MANAGING EMPLOYEE since 01/29/2010

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