Lefa Seran SNF: Infection Control Training Gaps - NV
A registered nurse and a registered dietician, both hired on October 21, 2024, went weeks without that training. The nurse completed it 31 days after hire. The dietician took 40 days. In the time between, both were working.
The facility's HR Generalist explained how the process was supposed to work: new employees go through an orientation lasting two to three days after hire, and once orientation wraps up, they're released to the floor. The infection control training was supposed to happen before that release. For these two employees, it didn't.
The HR Manager confirmed both gaps on April 10, 2025, during the inspection. Neither personnel record contained any documentation of infection control training completed before the dates the records showed — November 21 for the nurse, November 30 for the dietician.
Inspectors rated the violation at the lowest level of harm, describing it as minimal harm or potential for actual harm. But the finding cuts at something basic: the training exists because residents in skilled nursing facilities are among the most vulnerable to infection. Staff who haven't completed that training before working with them represent a gap in the first line of defense.
Infection control failures in nursing homes carry consequences that can be severe and fast-moving. Residents in these settings often have compromised immune systems, open wounds, urinary catheters, or other conditions that make them susceptible to infections that a healthier person might fight off easily. The training that both employees missed is designed to address exactly that risk — how infections spread, how to stop them, what precautions matter and when.
The facility's own Training Policy, revised as recently as February 6, 2024, was unambiguous. New employees were required to complete infection control training prior to beginning work on the floor. The policy wasn't old or buried. It had been updated fourteen months before these two employees were hired.
What the records show is that the requirement existed on paper, the HR staff knew about it, and it still didn't happen on time for two employees hired on the same day.
Inspectors reviewed 18 employee records in total. The lapses showed up in 2 of them.
The facility is located at 1st and A Street in Hawthorne, a small town in Mineral County in western Nevada. It operates under CMS provider number 295001.
Nothing in the inspection report indicates residents were harmed as a direct result of the training gaps. What it documents is a system that let two employees work with a vulnerable population before the facility had confirmed they understood how to prevent spreading infection to them.
The HR Generalist's account of the orientation process raises a question the inspection report doesn't fully answer: if orientation runs two to three days and employees go to the floor after that, when exactly was infection control training supposed to fit in? The policy says before the floor. The records say it happened more than a month later. Someone, at some point between late October and late November 2024, signed off on both employees working without it.
The inspection report does not name a director of nursing, an administrator, or any clinical supervisor in connection with the finding. It names no residents by identifier in connection with contact with either employee during those weeks. What it names are two personnel files, two hire dates, and two training completion dates that came too late.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Lefa Seran Snf from 2025-04-10 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 29, 2026 · Our methodology
LEFA SERAN SNF in HAWTHORNE, NV was cited for violations during a health inspection on April 10, 2025.
A registered nurse and a registered dietician, both hired on October 21, 2024, went weeks without that training.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.