Lefa Seran Snf
LEFA SERAN SNF in HAWTHORNE, NV — inspection on April 10, 2025.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
295001
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 295001 B.
Wing 04/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Lefa Seran Snf 1st and A St Hawthorne, NV 89415
potential for actual harm Resident #21
Resident #21 was admitted to the facility on [DATE], with diagnoses including type two diabetes mellitus without complications, failure to thrive, and acquired absence of unspecified leg below knee.
Resident #21's Care Plan documented the following activities care plan focus on 02/18/2025: The resident partially depended on staff for activities due to physical limitations of using a wheelchair and requiring staff to assist with transfers.
The goal documented Resident #21 wanted to go on a nature adventure within the review period and was dated 02/18/2025.
The goal was revised on 03/29/2025, to include a target date of 05/16/2025.
Resident #21's Care Plan lacked interventions related to the documented activities focus and goals.
On 04/09/2025 at 2:21 PM, the DON explained the Activities Director (AD) would fill out the activities portion of the care plan for all residents.
The DON verbalized an expectation the AD would accurately and completely document the resident's preferred activities focus, goals, and interventions on the care plan.
The DON confirmed Resident #21's Care Plan lacked interventions related to the residents' preferred facility activities and services.
On 04/09/2025 at 4:07 PM, the AD explained the activities portion of Resident #21's Care Plan was created by the AD during the resident interview.
The AD explained the AD was not aware the interventions were missing from the care plan and would be necessary to provide activities in a manner the resident preferred.
The AD confirmed the activities interventions were the AD's responsibility to document and implement and were not documented on Resident #21's Care Plan.
The facility policy titled Care Plans, revised 03/22/2017, documented each resident would have a comprehensive person-centered care plan developed by the interdisciplinary team.
The care plans would be updated as the needs of the resident changed and would include any updated information based on details of the comprehensive assessment.
The care plan included the instructions needed to provide effective person-centered care of the resident that met professional standards of quality care.
The comprehensive person-centered care plan was consistent with resident's rights and included measurable objectives and timeframes to meet the resident's medical, nursing, and psychosocial needs that are identified in the comprehensive assessment and included the description of any services that were furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being.
295001
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 295001 B.
Wing 04/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Lefa Seran Snf 1st and A St Hawthorne, NV 89415
potential for actual harm
295001
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 295001 B.
Wing 04/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Lefa Seran Snf 1st and A St Hawthorne, NV 89415
295001
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 295001 B.
Wing 04/10/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Lefa Seran Snf 1st and A St Hawthorne, NV 89415