Lefa Seran Snf - Hawthorne Nursing Home

General Information

UPDATE
Federal Provider Number
295001
Provider Name
LEFA SERAN SNF
Provider Address
1ST AND A ST/ PO BOX 1510
HAWTHORNE, NV 89415
Provider Phone Number
7759452461
Provider SSA County
100
Provider County Name
Mineral
Ownership Type
Government - Hospital district
Number of Certified Beds
24
Number of Residents in Certified Beds
23
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MT GRANT GENERAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.22826
Reported LPN Staffing Hours per Resident per Day
0.74565
Reported RN Staffing Hours per Resident per Day
0.64565
Reported Licensed Staffing Hours per Resident per Day
1.39130
Reported Total Nurse Staffing Hours per Resident per Day
4.61956
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07826
Expected CNA Staffing Hours per Resident per Day
2.45525
Expected LPN Staffing Hours per Resident per Day
0.66276
Expected RN Staffing Hours per Resident per Day
0.88485
Expected Total Nurse Staffing Hours per Resident per Day
4.00287
Adjusted CNA Staffing Hours per Resident per Day
3.22622
Adjusted LPN Staffing Hours per Resident per Day
0.93380
Adjusted RN Staffing Hours per Resident per Day
0.54521
Adjusted Total Nurse Staffing Hours per Resident per Day
4.65191
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2012-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2011-10-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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