Velarion Records

Skilled nursing facility · CMS certification number 295001

LEFA SERAN SNF

HAWTHORNE, Nevada · Medicare and Medicaid

Certified beds, as filed in Care Compare: 24

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

No Medicare cost report on file for this facility.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
MT GRANT GENERAL HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 11/01/1966
FERGUSON, DENISEADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2022
MT GRANT GENERAL HOSPITALADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/1966
RUCH, SHARONADP OF THE SNFIndividualNOT APPLICABLEsince 07/01/2021
DOW, MICHELLECORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2012
REED, PAULACORPORATE DIRECTORIndividualNOT APPLICABLEsince 04/01/2020
RUCH, SHARONCORPORATE DIRECTORIndividualNOT APPLICABLEsince 07/01/2021
RUTHERFORD, NANCYCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/01/2020
SCHUMANN, RICHARDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/01/2017
WOMACK, KARENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 11/01/2017
DOW, MICHELLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2012
FERGUSON, DENISEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2022
LEHMAN, SANDRAEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2020
MT GRANT GENERAL HOSPITALOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 11/01/1966
REED, PAULAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2020
RUCH, SHARONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/01/2021
RUTHERFORD, NANCYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2020
WOMACK, KARENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2017

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MT GRANT GENERAL HOSPITAL (enrollment ID O20100426000036).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
MT GRANT GENERAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10011/1/1966
Private equity company: No
Real estate investment trust: No
Holding company: No
DENISE FERGUSONIndividualADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MT GRANT GENERAL HOSPITALOrganizationADP OF THE SNFNot stated in the filing11/1/1966
Private equity company: No
Real estate investment trust: No
Holding company: No
SHARON E RUCHIndividualADP OF THE SNFNot stated in the filing7/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KAREN WOMACKIndividualCORPORATE DIRECTOR011/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHELLE DOWIndividualCORPORATE DIRECTOR01/1/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NANCY RUTHERFORDIndividualCORPORATE DIRECTOR03/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PAULA REEDIndividualCORPORATE DIRECTOR04/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RICHARD LEE SCHUMANNIndividualCORPORATE DIRECTOR010/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHARON E RUCHIndividualCORPORATE DIRECTOR07/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DENISE FERGUSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KAREN WOMACKIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing11/1/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MICHELLE DOWIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2012
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MT GRANT GENERAL HOSPITALOrganizationOPERATIONAL/MANAGERIAL CONTROL10011/1/1966
Private equity company: No
Real estate investment trust: No
Holding company: No
NANCY RUTHERFORDIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing3/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PAULA REEDIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SANDRAE J LEHMANIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing3/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHARON E RUCHIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing7/1/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1April 10, 2025April 10, 2025181
2May 23, 2024May 23, 2024103
3August 10, 2023August 10, 2023195

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

47 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
April 10, 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionApril 30, 2025
April 10, 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionMay 1, 2025
April 10, 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionMay 1, 2025
April 10, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionMay 15, 2025
April 10, 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionMay 19, 2025
April 10, 2025HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DNoDeficient, Provider has date of correctionMay 2, 2025
April 10, 2025HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correctionMay 19, 2025
April 10, 2025HealthF 0838Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DNoDeficient, Provider has date of correctionMay 19, 2025
April 10, 2025HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FNoDeficient, Provider has date of correctionMay 19, 2025
April 10, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionApril 29, 2025
April 10, 2025HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.FNoDeficient, Provider has date of correctionMay 12, 2025
April 10, 2025HealthF 0887Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DNoDeficient, Provider has date of correctionMay 2, 2025
April 10, 2025HealthF 0941Administration DeficienciesDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DNoDeficient, Provider has date of correctionMay 19, 2025
April 10, 2025HealthF 0942Resident Rights DeficienciesEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DNoDeficient, Provider has date of correctionMay 19, 2025
April 10, 2025HealthF 0943Freedom from Abuse, Neglect, and Exploitation DeficienciesGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DNoDeficient, Provider has date of correctionMay 19, 2025
April 10, 2025HealthF 0945Infection Control DeficienciesInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.DNoDeficient, Provider has date of correctionMay 19, 2025
April 10, 2025HealthF 0946Administration DeficienciesProvide training in compliance and ethics.DNoDeficient, Provider has date of correctionMay 19, 2025
April 10, 2025HealthF 0949Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.DNoDeficient, Provider has date of correctionMay 19, 2025
May 23, 2024HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correctionJuly 9, 2024
May 23, 2024HealthF 0584Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.ENoDeficient, Provider has date of correctionJuly 1, 2024
May 23, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionJune 28, 2024
May 23, 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionJuly 5, 2024
May 23, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionJuly 5, 2024
May 23, 2024HealthF 0700Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DNoDeficient, Provider has date of correctionJuly 12, 2024
May 23, 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correctionJuly 6, 2024
May 23, 2024HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DNoDeficient, Provider has date of correctionJuly 5, 2024
May 23, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionJuly 9, 2024
May 23, 2024HealthF 0887Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.FNoDeficient, Provider has date of correctionJuly 5, 2024
August 10, 2023HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correctionOctober 15, 2023
August 10, 2023HealthF 0561Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DNoDeficient, Provider has date of correctionOctober 15, 2023
August 10, 2023HealthF 0640Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DNoDeficient, Provider has date of correctionOctober 15, 2023
August 10, 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionOctober 15, 2023
August 10, 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionOctober 15, 2023
August 10, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionOctober 15, 2023
August 10, 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionAugust 10, 2023
August 10, 2023HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correctionOctober 15, 2023
August 10, 2023HealthF 0700Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.FNoDeficient, Provider has date of correctionOctober 15, 2023
August 10, 2023HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DNoDeficient, Provider has date of correctionSeptember 28, 2023
August 10, 2023HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correctionOctober 15, 2023
August 10, 2023HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correctionOctober 15, 2023
August 10, 2023HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.FNoDeficient, Provider has date of correctionOctober 15, 2023
August 10, 2023HealthF 0835Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.DNoDeficient, Provider has date of correctionSeptember 28, 2023
August 10, 2023HealthF 0838Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DNoDeficient, Provider has date of correctionAugust 10, 2023
August 10, 2023HealthF 0847Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.CNoDeficient, Provider has date of correctionSeptember 15, 2023
August 10, 2023HealthF 0867Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DNoDeficient, Provider has date of correctionSeptember 18, 2023
August 10, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionSeptember 14, 2023
August 10, 2023HealthF 0942Resident Rights DeficienciesEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.ENoDeficient, Provider has date of correctionSeptember 15, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - Hospital district
Legal Business NameMT GRANT GENERAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services1967-01-01
Provider Resides in HospitalY
Continuing Care Retirement CommunityN
UrbanN
County/ParishMineral
Telephone Number7759452461
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds24
Average Number of Residents per Day20.7
Overall Rating1
Health Inspection Rating1
QM Rating1
Long-Stay QM Rating1
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

Get an email when this record changes

One email a day naming what moved on LEFA SERAN SNF: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On July 1, 2026: PATRICIA COEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for LEFA SERAN SNF

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Nevada at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

The citable document with full history — $295

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