Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 295001

Lefa Seran Snf

49 federal citations on record .

Record summary

Federal record · Q1 2026
49
Total citations
47
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
1
Overall ★ rating

Most common violation categories here

Administration10 Quality of Care9 Care Planning8 Infection Control7 Resident Rights6

Most common F-tags at this facility

F6894 F6573 F8673 F8803 F6412

Citation history

49 on record
SurveyF-TagViolationSeveritySource
Apr 10, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DStandard
Apr 10, 2025F946Provide training in compliance and ethics.DStandard
Apr 10, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.DStandard
Apr 10, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
Apr 10, 2025F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DStandard
Apr 10, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DStandard
Apr 10, 2025F887Educate 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.DStandard
Apr 10, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.FStandard
Apr 10, 2025F880Provide and implement an infection prevention and control program.DStandard
Apr 10, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Apr 10, 2025F838Conduct 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.DStandard
Apr 10, 2025F758Implement 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.DStandard
Apr 10, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Apr 10, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Apr 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 10, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 10, 2025F641Ensure each resident receives an accurate assessment.DStandard
May 23, 2024F887Educate 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.FStandard
May 23, 2024F880Provide and implement an infection prevention and control program.DStandard
May 23, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
May 23, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
May 23, 2024F700Try 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.DStandard
May 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 23, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 23, 2024F641Ensure each resident receives an accurate assessment.DStandard
May 23, 2024F584Honor 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.EStandard
May 23, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Aug 10, 2023F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.EStandard
Aug 10, 2023F880Provide and implement an infection prevention and control program.DStandard
Aug 10, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Aug 10, 2023F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.CStandard
Aug 10, 2023F838Conduct 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.DStandard
Aug 10, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Aug 10, 2023F758Implement 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.FStandard
Aug 10, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Aug 10, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Aug 10, 2023F727Have 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.DStandard
Aug 10, 2023F700Try 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.FStandard
Aug 10, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Aug 10, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Aug 10, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Aug 10, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Aug 10, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 10, 2023F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Aug 10, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Aug 10, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Apr 5, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 5, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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