Mount Grant General Hospital
A critical access hospital in Hawthorne, Nevada 89415
200 South A St, Hawthorne, Nevada 89415. (702) 945-2461.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- Not rated patient survey rating
- 2 deficiencies cited in the last three years
- 11 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Mar 18, 2026: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Mar 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Mar 18, 2026: complaint inspection2 deficiencies
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Maintenance
The inspectors’ words, 236 words
“MAINTENANCE CFR(s): The CAH has housekeeping and preventive maintenance programs to ensure that-- (1) All essential mechanical, electrical, and patient-care equipment is maintained in safe operating condition; This Standard is not met as evidenced by: 25418 Based on observation, review of manufacturer’s instructions for use, and interview, the facility failed to ensure test strips used to measure the chemical concentration of sanitizing solution in the three-compartment kitchen sink had not expired. This failure had the potential to affect anyone who ate food that was cooked in the hospital’s kitchen. Findings include: On 03/16/2026 at 11:30 AM during observation of the kitchen and food preparation line, Dietary Manager (DM)21 revealed an automatic dishwasher was out of service. DM21 stated they were using a three-compartment sink (cleaning, rinsing, sanitizing) for the cookware. When asked about testing the sanitizer fluid, DM21 handed the surveyor a container of sanitizer test strips. The manufacturer’s directions for use of “Insta-Test QAC 50-400 parts per million” on the outside of the vial included an expiration date of May 2025. DM21 stated the kitchen staff should not be using expired test strips and replaced them with a vial that contained non-expired test strips. On 03/18/2025 at 12:40 PM during an interview, DM21 explained the dishwasher had been repaired almost weekly since October 2025...a replacement dishwasher had been requested on 11/25/2025...the hospital was notified the new dishwasher should be delivered within the next five days.”
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Patient Care Policies
The inspectors’ words, 611 words
“PATIENT CARE POLICIES CFR(s): (1) The CAH’s health care services are furnished in accordance with appropriate written policies that are consistent with applicable State law. This Standard is not met as evidenced by: 25418 Based on record review and interview, the facility failed to complete an assessment of pre- and post-pain levels for 3 of 3 patients reviewed (Patient (P)4, P5, and P7) who received narcotic medications out of a total sample of 20 patients. This failure had the potential to adversely affect any patient who required narcotic medication for pain relief. Findings include: 1. On 3/17/2026 at 4:08 PM, review of P4’s electronic medical record (EMR) with Director of Nursing (DON)5 revealed P4 was admitted on 11/03/2025 and discharged on 11/04/2025. P4’s EMR included a physician order for morphine (a narcotic pain medication) intravenous (by vein) push two milligrams (mg) every four hours as needed (PRN) for severe pain. P4’s Medication Administration Record (MAR) revealed morphine was administered as follows: 11/03/2025 at 8:21 PM 11/04/2025 at 7:15 AM 11/04/2025 at 7:00 PM P4’s nurse assessment notes lacked documented evidence the patient’s pain level was assessed prior to the administration of the pain medication. P4’s 11/03/2025 nurse assessment note lacked documented evidence an assessment was conducted after the administration of the pain medication to determine its effectiveness. 2. On 03/17/26 at 4:15 PM, review of P5’s EMR with DON5 revealed the patient was admitted on 11/08/2025 and discharged on 11/08/2025. P5’s EMR included a physician order for oxycodone (a narcotic pain medication) five mg by mouth every six hours PRN for pain. An entry in the MAR dated 11/08/2025 at 10:20 PM revealed P5 was given oxycodone five mg by mouth for pain. P5’s EMR lacked documented evidence the patient’s pain level was assessed prior to the administration of oxycodone. There was no documented evidence an assessment was conducted after the administration of the pain medication to determine its effectiveness. 3. On 3/17/2026 at 4:42 PM, review of the EMR with DON5 revealed P7 was admitted on 11/07/2025 and discharged on 11/15/2025. P7’s EMR included a physician order for oxycodone 30 mg by mouth every eight hours as needed for pain. P7’s MAR revealed oxycodone 30 mg was administered as follows: 11/07/2025 at 1:00 PM 11/07/2025 at 8:45 PM 11/08/2025 at 3:08 PM 11/09/2025 at 1:20 AM 11/09/2025 at 9:43 AM 11/09/2025 at 5:49 PM 11/10/2025 at 4:30 AM 11/10/2025 at 12:10 PM 11/10/2025 at 9:40 PM 11/11/2025 at 8:33 AM P7’s EMR lacked documented evidence the patient’s pain level was assessed prior to the administration of the pain medication. There was no documented evidence an assessment was conducted after the administration of the pain medication to determine its effectiveness. P7’s EMR included a physician order dated 11/11/2025 at 10:33 AM. The new order indicated, “Oxycodone 20 mg by mouth every eight hours as needed for pain.” P7’s MAR revealed oxycodone 20 mg was administered as follows: 11/11/2025 at 9:30 PM 11/12/2025 at 8:30 AM 11/12/2025 at 7:30 PM 11/13/2025 at 6:50 AM 11/13/2025 at 7:30 PM 11/14/2025 at 3:30 AM 11/14/2025 at 2:06 PM 11/14/2025 at 10:20 PM “for severe pain” P7’s EMR lacked documented evidence the patient’s pain level was assessed prior to the administration of the pain medication. There was no documented evidence an assessment was conducted after the administration of the pain medication to determine its effectiveness. On 3/17/2026 at 6:00 PM during an interview, DON5 confirmed the above findings and agreed administration of narcotic pain-relieving medication should have a pre- and post-pain level assessment conducted. Upon surveyor request for the hospital’s policy and procedure regarding pain assessments, DON5 indicated the hospital did not have a policy.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 18, 2026 | Complaint inspection | 2 deficiencies cited |
How do patients fare?
- CMS gives no overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “There are too few measures or measure groups reported to calculate a star rating or measure group score.”
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 0 worse of 1; readmission, 0 better and 0 worse of 1.
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “The number of cases/patients is too few to report a star rating.”
- Emergency department patients spent a median of 82 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | Not rated |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | Not rated |
Is it certified, and in good standing?
- Medicare-certified critical access hospital since Sep 1, 2000.
- Ownership: government - hospital district or authority.
- It is not accredited by a private organisation, so the state carries out its routine inspections for Medicare.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Government - Hospital District or Authority.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS’s HAC Reduction Program file has no result for it: the program covers general acute care hospitals Medicare pays under its inpatient prospective payment system.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- 99% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- 4 owners or officers are people: Denise Ferguson (corporate officer, 100%); Denise Ferguson (managing employee (on the payroll), 100%); Sandrae J Lehman (corporate officer, 100%); Sandrae J Lehman (managing employee (on the payroll), 100%).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Mt Grant General Hospital | Other role (CMS gives no detail) | 100% | Jun 7, 1984 |
How does it compare nearby?
- No other hospital CMS lists is in Mineral County.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.