Nursing HomeInspections

Monument Healthcare and Nursing Center

Nursing home in Scottsbluff, NE

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
111 West 36th Street, Scottsbluff, NE 69361
Phone
(308) 635-2019
Listed under
For-profit
Medicare CCN
285095
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
1 of 5
Certified beds
160
Average residents per day
85
Ownership
For-profit, limited Liability company
Legal business name
Scottsbluff Operations LLC
Chain
Lme Family Holdings (15 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 12, 1990
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 285095. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Aug 16, 2025. CMS lists 52 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 13, 2023 to Aug 31, 2026): 24 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 31, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 31, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 31, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 31, 2026Have enough outside ventilation via a window or mechanical ventilation, or both.
Environmental · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 31, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		F
Potential for more than minimal harm, widespread
Aug 31, 2026Honor 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.
Resident Rights · complaint inspection		F
Potential for more than minimal harm, widespread
Aug 31, 2026Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Jun 9, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 16, 2025Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights		C
Potential for minimal harm, widespread
Aug 16, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 16, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 16, 2025Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 52. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $28,182 in the last three years.

Apr 3, 2025Fine: $16,744
Aug 1, 2024Fine: $11,438

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.67 hours
Registered nurse (RN) time per resident per day
0.38 hours
Nurse aide time per resident per day
2.58 hours
Total nurse staffing on weekends
3.31 hours
Nursing staff turnover (yearly)
54%
RN turnover (yearly)
77%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Scottsbluff

Northfield Retirement Communities Care Center2100 Circle Drive · Scottsbluff, NE 69361 · (308) 632-4342 · Nonprofit35 health citations in 3 inspection cycles · last standard inspection Jul 9, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified1★ overall (CMS)

All 2 in Scottsbluff →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error