Nursing HomeInspections

Monument Healthcare and Nursing Center

Nursing home in Scottsbluff, NE

Medicare & Medicaid certified1★ overall (CMS)

Call (308) 635-2019Send a messageMap ↗

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
84
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 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 16, 2025. CMS lists 45 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 13, 2023 to Jun 9, 2026): 17 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
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
Aug 16, 2025Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Aug 16, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 16, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 16, 2025Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 16, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Aug 16, 2025Dispose of garbage and refuse properly.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Jul 9, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 45. 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 Aug 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 Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.95 hours
Registered nurse (RN) time per resident per day
0.36 hours
Nurse aide time per resident per day
2.64 hours
Total nurse staffing on weekends
3.50 hours
Nursing staff turnover (yearly)
63%
RN turnover (yearly)
79%
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 · Nonprofit28 health citations in 3 inspection cycles · last standard inspection May 8, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified1★ overall (CMS)

All 2 in Scottsbluff →