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Medicare-certifiedSkilled Nursing

Monument Healthcare and Nursing Center

Scottsbluff, NebraskaMedicare inspection record
(308) 635-2019

About Monument Healthcare and Nursing Center

Monument Healthcare and Nursing Center in Scottsbluff, Nebraska provides skilled nursing and rehabilitation care designed to help patients regain independence and strength. Our experienced team focuses on personalized recovery plans, compassionate medical support, and helping families navigate each step of the healing process with confidence.

Community at a glance

Capacity

160 residents

Location

Scottsbluff, NE

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

111 West 36th Street, Scottsbluff, Nebraska 69361

(308) 635-2019

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on August 16, 2025, state inspectors cited 11 health deficiencies (the Nebraska average is 7.4).

Nurses and nurse aides spend 3 hours 57 minutes with each resident a day, about the same as the Nebraska average.

Medicare fined Monument Healthcare and Nursing Center 2 times in the last three years, $28,182 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 57 minutes
Registered nurse time per resident, per day21 minutesBelow the Nebraska average
Nursing staff who left in the past year63%Above the Nebraska average

1 administrator has left the home in the past year.

Inspections

36 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 9, 2026 · Complaint investigation · 1 citation

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 15, 2026

August 16, 2025 · Standard inspection · 10 citations

  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Sep 10, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Sep 10, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 10, 2025
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 10, 2025
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 10, 2025
  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 10, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 10, 2025
  • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Sep 10, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 10, 2025
  • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Minimal harm or risk, widespread (level C)Resident RightsCorrected Sep 10, 2025
July 9, 2025 · Complaint investigation · 1 citation+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 25, 2025
April 3, 2025 · Complaint investigation · 6 citations+
  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintCorrected Apr 28, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 28, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 28, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 28, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 28, 2025
  • Implement 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Apr 28, 2025
December 16, 2024 · Complaint investigation · 2 citations+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 10, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 10, 2025
August 1, 2024 · Standard inspection · 14 citations+
  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected Aug 29, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Aug 29, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Aug 29, 2024
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Aug 29, 2024
  • Honor 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Aug 29, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Aug 29, 2024
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Aug 29, 2024
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Aug 29, 2024
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Aug 29, 2024
  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 29, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 29, 2024
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Aug 29, 2024
  • Implement 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 29, 2024
  • Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    Minimal harm or risk, widespread (level C)Freedom from Abuse, Neglect, and ExploitationCorrected Aug 29, 2024
August 1, 2024 · Complaint investigation · 1 citation+
  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Aug 29, 2024
November 15, 2023 · Complaint investigation · 1 citation+
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 27, 2023

Fines and payment denials

2 fines totaling $28,182 in the last three years.

  • April 3, 2025Fine: $16,744
  • August 1, 2024Fine: $11,438

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Scottsbluff Operations LLC
Medicare-certified beds
160
Average residents per day
84
Accepts
Medicare and Medicaid
First certified
March 12, 1990
Part of a chain
Lme Family Holdings, 15 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
285095

Location

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111 West 36th StreetScottsbluff, NE 69361

12 other communities within 10 miles

Senior living near Scottsbluff

Questions about Monument Healthcare and Nursing Center

How did Monument Healthcare and Nursing Center do on its last inspection?+

State inspectors visited on August 16, 2025 and cited 11 health deficiencies, 2 of them from complaint investigations. The Nebraska average is 7.4.

How much nursing care does each resident get at Monument Healthcare and Nursing Center?+

Nurses and aides spend 3 hours 57 minutes with each resident per day, including 21 minutes from registered nurses. 63% of nursing staff left over the past year.

Has Monument Healthcare and Nursing Center been fined by Medicare?+

Yes. Medicare fined Monument Healthcare and Nursing Center 2 times in the last three years, totaling $28,182.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Scottsbluff Skilled Nursing in Nebraska Skilled Nursing guide Information last updated October 2026