Nebraska › Scott Bluff County › Scottsbluff
Monument Healthcare and Nursing Center
111 West 36th Street, Scottsbluff, NE 69361
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Monument Healthcare and Nursing Center is a For-profit, limited liability company nursing home in Scottsbluff, Nebraska, certified for 160 beds and caring for about 84 residents a day.
CMS gives it 1 of 5 stars overall, below the Nebraska median of 3; the health inspection rating is 1, staffing 2 and quality measures 1.
Inspectors recorded 45 health deficiencies across the three most recent survey cycles (11, 24, 10 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 28.1 per 100 beds, about the same as the state median of 23.7.
CMS lists 2 penalties in the period covered: fines totalling $28K.
Reported nurse staffing is 4.0 hours per resident per day (0.4 RN), close to the Nebraska median of 3.9; nursing staff turnover is 63.0%.
Compared with county, state and nation
| Measure | This facility | Scott Bluff Co. median | Nebraska median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 45 | 28 | 15 | 28.7 |
| Citations per 100 beds | 28.1 | 38.0 | 23.7 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.0 | 3.9 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.6 | 0.7 |
| Nursing staff turnover | 63.0% | 63.0% | 47.1% | 45.8% |
| Fines listed | $28,182 | $0 | $0 | — |
County and state figures are medians across facilities (4 in the county, 180 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Aug 2025, 1 Aug 2024.
Severity mix: J ×1 G ×1 D ×28 E ×7 F ×4 C ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Jun 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 15 Jun 2026 |
| 16 Aug 2025 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 10 Sep 2025 |
| 16 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Sep 2025 |
| 16 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 10 Sep 2025 |
| 16 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 10 Sep 2025 |
| 16 Aug 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 10 Sep 2025 |
| 16 Aug 2025 | F0801 | 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. | D | Standard survey | 10 Sep 2025 |
| 16 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 10 Sep 2025 |
| 16 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Sep 2025 |
| 16 Aug 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Standard survey | 10 Sep 2025 |
| 16 Aug 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 10 Sep 2025 |
| 9 Jul 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Jul 2025 |
| 3 Apr 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | G | Complaint investigation | 28 Apr 2025 |
| 3 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 28 Apr 2025 |
| 3 Apr 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 28 Apr 2025 |
| 3 Apr 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 28 Apr 2025 |
| 3 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Apr 2025 |
| 3 Apr 2025 | F0758 | 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. | D | Complaint investigation | 28 Apr 2025 |
| 16 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Jan 2025 |
| 16 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Jan 2025 |
| 1 Aug 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard survey | 29 Aug 2024 |
| 1 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Aug 2024 |
| 1 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 29 Aug 2024 |
| 1 Aug 2024 | F0584 | 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. | E | Standard survey | 29 Aug 2024 |
| 1 Aug 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 29 Aug 2024 |
| 1 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 29 Aug 2024 |
| 1 Aug 2024 | F0726 | 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. | E | Complaint investigation | 29 Aug 2024 |
| 1 Aug 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 29 Aug 2024 |
| 1 Aug 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 29 Aug 2024 |
| 1 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Aug 2024 |
| 1 Aug 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 29 Aug 2024 |
| 1 Aug 2024 | F0758 | 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. | D | Standard survey | 29 Aug 2024 |
| 1 Aug 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 29 Aug 2024 |
| 1 Aug 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 29 Aug 2024 |
| 1 Aug 2024 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | C | Standard survey | 29 Aug 2024 |
| 15 Nov 2023 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 27 Dec 2023 |
| 13 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 25 Aug 2023 |
| 13 Jul 2023 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 25 Aug 2023 |
| 13 Jul 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 25 Aug 2023 |
| 13 Jul 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 25 Aug 2023 |
| 13 Jul 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 25 Aug 2023 |
| 13 Jul 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 25 Aug 2023 |
| 13 Jul 2023 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 25 Aug 2023 |
| 13 Jul 2023 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | C | Standard survey | 25 Aug 2023 |
| 13 Jul 2023 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | C | Standard survey | 25 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Apr 2025 | Fine | $16,744 | |
| 1 Aug 2024 | Fine | $11,438 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 63.0%, RNs 78.6%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Nebraska median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.7% | 18.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 4.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.3% | 17.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.3% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.7% | 19.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. CMS groups this facility with 15 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Scottsbluff Operations Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ydgk LLC | 5% or greater direct ownership interest | 10% | 01/01/2025 |
| Mgjr Equity LLC | 5% or greater indirect ownership interest | 7% | 07/01/2022 |
| Mgjr Equity LLC | Adp of the snf | NOT APPLICABLE | 07/01/2022 |
| Scottsbluff Mhc Propco LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Ydgk LLC | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Scott Bluff County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Heritage Estates | Gering | 102 | 4 | 3 | 5 | 13 | 12.7 | — | 25 Jun 2026 |
| Mitchell Care Center | Mitchell | 50 | 3 | 3 | 3 | 19 | 38.0 | — | 10 Sep 2025 |
| Northfield Retirement Communities Care Center | Scottsbluff | 66 | 1 | 1 | 1 | 28 | 42.4 | — | 10 Mar 2026 |
All 4 facilities in Scott Bluff County
Questions and answers
How many deficiencies has Monument Healthcare and Nursing Center been cited for?
45 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.
Has Monument Healthcare and Nursing Center been fined?
Yes. CMS lists fines totalling $28K in the period covered.
How does staffing at Monument Healthcare and Nursing Center compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.
Who operates Monument Healthcare and Nursing Center?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Ydgk LLC and Mgjr Equity LLC. Individual owners and managers are not listed on this site.
When was Monument Healthcare and Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 9 Jun 2026; the most recent standard health survey was 16 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.