Monument Healthcare and Nursing Center
111 West 36th Street · Scottsbluff, NE · 69361 · 3086352019
160 certified beds For profit - Limited Liability company Chain: Lme Family Holdings
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 3.45 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 2 · $28,182 |
Inspection citations (44 in the current record)
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Potential for harm · D August 16, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected September 10, 2025 · Resident Rights
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Potential for harm · D August 16, 2025
Ensure each resident receives an accurate assessment.
Corrected September 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 16, 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.
Corrected September 10, 2025 · Nutrition and Dietary
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Potential for harm · E August 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 10, 2025 · Nutrition and Dietary
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Potential for harm · F August 16, 2025
Dispose of garbage and refuse properly.
Corrected September 10, 2025 · Nutrition and Dietary
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Potential for harm · D August 16, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 16, 2025
Provide and implement an infection prevention and control program.
Corrected September 10, 2025 · Infection Control
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Potential for harm · D August 16, 2025
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected September 10, 2025 · Infection Control
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Potential for harm · D August 16, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 10, 2025 · Quality of Life and Care
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No harm found · C August 16, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected September 10, 2025 · Resident Rights
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Potential for harm · D July 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G April 3, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 28, 2025 · Pharmacy Service
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Potential for harm · D April 3, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 28, 2025 · Resident Rights
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Potential for harm · D April 3, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 3, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 28, 2025 · Quality of Life and Care
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Potential for harm · D April 3, 2025 · found via complaint
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.
Corrected April 28, 2025 · Pharmacy Service
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Potential for harm · D December 16, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 10, 2025 · Quality of Life and Care
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Potential for harm · D December 16, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 10, 2025 · Infection Control
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Immediate jeopardy · J August 1, 2024
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected August 29, 2024 · Quality of Life and Care
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Potential for harm · E August 1, 2024 · found via complaint
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.
Corrected August 29, 2024 · Nursing and Physician Services
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Potential for harm · E August 1, 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.
Corrected August 29, 2024 · Resident Rights
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Potential for harm · E August 1, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 1, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 29, 2024 · Quality of Life and Care
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Potential for harm · D August 1, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 29, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 3, 2025 | Fine | $16,744 |
| August 1, 2024 | Fine | $11,438 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285095 · certified since March 12, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.