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.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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)
-
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
-
Potential for harm · D August 16, 2025
Ensure each resident receives an accurate assessment.
Corrected September 10, 2025 · Resident Assessment and Care Planning
-
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
-
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
-
Potential for harm · F August 16, 2025
Dispose of garbage and refuse properly.
Corrected September 10, 2025 · Nutrition and Dietary
-
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
-
Potential for harm · D August 16, 2025
Provide and implement an infection prevention and control program.
Corrected September 10, 2025 · Infection Control
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
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.