GoodStanding

Nursing home report

Monument Healthcare and Nursing Center

Scottsbluff, NE · Medicare-certified · 160 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

1 of 5 stars overall. Monument Healthcare and Nursing Center has 1-star health inspection and quality ratings, 2-star staffing, reported nurse staffing below the federal benchmark (3.95 vs 4.1 hours per resident per day), $28,182 in fines over the last 24 months, and a recent federal penalty flag.

Facility ratings

Health inspections

Staffing

3.9508 hrs/resident/day

Quality measures

Last inspection: August 16, 2025Penalties, last 24 months: $28,182recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9508.

Staffing detail

Registered nurses
0.36
Licensed practical nurses
0.96
Nurse aides
2.64
Weekend nursing
3.50

Hours per resident per day.

Total staff turnover: 63%
Registered nurse turnover: 79%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

25%32.2%Worsening

Residents with a fall causing major injury

3.8%2.6%Improving

Residents with pressure ulcers (bedsores)

7.8%5.3%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

11.3%5.9%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

24.3%8.7%Improving

Residents whose ability to walk got worse

9.4%

Long-stay residents on antianxiety or sleep medication

18.7%16.4%Improving

Short-stay residents newly given an antipsychotic

0%3.6%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

28.7%25.6%Improving

Residents with depressive symptoms

8.3%5.7%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

95.1%

Long-stay residents given the pneumonia vaccine

100%93.5%Worsening

Short-stay residents given the seasonal flu vaccine

80.4%

Short-stay residents given the pneumonia vaccine

98.4%86.5%Worsening

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited August 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The home failed to ensure residents’ medications were free from unnecessary drugs. Cited April 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 757 — 42 CFR §483.45(d) — S/S: G

The home failed to properly dispose of garbage and other waste. Cited August 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 814 — 42 CFR §483.60 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. PENALTY

    A federal fine of $16,744 was recorded.

  5. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $11,438 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $28,182 in total fines.

  • Federal fine

    Apr 3, 2025

    $16,744
  • Federal fine

    Aug 1, 2024

    $11,438

Operator & ownership

Recent ownership change · Apr 16, 2019

Now operated by Scottsbluff Operations LLC, previously Scottsbluff Care and Rehabilitation Center LLC.

Ownership
For profit - Limited Liability company
Chain
Part of LME FAMILY HOLDINGS · 15 homes · 2 stars avg
Occupancy
84 residents on an average day (52% of 160 beds)
Resident voice
Resident council
Medicare history
Certified for 36 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.