Monument Healthcare and Nursing Center in Scottsbluff, NE has a 1-out-of-5 overall rating, with 1-star health inspection and quality ratings and 2-star staffing. Reported staffing is 3.67 hours per resident per day, below the federal benchmark of 4.1, and the facility had $28,182 in fines in the last 24 months, including a recent federal penalty.
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 3.6657.
Staffing detail
Registered nurses
0.36
Licensed practical nurses
0.72
Nurse aides
2.58
Weekend nursing
3.45
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 77%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
28.3%Worsening
Residents with a fall causing major injury
3%Improving
Residents with pressure ulcers (bedsores)
9%Steady
Residents with a urinary tract infection
0.4%Worsening
Residents who lost too much weight
7.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
28.3%Worsening
Residents whose ability to walk got worse
27.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
20.9%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
24.9%Improving
Residents with depressive symptoms
5.6%Improving
Long-stay residents given the seasonal flu vaccine
95.1%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
80.4%Steady
Short-stay residents given the pneumonia vaccine
99.2%Steady
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.
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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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 10 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal fine of $16,744 was recorded.
INSPECTION
Health inspection found 6 health deficiencies.
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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
Ownership
For profit - Limited Liability company
Chain
Part of LME FAMILY HOLDINGS · 15 homes · 2.1 stars avg
Occupancy
85 residents on an average day (53% 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.