nursing home in Scottsbluff, NE
Monument Healthcare and Nursing Center
111 West 36th Street, Scottsbluff, NE 69361 · (308) 635-2019
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Monument Healthcare and Nursing Center at a glance
Monument Healthcare and Nursing Center is a 160-bed for-profit nursing home in Scottsbluff, Nebraska (Scott Bluff County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Nebraska average of 2.8.
Residents receive about 4 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 4 hours.
Its most recent standard health inspection (August 16, 2025) found 11 health citations. The Nebraska average is 7.4.
Federal regulators fined it 2 times in the past three years, totaling $28,182.
Nursing staff turnover is 63% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 160
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Lme Family Holdings
- Medicare-certified since
- March 12, 1990
- Resident/family council
- Resident
- County
- Scott Bluff County
- CMS Certification Number
- 285095
Ratings
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.9 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.1 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.95 hrs | 3.98 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.36 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.64 hrs | 2.64 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.50 hrs | 3.48 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 63% | 48.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 78.6% | 44.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 7 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 101.8 | 57.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 0 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $28,182 | $11,975 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 160 | 76 | 107 | |
| Average residents per day | 84 | 55 | 86 | |
| Occupancy | 52.5% | 73% | 80.9% |
Long-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.7% | 4.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 8.3% | 4% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 29.7% | 20.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 2.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 22.7% | 19% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 24.3% | 18.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.3% | 5.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 5.2% | 4.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.3% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.4% | 19.3% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 24.9% | 25.9% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.1% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.3% | 93% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.7% | 2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 80.4% | 75.9% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.5% | 80.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 45 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 9, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected June 15, 2026 |
| August 16, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected September 5, 2025 |
| August 16, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected September 5, 2025 |
| August 16, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected September 5, 2025 |
| August 16, 2025 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | F Potential harm, widespread | Corrected September 10, 2025 |
| August 16, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 10, 2025 |
| August 16, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected September 10, 2025 |
| August 16, 2025 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected September 10, 2025 |
| August 16, 2025 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | D Potential harm, isolated | Corrected September 10, 2025 |
| August 16, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected September 10, 2025 |
| August 16, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 10, 2025 |
| August 16, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0801 | D Potential harm, isolated | Corrected September 10, 2025 |
| August 16, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 10, 2025 |
| August 16, 2025 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | C No harm, widespread | Corrected September 10, 2025 |
| July 9, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 25, 2025 |
| April 3, 2025 Complaint | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | G Actual harm, isolated | Corrected April 28, 2025 |
| April 3, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 28, 2025 |
| April 3, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 28, 2025 |
| April 3, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected April 28, 2025 |
| April 3, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 28, 2025 |
| April 3, 2025 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 28, 2025 |
| December 16, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 10, 2025 |
| December 16, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 10, 2025 |
| August 1, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected August 29, 2024 |
| August 1, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 29, 2024 |
| August 1, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected August 29, 2024 |
| August 1, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 29, 2024 |
| August 1, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 29, 2024 |
| August 1, 2024 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | J Immediate jeopardy, isolated | Corrected August 29, 2024 |
| August 1, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 29, 2024 |
| August 1, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected August 29, 2024 |
| August 1, 2024 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | E Potential harm, pattern | Corrected August 29, 2024 |
| August 1, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected August 29, 2024 |
| August 1, 2024 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. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected August 29, 2024 |
| August 1, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected August 29, 2024 |
| August 1, 2024 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected August 29, 2024 |
| August 1, 2024 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected August 29, 2024 |
| August 1, 2024 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected August 29, 2024 |
| August 1, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 29, 2024 |
| August 1, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected August 29, 2024 |
| August 1, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected August 29, 2024 |
| August 1, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected August 29, 2024 |
| August 1, 2024 Standard | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 | C No harm, widespread | Corrected August 29, 2024 |
| November 15, 2023 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 27, 2023 |
| July 13, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 25, 2023 |
| July 13, 2023 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | E Potential harm, pattern | Corrected August 25, 2023 |
| July 13, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected August 25, 2023 |
| July 13, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 25, 2023 |
| July 13, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 13, 2023 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 13, 2023 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 13, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 13, 2023 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 13, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected August 25, 2023 |
| July 13, 2023 Standard | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Tag F0850 | C No harm, widespread | Corrected August 25, 2023 |
| July 13, 2023 Standard | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 | C No harm, widespread | Corrected August 25, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $28,182 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 3, 2025 | Fine | $16,744 |
| August 1, 2024 | Fine | $11,438 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FRIEDMAN, STEVEN Individual | 5% or greater direct ownership interest | 21% | 07/01/2022 |
| HALPERT, EPHRAIM Individual | 5% or greater direct ownership interest | 19% | 04/05/2020 |
| YDGK LLC Organization | 5% or greater direct ownership interest | 10% | 01/01/2025 |
| ABBAS JAM TRUST Organization | 5% or greater indirect ownership interest | — | 01/01/2025 |
| GETZ, MORDECHAI Individual | 5% or greater indirect ownership interest | 7% | 07/01/2022 |
| MGJR EQUITY LLC Organization | 5% or greater indirect ownership interest | 7% | 07/01/2022 |
| ABBAS JAM TRUST Organization | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| FRIEDMAN, STEVEN Individual | adp of the snf | NOT APPLICABLE | 07/01/2022 |
| GETZ, MORDECHAI Individual | adp of the snf | NOT APPLICABLE | 07/01/2022 |
| HALPERT, EPHRAIM Individual | adp of the snf | NOT APPLICABLE | 04/05/2020 |
| KOHN, BRIAN Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| LME FAMILY HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| MGJR EQUITY LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2022 |
| MOSEL, LINDSEY Individual | adp of the snf | NOT APPLICABLE | 11/16/2019 |
| SCOTTSBLUFF MHC PROPCO LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| YDGK LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| ZANDER, CHARLENE Individual | adp of the snf | NOT APPLICABLE | 11/08/2024 |
| FRIEDMAN, STEVEN Individual | operational/managerial control | NOT APPLICABLE | 07/01/2022 |
| HALPERT, EPHRAIM Individual | operational/managerial control | NOT APPLICABLE | 04/05/2020 |
| MOSEL, LINDSEY Individual | operational/managerial control | NOT APPLICABLE | 11/16/2019 |
| ZANDER, CHARLENE Individual | operational/managerial control | NOT APPLICABLE | 11/08/2024 |
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★★★★★1Much below averageHeritage Estates
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★★★★★4Above averageMitchell Care Center
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★★★★★3Average- ★★★★★1Much below average
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Cascades at Skyview
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★★★★★1Much below average
Frequently asked questions
What is Monument Healthcare and Nursing Center's rating?
Monument Healthcare and Nursing Center has 1 out of 5 stars on the CMS overall star rating. The average for Nebraska nursing homes is 2.8 stars.
How many inspection citations did Monument Healthcare and Nursing Center receive?
Its most recent standard health inspection found 11 citations, compared with a Nebraska average of 7.4. Every citation is listed on this page with its severity.
Does Monument Healthcare and Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Monument Healthcare and Nursing Center?
It is for profit - limited liability company and part of Lme Family Holdings. The ownership section on this page lists the owners and managers reported to CMS.
Where is Monument Healthcare and Nursing Center and how do I contact it?
Monument Healthcare and Nursing Center is at 111 West 36th Street, Scottsbluff, NE 69361. Phone: (308) 635-2019.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.