Monument Healthcare and Nursing Center
111 West 36th Street, Scottsbluff, NE 69361 · (308) 635-2019
For profit - Limited Liability company · 160 certified beds
Monument Healthcare and Nursing Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 10 citations (the Nebraska average is 7.4). It was fined 2 times in the last three years, $28,182 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 16, 2025 found 10 citations. What an inspection citation means
- Dispose of garbage and refuse properly.August 16, 2025 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 16, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.August 16, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.August 16, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.August 16, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 16, 2025 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.August 16, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.August 16, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.August 16, 2025 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.August 16, 2025 · F0577 · Level of harm: Potential for minimal harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 17 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 9, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe, appropriate pain management for a resident who requires such services.August 16, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 9, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 3, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.April 3, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.April 3, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 3, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.April 3, 2025 · F0757 · Level of harm: Actual harm · Residents affected: Few
- 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.April 3, 2025 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 16, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.December 16, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.August 1, 2024 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 1, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 1, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.August 1, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.August 1, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.November 15, 2023 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $16,744April 3, 2025
- Fine of $11,438August 1, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Nebraska average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.95 | 3.98 | 3.86 |
| Registered nurses (RN) | 0.36 | 0.67 | 0.69 |
| Licensed practical nurses (LPN) | 0.96 | 0.67 | 0.86 |
| Nurse aides | 2.64 | 2.64 | 2.32 |
| Total nursing staff turnover | 63% | 48.7% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 160 |
| Average residents per day | 84 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Northfield Retirement Communities Care Center Scottsbluff · ★★★★★ 1 out of 5 stars
- Heritage Estates Gering · ★★★★★ 4 out of 5 stars
- Mitchell Care Center Mitchell · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Monument Healthcare and Nursing Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.