CareSentinel

Federal Nursing-Home Survey Record

Monument Healthcare and Nursing Center

CCN 285095 · 111 West 36th Street, Scottsbluff, NE, 69361 · Operated within the LME FAMILY HOLDINGS chain

Does Monument Healthcare and Nursing Center have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Monument Healthcare and Nursing Center (CCN 285095), in Scottsbluff, NE, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 11 deficiencies; the most serious carries scope/severity F. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $28,182 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

CMS has $28,182 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$28,182

CMS has $28,182 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 1  ·  CMS state average: 2.9

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-08-16
CURRENT CYCLE
F814S/S F

Dispose of garbage and refuse properly.

2025-08-16
CURRENT CYCLE
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-08-16
CURRENT CYCLE
F801S/S D

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.

2025-08-16
CURRENT CYCLE
F697S/S D

Provide safe, appropriate pain management for a resident who requires such services.

2025-08-16
CURRENT CYCLE
F882S/S D

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

2025-08-16
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-08-16
CURRENT CYCLE
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2025-08-16
CURRENT CYCLE
F628S/S D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

2025-08-16
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-08-16
CURRENT CYCLE
F577S/S C

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

2025-07-09
CURRENT CYCLE
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2025-04-03
HISTORICAL
F757S/S G

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2025-04-03
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-04-03
HISTORICAL
F758S/S D

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.

2025-04-03
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2025-04-03
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2025-04-03
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-12-16
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-12-16
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-08-01
HISTORICAL
F678S/S J

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

2024-08-01
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-08-01
HISTORICAL
F880S/S F

Provide and implement an infection prevention and control program.

2024-08-01
HISTORICAL
F726S/S E

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.

2024-08-01
HISTORICAL
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-08-01
HISTORICAL
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2024-08-01
HISTORICAL
F584S/S E

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.

2024-08-01
HISTORICAL
F655S/S E

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2024-08-01
HISTORICAL
F925S/S D

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

2024-08-01
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-08-01
HISTORICAL
F756S/S D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

2024-08-01
HISTORICAL
F758S/S D

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.

2024-08-01
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2024-08-01
HISTORICAL
F561S/S D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

2024-08-01
HISTORICAL
F606S/S C

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

2023-11-15
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2023-07-13
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-07-13
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2023-07-13
HISTORICAL
F637S/S D

Assess the resident when there is a significant change in condition

2023-07-13
HISTORICAL
F569S/S D

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

2023-07-13
HISTORICAL
F791S/S D

Provide or obtain dental services for each resident.

2023-07-13
HISTORICAL
F585S/S D

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.

2023-07-13
HISTORICAL
F582S/S D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

2023-07-13
HISTORICAL
F850S/S C

Hire a qualified full-time social worker in a facility with more than 120 beds.

2023-07-13
HISTORICAL
F606S/S C

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Monument Healthcare and Nursing Center?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…