Monument Healthcare and Nursing Center
Monument Healthcare and Nursing Center is a 160-bed nursing home in Scottsbluff, Nebraska. CMS has certified it for Medicare and Medicaid since 1990-03-12. It averages 84.0 residents a day.
What harm was found in the violations cited at Monument Healthcare and Nursing Center?
CMS lists 45 health-inspection deficiencies for Monument Healthcare and Nursing Center since 2023-07-13, 36 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-09.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-09 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2025-08-16 | F0814 | Dispose of garbage and refuse properly. | F |
| 2025-08-16 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-08-16 | F0628, F0641, F0697, F0801, F0842, F0880, F0882 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D |
| 2025-08-16 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C |
| 2025-07-09 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-04-03 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | G |
| 2025-04-03 | F0580, F0657, F0658, F0689, F0758 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. | D |
| 2024-12-16 | F0684, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide and implement an infection prevention and control program. | D |
| 2024-08-01 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J |
| 2024-08-01 | F0812, F0880 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2024-08-01 | F0584, F0655, F0684, F0726, F0759 | 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure medication error rates are not 5 percent or greater. | E |
| 2024-08-01 | F0561, F0689, F0756, F0758, F0760, F0925 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Ensure that residents are free from significant medication errors. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2024-08-01 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | C |
| 2023-11-15 | F0610 | Respond appropriately to all alleged violations. | D |
| 2023-07-13 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-07-13 | F0569, F0582, F0585, F0637, F0641, F0791 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / Provide or obtain dental services for each resident. | D |
| 2023-07-13 | F0606, F0850 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. / Hire a qualified full-time social worker in a facility with more than 120 beds. | C |
Why was Monument Healthcare and Nursing Center fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-04-03 | Fine | $16,744 |
| 2024-08-01 | Fine | $11,438 |
How is Monument Healthcare and Nursing Center staffed relative to the NE average?
| Measure | This facility | NE average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.95075 | 3.97992 |
| Total nursing staff turnover (%) | 63.0 | 48.7 |
| Average number of residents per day | 84.0 | 55.3 |
Who owns Monument Healthcare and Nursing Center, and what chain is it in?
Monument Healthcare and Nursing Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name SCOTTSBLUFF OPERATIONS LLC and belongs to the LME FAMILY HOLDINGS chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | YDGK LLC, FRIEDMAN, STEVEN, HALPERT, EPHRAIM | since 01/01/2025 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | ABBAS JAM TRUST, MGJR EQUITY LLC, GETZ, MORDECHAI | since 01/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | FRIEDMAN, STEVEN, HALPERT, EPHRAIM, MOSEL, LINDSEY, ZANDER, CHARLENE | since 04/05/2020 |
| ADP OF THE SNF | ABBAS JAM TRUST, LME FAMILY HOLDINGS LLC, MGJR EQUITY LLC, SCOTTSBLUFF MHC PROPCO LLC, YDGK LLC, FRIEDMAN, STEVEN, GETZ, MORDECHAI, HALPERT, EPHRAIM, KOHN, BRIAN, MOSEL, LINDSEY, ZANDER, CHARLENE | since 01/01/2025 |
Were you or a family member harmed at Monument Healthcare and Nursing Center?