Federal inspection record · CMS data as of October 1, 2026
Monument Healthcare and Nursing Center
111 West 36th Street, Scottsbluff, NE · (308) 635-2019
- Certified beds
- 160
- Residents per day
- 85
- Ownership
- For-Profit
- Chain
- Lme Family Holdings
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 12, 1990
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Monument Healthcare and Nursing Center carries 164.75 inspection points. That is fewer than 4% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
52 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure each resident’s drug regimen must be free from unnecessary drugs.
-
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.
Everything else, by area of care
Resident Rights11F
- F
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 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.
Resident Assessment and Care Planning9E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
Quality of Life and Care7E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide or obtain dental services for each resident.
Nutrition and Dietary5F
- F
Dispose of garbage and refuse properly.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service5E
- 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.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
- D
Ensure that residents are free from significant medication errors.
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- D
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- C
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
- D
Respond appropriately to all alleged violations.
- C
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Nursing and Physician Services2F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- 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.
Environmental2E
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Administration1C
- C
Hire a qualified full-time social worker in a facility with more than 120 beds.
Inspection history
2025-08-16
18 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2024-08-01
23 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (6 deficiencies)
2023-07-13
11 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 40 min of nursing staff time a day, 23 min of it from a registered nurse.
This home
3 h 40 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 77% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$28,182 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-03 | Fine | $16,744 |
| 2024-08-01 | Fine | $11,438 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.6 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better | 97.3% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 2.0% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.1 pts worse | 7.5% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts worse | 5.9% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts worse | 20.9% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.2 pts worse | 30.9% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.5 pts worse | 22.3% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increasedAbout the same | 19.0% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.8% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2 pts better | 0.7% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.7 pts better | 22.3% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.4 pts worse | 7.4% | 4.0% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.2 pts better | 89.5% | 81.3% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.9 pts worse | 19.7% | 10.8% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 1.4% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 78.4% | 73.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.9 pts worse | 26.0% | 21.1% | 23.4% |
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Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Friedman, Steven | 5% Or Greater Direct Ownership Interest · Individual | 21% | 6 facilities |
| Halpert, Ephraim | 5% Or Greater Direct Ownership Interest · Individual | 19% | 2 facilities |
| Ydgk LLC | 5% Or Greater Direct Ownership Interest · Organization | 10% | 2 facilities |
| Getz, Mordechai | 5% Or Greater Indirect Ownership Interest · Individual | 7% | 2 facilities |
| Mgjr Equity LLC | 5% Or Greater Indirect Ownership Interest · Organization | 7% | 1 facilities |
| Abbas Jam Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 2 facilities |
| Abbas Jam Trust | Adp Of The SNF · Organization | 0% | 2 facilities |
| Friedman, Steven | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Friedman, Steven | Adp Of The SNF · Individual | 0% | 6 facilities |
| Getz, Mordechai | Adp Of The SNF · Individual | 0% | 2 facilities |
| Halpert, Ephraim | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Halpert, Ephraim | Adp Of The SNF · Individual | 0% | 2 facilities |
| Kohn, Brian | Adp Of The SNF · Individual | 0% | 47 facilities |
| Lme Family Holdings LLC | Adp Of The SNF · Organization | 0% | 23 facilities |
| Mgjr Equity LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mosel, Lindsey | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Mosel, Lindsey | Adp Of The SNF · Individual | 0% | 2 facilities |
| Scottsbluff Mhc Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ydgk LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Zander, Charlene | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Zander, Charlene | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems3F
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure that testing and maintenance of electrical equipment is performed.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction1E
- E
Use approved construction type or materials.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
Northfield Retirement Communities Care Center
Scottsbluff, NE
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 56 min
- Fines
- $0
-
Heritage Estates
Gering, NE · Vetter Senior Living
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 25 min
- Fines
- $14,070
-
Mitchell Care Center
Mitchell, NE · Rural Health Development
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 48 min
- Fines
- $0