Nursing home
Monument Rehabilitation and Care Center (Skilled Nursing)
111 West 36Th Street, Scottsbluff, NE 69361 · Map
For profit - Limited Liability company · Part of Lme Family Holdings (15 facilities) · 160 certified beds
Monument Rehabilitation and Care Center (Skilled Nursing) is a Medicare-certified nursing home in Scottsbluff, Nebraska. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.78 hours per resident per day, below the Nebraska average of 4.17. Its most recent inspection on Aug 16, 2025 cited 17 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 3 fines totaling $59,382In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Monument Rehabilitation and Care Center (Skilled Nursing) compares
This facility vs. the Nebraska and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Nebraska avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.78 | 4.17 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.33 | 0.71 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.63 | 2.76 | 2.34 | below avg |
| Nursing staff turnover | 61.3% | 49.3% | 46.4% | above avg |
| Deficiencies cited, last inspection | 17.0 | 6.7 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $59,382, 3 total penalties.
What inspectors found at Monument Rehabilitation and Care Center (Skilled Nursing)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Aug 16, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 16, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Aug 16, 2025 · Full report (PDF) - Potential for harm
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies · Aug 16, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 16, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Aug 16, 2025 · Full report (PDF) - Potential for harm
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 · Aug 16, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Aug 16, 2025 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Aug 16, 2025 · Full report (PDF) - Minimal
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Aug 16, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 9, 2025 · Full report (PDF) - Actual harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 111 West 36Th Street
Scottsbluff, NE 69361 - CMS certification #
- 285095
- Ownership
- For profit - Limited Liability company
- Certified beds
- 160
- Avg residents/day
- 81.9
- Provider type
- Medicare and Medicaid
- First certified
- 1990-03-12
- Chain
- Lme Family Holdings (15 facilities)
- Setting
- Rural
Part of Lme Family Holdings
Lme Family Holdings operates 15 nursing facilities across the United States. View all Lme Family Holdings facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Monument Rehabilitation and Care Center (Skilled Nursing) using Google Maps.
Other public records
- Website says Works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Monument Rehabilitation and Care Center (Skilled Nursing) says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
Hospice Care – Monument Rehabilitation and Care Center
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Regional West Medical Center, Scottsbluff. 0.4 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Northfield Retirement Communities Care Center, Scottsbluff. 1.1 miles away, straight line.
- Nearest home health agency office
- Brookestone Home Health & Hospice, Gering. 4.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 69361 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Scottsbluff Dialysis Center, Scottsbluff, 0.9 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 69361.
Brookestone Home Health & Hospice, office in Gering, 4.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Ivinson Memorial Hospital, Laramie. 105.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective June 15, 1979), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively low, wildfire relatively low, tornado relatively high, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Monument Rehabilitation and Care Center (Skilled Nursing) a good nursing home?
CMS gives Monument Rehabilitation and Care Center (Skilled Nursing) an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Monument Rehabilitation and Care Center (Skilled Nursing) staffed?
Monument Rehabilitation and Care Center (Skilled Nursing) reports 3.78 total nurse hours per resident per day, compared with the Nebraska average of 4.17.
Has Monument Rehabilitation and Care Center (Skilled Nursing) had inspection problems?
Its most recent CMS inspection cited 17 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Monument Rehabilitation and Care Center (Skilled Nursing) have?
Monument Rehabilitation and Care Center (Skilled Nursing) is certified for 160 beds.