Occupancy rate
54%
In line with Nebraska averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Nebraska
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Monument Rehabilitation and Care Center
Nursing Home in Nebraska
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Monument Rehabilitation and Care Center
Monument Rehabilitation and Care Center is a skilled rehabilitation and skilled nursing facility located in Scottsbluff, Nebraska. It offers a variety of care options including subacute care, rehabilitation, long-term care, dementia care, and hospice care. The center is dedicated to providing high-quality healthcare services to its residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
160
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
53.8%
Residents per day (avg)
84
Occupancy rate
53.8%
Residents per day (avg)
84
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
45% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
33% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
23% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$12.5M
Operating loss
-$352.9K
Privately-owned community
Operated by a business corporation.
Home revenue
$12,461,718.00
Operating loss
$-352,875.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.8M
160-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
About this community
Occupancy
In line with Nebraska averageOccupied beds
86 / 160
Average residents
54 per day
License details
Facility type
Nursing Home
County:
SCOTTS BLUFF
Additional licensing details
CMS Certification Number:
285095
Certification type:
Certification
Ownership & operating entity
Monument Rehabilitation and Care Center is administrated by Yadira Gurrola, Assistant Administrator.
Owner name:
SCOTTSBLUFF OPERATIONS LLC
Care Services
All Levels of Care
Contact Information
Fax:
(308) 635-2438
Programs & Activities
Specific Programs
Rehab at Monument Rehabilitation, Subacute Skilled Nursing Care, Long Term Care, Dementia Care, Hospice Care, Life at Monument Rehabilitation, Careers, Admissions, Contact
Inspection History
In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.
56 visits/inspections
31 visits/inspections triggered by complaints
1 routine inspections
Results
31 with issues
25 without issues
Show Inspection Reports
Latest inspection
Date
April 3, 2025
233 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health inspections
8
Nebraska average 4.3
Last Health inspection on Aug 2025
Total health citations
48
Nebraska average 18.2
Citations per inspection
6
Nebraska average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 48 citations resulted from standard inspections; 15 of 48 resulted from complaint investigations; and 4 of 48 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
900% worse than Nebraska averageNebraska average: 0.2
Serious Health citations
1
1
100% worse than Nebraska averageNebraska average: 0.5
2 critical citations
1 serious citation
41 moderate citations
4 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 16, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 16, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 16, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 16, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 16, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 16, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 16, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 16, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Nebraska The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Filter by care type
Accura HealthCare of Hartington
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HARTINGTON
67
63.6%
-10%
4.13
-7%
0
7
2.3
0
31
-
Klaasmeyer, Kenneth
$3.7M
$2.1M
57.9%
285088
Accura HealthCare of Tekamah
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
TEKAMAH
46
72.0%
+2%
3.83
-14%
0
12
4.0
0
30
-
Geis, Heather
$3.1M
$2.1M
66.4%
285118
Arbor Care Center-Valhaven, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
VALLEY
66
72.4%
+3%
4.08
-8%
0
18
4.5
1
50
A+
-
$5.0M
$3.2M
64%
285117
Arbor Care Centers – Ord, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
ORD
60
51.8%
-26%
3.76
-16%
0
29
7.3
1
35
-
Luth, Kurt
$2.9M
$1.5M
52.9%
285294
Monument Rehabilitation and Care Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
SCOTTSBLUFF
160
52.2%
-26%
3.74
-16%
2
48
6.0
3
84
-
Scottsbluff Operations Llc
$10.6M
$4.7M
44.3%
285095
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0.0 miles from city center
SCOTTSBLUFF, NE 69361
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
119
Employees
119
Contractors
0
Staff to resident ratio
1.49:1
31% worse than Nebraska averageNebraska average ratio: 2.15:1
Avg staff/day
43
Average shift
8.6 hours
10% better than Nebraska averageNebraska average: 7.8 hours
Total staff hours (quarter)
33,715
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
44
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 44 | 0 | 44 | 12,666 | 91 | 100% | 9 |
| Medication Aide/Technician | 33 | 0 | 33 | 8,207 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 13 | 0 | 13 | 4,352 | 91 | 100% | 9.5 |
| Registered Nurse | 12 | 0 | 12 | 2,502 | 88 | 97% | 8.2 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,759 | 91 | 100% | 6.8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 838 | 67 | 74% | 6.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 513 | 65 | 71% | 7.9 |
| Administrator | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Physical Therapy Aide | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 492 | 62 | 68% | 7.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 352 | 44 | 48% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 27 | 32 | 35% | 0.8 |
44 Certified Nursing Assistant
% of Days
100%
33 Medication Aide/Technician
% of Days
100%
13 Licensed Practical Nurse
% of Days
100%
12 Registered Nurse
% of Days
97%
5 Other Dietary Services Staff
% of Days
100%
2 Physical Therapy Assistant
% of Days
74%
2 Mental Health Service Worker
% of Days
71%
2 Administrator
% of Days
70%
1 RN Director of Nursing
% of Days
69%
1 Nurse Practitioner
% of Days
68%
1 Physical Therapy Aide
% of Days
68%
1 Respiratory Therapy Technician
% of Days
68%
1 Clinical Nurse Specialist
% of Days
48%
1 Qualified Social Worker
% of Days
35%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
80 residents
Residents by payment source
Medicare
9 residents (11.3%)
Medicaid
56 residents (70%)
Private pay or other
15 residents (18.8%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.2
16% worse than Nebraska averageNebraska average: 11.3
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.1
In line with Nebraska averageNebraska average: 23.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
27.4%
Percent of long-stay residents whose need for help with daily activities has increased
27.4%
32% worse than Nebraska averageNebraska average: 20.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.6%
Percent of long-stay residents whose ability to move independently worsened
19.6%
11% better than Nebraska averageNebraska average: 22.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.2%
6% better than Nebraska averageNebraska average: 26.9%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
12% better than Nebraska averageNebraska average: 4.5%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.7%
Percent of long-stay high risk residents with pressure ulcers
6.7%
55% worse than Nebraska averageNebraska average: 4.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.7%
Percent of long-stay residents with a urinary tract infection
0.7%
77% better than Nebraska averageNebraska average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.2%
Percent of long-stay residents who lose too much weight
8.2%
50% worse than Nebraska averageNebraska average: 5.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
9.9%
Percent of long-stay residents who have depressive symptoms
9.9%
123% worse than Nebraska averageNebraska average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
27.4%
Percent of long-stay residents who received an antipsychotic medication
27.4%
38% worse than Nebraska averageNebraska average: 19.8%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Nebraska averageNebraska average: 93.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
In line with Nebraska averageNebraska average: 96.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
23% better than Nebraska averageNebraska average: 80.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
68% better than Nebraska averageNebraska average: 2.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.4%
6% better than Nebraska averageNebraska average: 75.9%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$68K
109% higher than Nebraska averageNebraska average: $33K
Number of fines
3
107% more fines than Nebraska averageNebraska average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Nebraska averageNebraska average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$68K
Nebraska average
$33K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 3, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 3, 2025
$26K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 1, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 1, 2024
$11K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 28, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 28, 2023
$31K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Monument Rehabilitation and Care Center based on CMS SNF Cost Reports.
Occupancy Rate
52.2%
↑ 1.5pp vs 2022
Net Income
-$352,875
↑ ~$402K vs 2022
Total Payroll
$5,079,099
↑ ~$681K vs 2022
Profit Margin
-3.3%
↑ 3.7pp vs 2022
Loading trend charts...
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