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Monument Rehabilitation and Care Center
Nursing Home, Hospice Care & Skilled Nursing · Scottsbluff, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Monument Rehabilitation and Care Center

Nursing Home, Hospice Care & Skilled Nursing · Scottsbluff, NE
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
111 West 36Th Street, Scottsbluff, NE 69361 View map Calculator: See prices in your area
Monument Rehabilitation and Care Center accepts Medicare, Medicaid, and private pay.
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Monument Rehabilitation and Care Center accepts Medicare, Medicaid, and private pay.

Overview of Monument Rehabilitation and Care Center

Monument Rehabilitation and Care Center is a privately owned skilled nursing facility in Scottsbluff, Nebraska, operated by Scottsbluff Operations LLC. The 160-bed community provides subacute and post-acute rehabilitation, long-term care, dementia care, and hospice services to residents in Scotts Bluff County.

CMS gives the facility a 1-star overall rating, about 63.9% below the Nebraska average. The rating is primarily due to its Health Inspection record. During the past 15 years, the facility has averaged 15.5 deficiencies per year, compared to Nebraska’s average of 4.2, a rate 269% worse than its peers.

Enforcement actions were substantial. In August 2024, the facility got a license probation for 180 days after not following advance directives for three residents. A second probation period lasting 90 days began in May 2025 after findings related to the over-medication of a resident.

Nurse staffing averages 3 hours and 44 minutes per resident per day. Its occupancy rate is 54%, well below Nebraska’s average of 70.3%, indicating current availability across care settings.

The facility holds a licensed Alzheimer’s special care unit with a capacity for up to 32 residents, alongside rehabilitation services and physical therapy.

Monument Rehabilitation and Care Center is best suited for residents requiring short-term post-acute rehabilitation or long-term dementia and skilled nursing care in Scottsbluff. However, families evaluating placement should carefully review the facility’s long-term compliance history and recent enforcement actions alongside its available care programs and services.

Facility Direct Line (308) 635-2019
Facility Direct Line (308) 635-2019 info@monumentrehab.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 65.8% Below NE avg. ▼ 65.8% Below NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.9% Below NE avg. ▼ 64.9% Below NE avg.NE average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 39.7% Below NE avg. ▼ 39.7% Below NE avg.NE average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 65.2% Below NE avg. ▼ 65.2% Below NE avg.NE average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Nebraska averages

Rank #60 / 119Nurse hours — State benchmarkedThis home is ranked 60th out of 119 homes we track in Nebraska for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Nebraska average, with a ranking across 119 Nebraska facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 60th out of 119 homes we track in Nebraska for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 11m

6% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
23m
−47% State avg: 43m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 1m
+42% State avg: 43m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 48m
Avg State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 43m
+3% State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
9m
+214% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
16m
−43% State avg: 29m per day · National avg: 28m per day

2 of 6 metrics below state avg

Standout metric: Physical Therapist is +214% above Nebraska average

Capacity and availability

Residents per day
86
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
156 days
Bed community size
160-bed community Rank #16 / 225Bed count — State benchmarkedThis home is ranked 16th out of 225 homes we track in Nebraska for bed count. Shows this facility's certified or reported bed count compared to other Nebraska facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
Walk Score
Walk Score: 80 / 100 Rank #15 / 285Walk Score — State benchmarkedThis home is ranked 15th out of 285 homes we track in Nebraska for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Nebraska facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
54%
Rank #153 / 177Occupancy rate — State benchmarkedThis home is ranked 153rd out of 177 homes we track in Nebraska for occupancy. Shows this facility's occupancy rate versus the Nebraska average, with its Statewide rank out of 177. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the Nebraska average: 70.3%
Occupied beds
86 / 160
Average occupied beds in Nebraska homes 54 beds

License Details

Facility TypeNursing Home
CountyScotts Bluff
CMS Certification Number285095
Certification TypeCertification

Ownership & Operating Entity

Monument Rehabilitation and Care Center is administered by Assistant Administrator Yadira Gurrola.

Owner NameScottsbluff Operations LLC

Therapy & Rehabilitation

1 service
Rehabilitation Services

Additional Services

2 services
Rehab At Monument Rehabilitation
Subacute Skilled Nursing Care

Contact Information

Fax(308) 635-2438

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsLife at Monument Rehabilitation

Contact Monument Rehabilitation and Care Center

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.

Since 2010 · 16 years of data These figures come from state-published and/or federal inspection records. The period covered can vary depending on document availability. 233 deficiencies 56 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Nebraska state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2010 vs. Nebraska state average
Overall vs. NE average 1 Worse Metrics worse than Nebraska average:
• Total deficiencies (316% above) 1 Better Metrics better than Nebraska average:
• Deficiencies per inspection (2% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNE Averagevs. NE Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 23356 This facility has 316% more total deficiencies than a typical Nebraska nursing home (233 vs. NE avg 56).↑ 316% worse
Deficiencies per inspection Info Average deficiencies per inspection. 4.24.3 This facility has 2% fewer deficiencies per inspection than a typical Nebraska nursing home (4.2 vs. NE avg 4.3).↓ 2% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNE Averagevs. NE Avg
Total inspections Info Combined count of all inspections conducted at this facility. 5613 This facility has had 331% more total inspections than the Nebraska average (56 vs. NE avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 331% more
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data
Total health inspections 8

State average 4.3

Last Health inspection on Aug 2025

Total health citations
48 Rank #116 / 122Health citations — State benchmarkedThis home is ranked 116th out of 122 homes we track in Nebraska for health citations. Shows this facility's total health deficiency citations benchmarked to the Nebraska State average, with a ranking across all 122 NE facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 18.2

Citations per inspection
6 Rank #105 / 122Citations per inspection — State benchmarkedThis home is ranked 105th out of 122 homes we track in Nebraska for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Nebraska mean across 122 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State 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
900% worse than State average

State average: 0.2

Serious health citations
1
100% worse than State average

State average: 0.5

2 critical citations State average: 0.2
1 serious citation State average: 0.5
41 moderate citations State average: 17.2
4 minor citations State average: 0.2
Citations history (last 3 years)
Infection Control moderate citation Aug 16, 2025
Corrected
Infection Control moderate citation Aug 16, 2025
Corrected
Nutrition moderate citation Aug 16, 2025
Corrected
Nutrition moderate citation Aug 16, 2025
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 116
Employees 114
Contractors 2
Staff to resident ratio 1.45 : 1
28% fewer staff per resident than Nebraska average
Nebraska average ratio: 2.03 : 1 Nebraska average ratio: 2.03 : 1See full Nebraska ranking
Avg staff/day 42
Average shift 8.5 hours
9% better than Nebraska average
Nebraska average: 7.8 hours Nebraska average shift: 7.8 hoursSee full Nebraska ranking
Total staff hours (quarter) 32,689

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 11 RN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 19 total: 17 full-time employees and 2 contractors. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 42 CNA Staff are full-time employees. No contractors work on this role. 42
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.2%

73 contractor hours this quarter

Licensed Practical Nurse: 2

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4204211,61792100%8.8
Medication Aide/Technician310318,59392100%9.3
Licensed Practical Nurse172195,16592100%9.1
Registered Nurse110112,3219098%7.6
Other Dietary Services Staff4041,51592100%6.6
Physical Therapy Assistant2025797177%6.7
Administrator1015126470%8
Nurse Practitioner1015046368%8
RN Director of Nursing1014806065%8
Mental Health Service Worker1014806065%8
Respiratory Therapy Technician1014565661%8.1
Physical Therapy Aide1014375560%7.9
Qualified Social Worker101302527%1.2
42 Certified Nursing Assistant
% of Days 100%
31 Medication Aide/Technician
% of Days 100%
19 Licensed Practical Nurse
% of Days 100%
11 Registered Nurse
% of Days 98%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2024-2025

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 Rank #108 / 124Federal fines — State benchmarkedThis home is ranked 108th out of 124 homes we track in Nebraska for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Nebraska average among facilities with fines, and where it ranks among 124 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
109% higher than Nebraska average

Nebraska average: $33K

Number of fines 3
107% more fines than Nebraska average

Nebraska average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Nebraska average

Nebraska 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.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 3, 2025
$26K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 1, 2024
$11K

Last updated: Jan 2026

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 Info 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 average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 24.1
In line with Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Significantly below average Nebraska avg: 2.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 27.4%
32% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 19.6%
11% better than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 25.2%
6% better than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.0%
12% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 6.7%
55% worse than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
77% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 8.2%
50% worse than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 9.9%
123% worse than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 27.4%
38% worse than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
7% better than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.1%
In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.91
62% worse than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 4.05
108% worse than Nebraska average

Nebraska average: 1.95

Short-stay resident measures
Significantly below average Nebraska avg: 2.2 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
23% better than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.8%
68% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 80.4%
6% better than Nebraska average

Nebraska average: 75.9%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 25.0%
20% worse than Nebraska average

Nebraska average: 20.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 16.0%
38% worse than Nebraska average

Nebraska average: 11.6%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.0%
25% worse than Nebraska average

Nebraska average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 43.3%
19% worse than Nebraska average

Nebraska average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 35.9%
29% worse than Nebraska average

Nebraska average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 80
Medicare
9
11.3% of residents
Medicaid
56
70% of residents
Private pay or other
15
18.8% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.3M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$10.1M Rank #22 / 113Net patient revenue — State benchmarkedThis home is ranked 22nd out of 113 homes we track in Nebraska. Shows this facility's net patient revenue compared to the Nebraska average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$2.3M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.9M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #27 / 113Payroll costs — State benchmarkedThis home is ranked 27th out of 113 homes we track in Nebraska. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Nebraska average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$5.1M 50.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #95 / 113Payroll % of net patient revenue — State benchmarkedThis home is ranked 95th out of 113 homes we track in Nebraska. Shows payroll as a percentage of net patient revenue versus the Nebraska average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Nebraska that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$7.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$12.4M
How we calculate these figures

This home is administered by Assistant Administrator Yadira Gurrola.

This home is owned by Scottsbluff Operations LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 285095

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (45% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
211 total

Coverage residents most often arrive under.

Medicare 45%
Private pay 33%
Medicaid 23%
Discharges
196 total

Coverage residents most often leave under.

Medicare 26%
Private pay 32%
Medicaid 42%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Monument Rehabilitation and Care Center

Address 0.0 miles from city center Info Estimated distance in miles from Scottsbluff's city center to Monument Rehabilitation and Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Monument Rehabilitation and Care Center

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the NE Dept. of Health & Human Services (DHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Nebraska average is: 61.4% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Brookestone Village ★ ★ ★ ★ ★
NH
SNF
Omaha (Millard)
140
Facility 140
NE AVG 81
Rank #26 / 225
94.3%
Facility 94.3%
NE AVG 73.3
Rank #13 / 177
+29%
4.88
Facility 4.88
NE AVG 4.45
Rank #24 / 119
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +5%+9%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
5
Facility 5
NE AVG 18.2
Rank #6 / 122
1.7
Facility 1.7
NE AVG 4.2
Rank #4 / 122
-132-
58
Facility 58
NE AVG 47
Rank #89 / 285
Abigail Meredith
$20.5MFiscal year ending 06/2024
Facility $20.5MFiscal year ending 06/2024
NE AVG $7.6M
Rank #5 / 113
$13.1MFiscal year ending 06/2024
Facility $13.1MFiscal year ending 06/2024
NE AVG $4.5M
Rank #3 / 113
63.9%Fiscal year ending 06/2024
Facility 63.9%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #53 / 113
285242
Brookestone of Papillion ★ ★ ★ ★ ★
NH
SNF
Papillion
110
Facility 110
NE AVG 81
Rank #51 / 225
85.3%
Facility 85.3%
NE AVG 73.3
Rank #53 / 177
+16%
4.54
Facility 4.54
NE AVG 4.45
Rank #43 / 119
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ -2%+2%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
7
Facility 7
NE AVG 18.2
Rank #14 / 122
1.8
Facility 1.8
NE AVG 4.2
Rank #6 / 122
-94-
35
Facility 35
NE AVG 47
Rank #195 / 285
John Harris
$10.8MFiscal year ending 06/2024
Facility $10.8MFiscal year ending 06/2024
NE AVG $7.6M
Rank #18 / 113
$8.1MFiscal year ending 06/2024
Facility $8.1MFiscal year ending 06/2024
NE AVG $4.5M
Rank #9 / 113
75%Fiscal year ending 06/2024
Facility 75%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #10 / 113
285268
Southlake Village Rehabilitation & Care Center ★ ★ ★ ★ ★
NH
SNF
Lincoln
126
Facility 126
NE AVG 81
Rank #41 / 225
97.6%
Facility 97.6%
NE AVG 73.3
Rank #6 / 177
+33%
5.04
Facility 5.04
NE AVG 4.45
Rank #19 / 119
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ -48%+13%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
15
Facility 15
NE AVG 18.2
Rank #55 / 122
5.0
Facility 5.0
NE AVG 4.2
Rank #94 / 122
-123-
15
Facility 15
NE AVG 47
Rank #259 / 285
David Bergmann
$18.0MFiscal year ending 06/2024
Facility $18.0MFiscal year ending 06/2024
NE AVG $7.6M
Rank #7 / 113
$10.7MFiscal year ending 06/2024
Facility $10.7MFiscal year ending 06/2024
NE AVG $4.5M
Rank #6 / 113
59.5%Fiscal year ending 06/2024
Facility 59.5%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #70 / 113
285219
Brookestone Acres ★ ★ ★ ★ ★
NH
SNF
Columbus
80
Facility 80
NE AVG 81
Rank #82 / 225
78.8%
Facility 78.8%
NE AVG 73.3
Rank #86 / 177
+8%
4.98
Facility 4.98
NE AVG 4.45
Rank #19 / 119
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ -32%+12%
$0
Facility $0
NE AVG $38.1k
Rank #1 / 124
14
Facility 14
NE AVG 18.2
Rank #49 / 122
4.7
Facility 4.7
NE AVG 4.2
Rank #85 / 122
-63-
70
Facility 70
NE AVG 47
Rank #42 / 285
Raven Schmid
$9.4MFiscal year ending 06/2024
Facility $9.4MFiscal year ending 06/2024
NE AVG $7.6M
Rank #25 / 113
$5.8MFiscal year ending 06/2024
Facility $5.8MFiscal year ending 06/2024
NE AVG $4.5M
Rank #23 / 113
61.1%Fiscal year ending 06/2024
Facility 61.1%Fiscal year ending 06/2024
NE AVG 61.4%
Rank #61 / 113
285291
Monument Rehabilitation and Care Center ★ ☆ ☆ ☆ ☆
NH
HOS
SNF
Scottsbluff
160
Facility 160
NE AVG 81
Rank #16 / 225
53.8%
Facility 53.8%
NE AVG 73.3
Rank #153 / 177
-27%
4.19
Facility 4.19
NE AVG 4.45
Rank #60 / 119
 ★ ☆ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ -1%-6%
$28.2k
Facility $28.2k
NE AVG $38.1k
Rank #108 / 124
48
Facility 48
NE AVG 18.2
Rank #116 / 122
6.0
Facility 6.0
NE AVG 4.2
Rank #105 / 122
386-
80
Facility 80
NE AVG 47
Rank #15 / 285
Scottsbluff Operations LLC
$10.1MFiscal year ending 12/2023
Facility $10.1MFiscal year ending 12/2023
NE AVG $7.6M
Rank #22 / 113
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
NE AVG $4.5M
Rank #27 / 113
50.1%Fiscal year ending 12/2023
Facility 50.1%Fiscal year ending 12/2023
NE AVG 61.4%
Rank #95 / 113
285095
Nursing Home Explorer

Frequently Asked Questions about Monument Rehabilitation and Care Center

Who is the owner of Monument Rehabilitation and Care Center?

Monument Rehabilitation and Care Center is legally operated by Scottsbluff Operations LLC, and administered by Assistant Administrator Yadira Gurrola.

Is Monument Rehabilitation and Care Center in a walkable area?

Monument Rehabilitation and Care Center has a walk score of 80. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the occupancy rate at Monument Rehabilitation and Care Center?

Monument Rehabilitation and Care Center's occupancy is 54%.

Are pets allowed at Monument Rehabilitation and Care Center?

No, Monument Rehabilitation and Care Center has a no-pet policy.

Does Monument Rehabilitation and Care Center operate as a for-profit or non-profit?

Monument Rehabilitation and Care Center is registered as a for-profit in NE.

Who is the administrator of Monument Rehabilitation and Care Center?

Assistant Administrator Yadira Gurrola is the administrator of Monument Rehabilitation and Care Center.

How many beds does Monument Rehabilitation and Care Center have?

Monument Rehabilitation and Care Center has 160 beds.

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