Monument Rehabilitation and Care Center

Nursing Home & Assisted Living · Nebraska, NE

CMS overall rating

Monument Rehabilitation and Care Center

Q: Who is the owner of Monument Rehabilitation and Care Center?

The legal owner and operator of Monument Rehabilitation and Care Center is Scottsbluff Operations Llc.

Q: 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.

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

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

Q: Who is the administrator of Monument Rehabilitation and Care Center?

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

Q: How many beds does Monument Rehabilitation and Care Center have?

Monument Rehabilitation and Care Center has 160 beds.

Q: What is the address of Monument Rehabilitation and Care Center?

Monument Rehabilitation and Care Center is located at 111 West 36th Street.

Q: What is the phone number of Monument Rehabilitation and Care Center?

(308) 635-2019 will put you in contact with the team at Monument Rehabilitation and Care Center.

Nursing Home & Assisted Living · Nebraska, NE

CMS overall rating

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.

Calculator: See prices in your area

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.

(308) 635-2019 info@monumentrehab.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Nebraska state averages

Total nursing care / resident

3h 44m per day

This facility Nebraska avg (4h 20m per day)

vs Nebraska avg

-14%

4 of 6 metrics below state avg

Standout metric Physical Therapist is +16% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) 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.	22m per day	▼ 50% State avg: 43m per day · National avg: 41m per day
LPN / LVN 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.	43m per day	■ Avg State avg: 43m per day · National avg: 52m per day
Nurse Aide 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 35m per day	▼ 7% State avg: 2h 46m per day · National avg: 2h 20m per day
Weekend Total Nursing 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 27m per day	▼ 5% State avg: 3h 37m per day · National avg: 3h 26m per day
Physical Therapist 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.	3m per day	▲ 16% State avg: 3m per day · National avg: 4m per day
Weekend RN 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.	8m per day	▼ 71% State avg: 29m per day · National avg: 28m per day

Capacity and availability

156 days

160-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

Walk Score: 80 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

54%

Lower than the Nebraska average: 70.3%

Occupied beds

86 / 160

Average occupied beds in Nebraska homes 54 beds

Facility TypeNursing Home

CountyScotts Bluff

CMS Certification Number285095

Certification TypeCertification

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

Owner NameScottsbluff Operations LLC

Rehabilitation Services

Rehab At Monument Rehabilitation

Subacute Skilled Nursing Care

Fax(308) 635-2438

Specific ProgramsLife at Monument Rehabilitation

Get floorplan photos & videos Schedule a home tour Get detailed pricing Check availability Get brochure

Since 2010 · 16 years of data 233 deficiencies

Inspection Scorecard This scorecard compares key inspection, citation, 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

Latest Inspection April 3, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	NE Average	vs. NE Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	233	52	This facility has 348% more total deficiencies than a typical Nebraska nursing home (233 vs. NE avg 52).↑ 348% worse
Deficiencies per year Average deficiencies per year since 2010.	14.6	3.3	This facility has 342% more deficiencies per year than a typical Nebraska nursing home (14.6 vs. NE avg 3.3).↑ 342% worse

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

April 3, 2025 inspection placed the facility on 90-day probation for over-medication and failures in care, assessment, and reporting of psychotropic and opioid medication use.
August 1, 2024 inspection resulted in 180-day probation and admission prohibition for failure to follow CPR/DNR advance directives for three residents.
The facility’s record shows repeated deficiencies in resident safety, abuse prevention, care planning, medication management, and environmental hazards from 2017 through 2023, with ongoing probation and corrective plans required.

Show Inspection Reports

Inspections since 2023

Total health inspections 8

Nebraska average 4.3

Last Health inspection on Aug 2025

Total health citations

Nebraska average 18.2

Citations per inspection

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

900% worse than Nebraska average

Nebraska average: 0.2

Serious health citations

100% worse than Nebraska average

Nebraska average: 0.5

2 critical citations Nebraska average: 0.2

1 serious citation Nebraska average: 0.5

41 moderate citations Nebraska average: 17.2

4 minor citations Nebraska 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

Top deficiency categories

Infection Control 8 deficiencies (17%)

Resident Rights 8 deficiencies (17%)

Quality of Life & Care 7 deficiencies (15%)

Pharmacy Services 6 deficiencies (13%)

Abuse, Neglect & Exploitation 4 deficiencies (8%)

Administration 1 deficiency (2%)

Environmental 1 deficiency (2%)

Total staff 116

Employees 114

Contractors 2

Staff to resident ratio 1.45 : 1

28% fewer staff per resident than Nebraska average

Avg staff/day 42

Average shift 8.5 hours

9% better than Nebraska average

Total staff hours (quarter) 32,689

Nursing staff breakdown

7.6 hours

9.1 hours

8.8 hours

Contractor staffing

73 contractor hours this quarter

Licensed Practical Nurse: 2

Staff by category


Certified Nursing Assistant	42	0	42	11,617	92	100%	8.8
Medication Aide/Technician	31	0	31	8,593	92	100%	9.3
Licensed Practical Nurse	17	2	19	5,165	92	100%	9.1
Registered Nurse	11	0	11	2,321	90	98%	7.6
Other Dietary Services Staff	4	0	4	1,515	92	100%	6.6
Physical Therapy Assistant	2	0	2	579	71	77%	6.7
Administrator	1	0	1	512	64	70%	8
Nurse Practitioner	1	0	1	504	63	68%	8
RN Director of Nursing	1	0	1	480	60	65%	8
Mental Health Service Worker	1	0	1	480	60	65%	8
Respiratory Therapy Technician	1	0	1	456	56	61%	8.1
Physical Therapy Aide	1	0	1	437	55	60%	7.9
Qualified Social Worker	1	0	1	30	25	27%	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%

4 Other Dietary Services Staff

% of Days 100%

2 Physical Therapy Assistant

% of Days 77%

1 Administrator

% of Days 70%

1 Nurse Practitioner

% of Days 68%

1 RN Director of Nursing

% of Days 65%

1 Mental Health Service Worker

% of Days 65%

1 Respiratory Therapy Technician

% of Days 61%

1 Physical Therapy Aide

% of Days 60%

1 Qualified Social Worker

% of Days 27%

View All Staffing Data

Total fines amount $68K

109% higher than Nebraska average

Nebraska average: $33K

Number of fines 3

107% more fines than Nebraska average

Nebraska average: 1.5

Payment Denials 0

100% fewer payment denials than Nebraska average

Nebraska average: 0.7

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 Apr 3, 2025

$26K

Civil Money Penalty Aug 1, 2024

$11K

Last updated: Jan 2026

High-risk clinical events score 13.2

16% worse than Nebraska average

Nebraska average: 11.3

Functional decline score 24.1

In line with Nebraska average

Nebraska average: 23.3

Long-stay resident measures

Significantly below average Nebraska avg: 2.8

Need for Help with Daily Activities Increased 27.4%

32% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened 19.6%

11% better than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence 25.2%

6% better than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury 4.0%

12% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers 6.7%

55% worse than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection 0.7%

77% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight 8.2%

50% worse than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms 9.9%

123% worse than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use 27.4%

38% worse than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine 100.0%

7% better than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine 95.1%

In line with Nebraska average

Nebraska average: 96.1%

Hospitalizations per 1,000 days 2.91

62% worse than Nebraska average

Nebraska average: 1.80

ED visits per 1,000 days 4.05

108% worse than Nebraska average

Nebraska average: 1.95

Short-stay resident measures

Below average Nebraska avg: 2.2

Pneumococcal Vaccine 99.1%

23% better than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase 0.8%

68% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine 80.4%

6% better than Nebraska average

Nebraska average: 75.9%

Re-hospitalized after SNF stay 25.0%

20% worse than Nebraska average

Nebraska average: 20.9%

Emergency department visits 16.0%

38% worse than Nebraska average

Nebraska average: 11.6%

Falls with major injury 1.0%

25% worse than Nebraska average

Nebraska average: 0.8%

Ability to care for self at discharge 43.3%

19% worse than Nebraska average

Nebraska average: 53.7%

Successful return to home or community 35.9%

29% worse than Nebraska average

Nebraska average: 50.6%

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

Total residents 80

Medicare

11.3% of residents

Medicaid

70% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Monument Rehabilitation and Care Center from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 52.2% ↑ 1.5pp vs 2022

Net Income -$352.9K ↑ ~$401.6K vs 2022

Total Payroll $5.1M ↑ ~$680.6K vs 2022

Profit Margin -3.3% ↑ 3.7pp vs 2022

Financial Performance

Gross Revenue Operating Expenses Net Income

Salaries Contract Labor Wage Costs

Medicare Medicaid Private Pay/Other

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	82.1%	79.2%	76.4%	73.2%	77.0%	74.5%	73.6%	73.4%	73.4%	64.4%	51.1%	50.7%	52.2%
Beds	183	183	183	183	183	183	183	160	160	160	160	160	160
Net Income	-$134,809	-$188,620	-$769,082	-$630,389	-$487,471	-$1,013,262	-$783,975	$114,820	-$1,394,319	$775,461	$1,952,707	-$754,487	-$352,875
Gross Revenue	$11,650,205	$11,184,931	$12,204,363	$11,719,500	$12,008,567	$9,291,184	$9,058,945	$9,715,115	$5,317,482	$10,207,142	$10,801,046	$10,699,231	$10,561,087
Operating Expenses	$9,419,231	$9,300,393	$10,041,927	$9,461,214	$9,503,708	$7,344,959	$7,847,424	$8,917,049	$6,820,254	$9,779,067	$10,015,958	$11,361,905	$12,397,299
Net Patient Revenue	$9,200,142	$8,872,029	$9,088,127	$8,679,621	$8,903,935	$6,220,678	$7,063,445	$8,075,323	$5,317,482	$9,603,058	$10,392,085	$10,248,170	$10,143,793
Total Payroll	$5,448,404	$5,395,053	$5,709,143	$5,294,382	$5,266,162	$3,983,947	$1,805,573	$5,858,562	$4,935,935	$5,435,612	$5,041,749	$4,398,486	$5,079,099
Profit Margin %	-1.2%	-1.7%	-6.3%	-5.4%	-4.1%	-10.9%	-8.7%	1.2%	-26.2%	7.6%	18.1%	-7.1%	-3.3%
Medicare %	8.9%	9.3%	9.9%	7.7%	7.4%	5.7%	7.4%	7.3%	4.9%	13.5%	11.4%	14.1%	10.3%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	0.0%	65.5%	68.4%	71.0%	73.2%	76.1%	74.2%	72.3%
Private %	91.1%	90.7%	90.1%	92.3%	92.6%	94.3%	27.1%	24.3%	24.1%	13.2%	12.5%	11.7%	17.4%
Revenue/Day	$168	$167	$178	$178	$173	$167	$192	$188	$176	$255	$348	$346	$333
Cost/Day	$172	$175	$197	$194	$185	$197	$213	$208	$225	$259	$336	$384	$406
Avg Length of Stay	235.2 days	217.5 days	194.4 days	190.7 days	215.6 days	272.3 days	231.5 days	284.9 days	402.6 days	150.9 days	166.7 days	161.8 days	155.6 days

Finances and operations

Based on the 2023 CMS SNF Cost Report.

Home revenue

$12.5M

Operating loss

-$352.9K

Privately-owned community Operated by a single business entity.

Home revenue

$12.5M

Operating loss

-$352.9K

Payroll costs

$5.1M

40.8% of revenue

Other operating costs

$7.7M

Total costs $12.8M

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.

Coverage residents most often arrive under.

Medicare 45%

Private pay 33%

Medicaid 23%

Coverage residents most often leave under.

Medicare 26%

Private pay 32%

Medicaid 42%

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

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Financial Assistance for
Nursing Home in Nebraska

Monument Rehabilitation and Care Center is located in SCOTTSBLUFF, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.

Get Financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled

General Nebraska resident, Medicaid- eligible, nursing home-level care need.

Income Limits (2025) ~$2,829/month 300% FBR, individual

Asset Limits $4,000 individual, higher than most states

Higher asset limit; rural access focus.

Benefits

Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Nebraska Respite Network

NE Respite Network

Age Caregiver of someone 60+

General Nebraska resident.

Income Limits No strict limit; prioritizes low-income.

Asset Limits Not applicable.

Lifespan respite focus; limited funding.

Benefits

In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus)

General Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).

Income Limits (2025) ~$1,255/month (100% FPL, individual); spenddown allowed.

Asset Limits $4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).

Family can be paid caregivers; statewide via DHHS.

Benefits

Personal care (4-6 hours/day) Limited homemaker services Respite (~200 hours/year)

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+

General Nebraska resident (specific counties), NFLOC, safe with PACE support.

Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.

Asset Limits $4,000 (individual), $6,000 (couple).

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Benefits

Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled

General Nebraska resident, Medicare Part A/B.

Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits $9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General Nebraska resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits ~$155,356 net worth limit

High veteran demand in rural areas.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Compare Nursing Home around Nebraska

The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.

5 facilities compared · CMS & NE Dept. of Health data


Gateway Vista	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. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. PC Palliative Care RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.	Lincoln (Culler)	80 Facility 80 NE AVG 82 Rank #84 / 228	90.0% Facility 90.0% NE AVG 70.3% Rank #38 / 194	+28%	4.84 Facility 4.84 NE AVG 4.45 Rank #28 / 117	-20%	+9%	$8.7k Facility $8.7k NE AVG $38.1k Rank #87 / 122	10 Facility 10 NE AVG 18.2 Rank #28 / 122	3.3 Facility 3.3 NE AVG 4.2 Rank #34 / 122	1	72	-	71 Facility 71 NE AVG 46 Rank #43 / 298	Mikel Ardley	$25.2M Facility $25.2M NE AVG $7.6M Rank #4 / 120	$7.0M Facility $7.0M NE AVG $3.5M Rank #14 / 120	27.7% Facility 27.7% NE AVG 49.4% Rank #117 / 120	285266
Emerald Columbus	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. HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. PC Palliative Care	Columbus (40Th Avenue)	145 Facility 145 NE AVG 82 Rank #25 / 228	56.6% Facility 56.6% NE AVG 70.3% Rank #161 / 194	-20%	3.78 Facility 3.78 NE AVG 4.45 Rank #78 / 117	-37%	-15%	$0 Facility $0 NE AVG $38.1k Rank #1 / 122	20 Facility 20 NE AVG 18.2 Rank #75 / 122	3.3 Facility 3.3 NE AVG 4.2 Rank #34 / 122	-	72	A+	57 Facility 57 NE AVG 46 Rank #101 / 298	Columbus Operations LLC	$11.3M Facility $11.3M NE AVG $7.6M Rank #22 / 120	$6.1M Facility $6.1M NE AVG $3.5M Rank #22 / 120	54% Facility 54% NE AVG 49.4% Rank #78 / 120	285092
Chrisoma West	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. HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Holdrege	60 Facility 60 NE AVG 82 Rank #133 / 228	100.0% Facility 100.0% NE AVG 70.3% Rank #1 / 194	+42%	3.98 Facility 3.98 NE AVG 4.45 Rank #68 / 117	-15%	-11%	$0 Facility $0 NE AVG $38.1k Rank #1 / 122	19 Facility 19 NE AVG 18.2 Rank #70 / 122	3.2 Facility 3.2 NE AVG 4.2 Rank #32 / 122	-	72	-	2 Facility 2 NE AVG 46 Rank #287 / 298	Midwest District Of The Evangelical Free Church Of America	$10.4M Facility $10.4M NE AVG $7.6M Rank #28 / 120	$4.9M Facility $4.9M NE AVG $3.5M Rank #38 / 120	47.2% Facility 47.2% NE AVG 49.4% Rank #97 / 120	285246
Keystone Villas	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. IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.	Omaha (Keystone)	68 Facility 68 NE AVG 82 Rank #111 / 228	79.5% Facility 79.5% NE AVG 70.3% Rank #92 / 194	+13%	3.35 Facility 3.35 NE AVG 4.45 Rank #104 / 117	-56%	-25%	$70.1k Facility $70.1k NE AVG $38.1k Rank #116 / 122	24 Facility 24 NE AVG 18.2 Rank #90 / 122	4.0 Facility 4.0 NE AVG 4.2 Rank #50 / 122	2	70	-	55 Facility 55 NE AVG 46 Rank #113 / 298	Sandra Leimer	$10.0M Facility $10.0M NE AVG $7.6M Rank #31 / 120	$5.7M Facility $5.7M NE AVG $3.5M Rank #24 / 120	57.6% Facility 57.6% NE AVG 49.4% Rank #64 / 120	285238
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 Facility 160 NE AVG 82 Rank #16 / 228	53.8% Facility 53.8% NE AVG 70.3% Rank #166 / 194	-23%	3.74 Facility 3.74 NE AVG 4.45 Rank #85 / 117	-1%	-16%	$28.2k Facility $28.2k NE AVG $38.1k Rank #112 / 122	48 Facility 48 NE AVG 18.2 Rank #116 / 122	6.0 Facility 6.0 NE AVG 4.2 Rank #103 / 122	3	85	-	80 Facility 80 NE AVG 46 Rank #17 / 298	Scottsbluff Operations LLC	$12.5M Facility $12.5M NE AVG $7.6M Rank #18 / 120	$5.1M Facility $5.1M NE AVG $3.5M Rank #33 / 120	40.8% Facility 40.8% NE AVG 49.4% Rank #110 / 120	285095

Nursing Home Explorer

Who is the owner of Monument Rehabilitation and Care Center?

The legal owner and operator of Monument Rehabilitation and Care Center is Scottsbluff Operations Llc.

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%.

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.

What is the address of Monument Rehabilitation and Care Center?

Monument Rehabilitation and Care Center is located at 111 West 36th Street.

What is the phone number of Monument Rehabilitation and Care Center?

(308) 635-2019 will put you in contact with the team at Monument Rehabilitation and Care Center.

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Monument Rehabilitation and Care Center

Overview of Monument Rehabilitation and Care Center

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Inspection History

Inspection Scorecard This scorecard compares key inspection, citation, 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.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

42 Certified Nursing Assistant

31 Medication Aide/Technician

19 Licensed Practical Nurse

11 Registered Nurse

4 Other Dietary Services Staff

2 Physical Therapy Assistant

1 Administrator

1 Nurse Practitioner

1 RN Director of Nursing

1 Mental Health Service Worker

1 Respiratory Therapy Technician

1 Physical Therapy Aide

1 Qualified Social Worker

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Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

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Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

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Who this home usually serves

Mostly short-term rehab stays

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Financial Assistance for Nursing Home in Nebraska

Aged and Disabled Waiver

Nebraska Respite Network

Personal Assistance Services (PAS)

Program of All-Inclusive Care for the Elderly (PACE)

Medicare Savings Program (MSP)

VA Aid and Attendance (A&A) and Housebound Benefits

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