Show Inspection Reports
Total Health inspections
8
86% above Nebraska average
Nebraska average:
4.3
Last Health inspection on Aug 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Monument Rehabilitation and Care Center
Monument Rehabilitation and Care Center is a Nursing Home in Nebraska
Monument Rehabilitation and Care… is a Nursing Home in Nebraska
Monument Rehabilitation and Care Center
Monument Rehabilitation and Care Center is a Nursing Home in Nebraska
Monument Rehabilitation and Care… is a Nursing Home in Nebraska
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
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
52.2%
Residents per day (avg)
84
Occupancy rate
52.2%
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
Proprietary home
Corporation
Home revenue
$12.5M
Operating loss
-$352.9K
Proprietary home
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 Rate
54%
Occupied Beds
86 of 160
Percentage of available beds currently in use by residents.
Facility Type
NURSING HOME
Additional licensing details
CMS Certification Number:
285095
Certification type:
Certification
County:
SCOTTS BLUFF
Ownership & operating entity
Monument Rehabilitation and Care Center is administrated by Yadira Gurrola, Assistant Administrator.
Owner name:
SCOTTSBLUFF OPERATIONS LLC
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
All Levels of Care
Contact Information
Fax:
(308) 635-2438
Amenities & Lifestyle
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.
64 visits/inspections
31 visits/inspections triggered by complaints
1 routine inspections
Results
33 with issues
31 without issues
Latest inspection
Date:April 3, 2025
233 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Nebraska
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Accura HealthCare of Hartington
-7%
-7%
-10%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68739
67
No
KLAASMEYER, KENNETH
63.6%
$3,668,324.00
$2,124,349.00
57.9%
31.40
4.1342
-
7
-
-7%-7%-10%
Accura HealthCare of Tekamah
+19%
-14%
+2%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68061
46
No
GEIS, HEATHER
72.0%
$3,111,496.00
$2,065,549.00
66.4%
30.00
3.8342
-
12
-
+19%-14%+2%
Arbor Care Center-Valhaven, LLC
-2%
-8%
+3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68064
66
No
-
72.4%
$5,043,043.00
$3,225,812.00
64%
49.50
4.0787
-
18
1
-2%-8%+3%
Arbor Care Centers – Ord, LLC
+15%
-16%
-26%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 68862
60
No
LUTH, KURT
51.8%
$2,881,257.00
$1,523,175.00
52.9%
35.20
3.7604
-
29
1
+15%-16%-26%
Monument Rehabilitation and Care Center
+5%
-16%
-26%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NE 69361
160
No
SCOTTSBLUFF OPERATIONS LLC
52.2%
$10,561,087.00
$4,683,171.00
44.3%
84.40
3.7401
2
48
3
+5%-16%-26%
Accura HealthCare of Hartington
Type of care:
SNF
AL
Community:
NE 68739
Bed Count:
67
Pets Allowed:
No
Operator:
KLAASMEYER, KENNETH
CCN:
285088
Occupancy:
63.6%
Home Revenue:
$3,668,324.00
Payroll Costs:
$2,124,349.00
Payroll %:
57.9%
Avg Residents/Day:
31.40
Overall Rating:
Adj Nurse Hours:
4.1342
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
7
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
-7%
-7%
Occupancy vs State Avg:
-10%
-10%
Accura HealthCare of Tekamah
Type of care:
SNF
AL
Community:
NE 68061
Bed Count:
46
Pets Allowed:
No
Operator:
GEIS, HEATHER
CCN:
285118
Occupancy:
72.0%
Home Revenue:
$3,111,496.00
Payroll Costs:
$2,065,549.00
Payroll %:
66.4%
Avg Residents/Day:
30.00
Overall Rating:
Adj Nurse Hours:
3.8342
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
12
RN share vs State Avg:
+19%
+19%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+2%
+2%
Arbor Care Center-Valhaven, LLC
Type of care:
SNF
AL
Community:
NE 68064
Bed Count:
66
Pets Allowed:
No
CCN:
285117
Occupancy:
72.4%
Home Revenue:
$5,043,043.00
Payroll Costs:
$3,225,812.00
Payroll %:
64%
Avg Residents/Day:
49.50
Overall Rating:
Adj Nurse Hours:
4.0787
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
18
Severe Citations:
1
RN share vs State Avg:
-2%
-2%
Staffing vs State Avg:
-8%
-8%
Occupancy vs State Avg:
+3%
+3%
Arbor Care Centers – Ord, LLC
Type of care:
SNF
AL
Community:
NE 68862
Bed Count:
60
Pets Allowed:
No
Operator:
LUTH, KURT
CCN:
285294
Occupancy:
51.8%
Home Revenue:
$2,881,257.00
Payroll Costs:
$1,523,175.00
Payroll %:
52.9%
Avg Residents/Day:
35.20
Overall Rating:
Adj Nurse Hours:
3.7604
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
29
Severe Citations:
1
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
-16%
-16%
Occupancy vs State Avg:
-26%
-26%
Monument Rehabilitation and Care Center
Type of care:
SNF
AL
Community:
NE 69361
Bed Count:
160
Pets Allowed:
No
Operator:
SCOTTSBLUFF OPERATIONS LLC
CCN:
285095
Occupancy:
52.2%
Home Revenue:
$10,561,087.00
Payroll Costs:
$4,683,171.00
Payroll %:
44.3%
Avg Residents/Day:
84.40
Overall Rating:
Adj Nurse Hours:
3.7401
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
48
Severe Citations:
3
RN share vs State Avg:
+5%
+5%
Staffing vs State Avg:
-16%
-16%
Occupancy vs State Avg:
-26%
-26%Places of interest near Monument Rehabilitation and Care Center
0.0 miles from city center
SCOTTSBLUFF, NE 69361
Calculate Travel Distance to Monument Rehabilitation and Care Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
119
Total Staff
119
Employees
0
Contractors
33,715
Total Hours (Quarter)
43
Avg Staff/Day
8.6
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 12 | 8.2 | No |
| Licensed Practical Nurse | 13 | 9.5 | No |
| Certified Nursing Assistant | 44 | 9 | No |
Staff by Category
Administration ⓘ
2 staff
8hs shift avg
Nursing Staff ⓘ
103 staff
9.1hs shift avg
Physicians & Practitioners ⓘ
2 staff
8hs shift avg
Therapy Services ⓘ
4 staff
7.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
0.8hs shift avg
Dietary Services ⓘ
5 staff
6.8hs shift avg
Other Services ⓘ
2 staff
7.9hs shift avg
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Total Health citations
48
164% above Nebraska average
Nebraska average:
18.2
6 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
33 citations
Complaint investigations
19 citations
Breakdown of citations
Critical Health citations
2
900% above Nebraska average
Nebraska average:
0.2
Serious Health citations
1
100% above Nebraska average
Nebraska average:
0.5
Moderate Health citations
41
Minor Health citations
4
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
80
Total Residents
Medicare
9
(11.3%)
ⓘ
Medicaid
56
(70%)
ⓘ
Private Pay/Other
15
(18.8%)
ⓘ
Specialized Care Beds
22
Total Specialty Beds
13.8%
of Bed Capacity
22
Alzheimer's / Dementia Beds ⓘ
13.8%
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
13.2
16% worse than Nebraska average
Nebraska average:
11.3
Functional decline score
24.1
Near Nebraska average
Nebraska average:
23.3
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
27.4%
32% above Nebraska average.
Walking Ability Worsened
19.6%
11% below Nebraska average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
25.2%
6% below Nebraska average.
Safety & clinical stability
Falls with Major Injury
4.0%
12% below Nebraska average.
High Risk Residents with Pressure Ulcers
6.7%
55% above Nebraska average.
Urinary Tract Infection
0.7%
77% below Nebraska average.
Emotional & behavioral wellbeing
Depressive Symptoms
9.9%
123% above Nebraska average.
Antipsychotic Use
27.4%
38% above Nebraska average.
Preventive care
Pneumococcal Vaccine
100.0%
7% above Nebraska average.
Influenza Vaccine
95.1%
1% below Nebraska average.
Nutrition & physical health
Lost Too Much Weight
8.2%
50% above Nebraska average.Short-stay resident measures
Pneumococcal Vaccine
99.1%
23% better than Nebraska average
Antipsychotic medication increase
0.8%
68% better than Nebraska average
Influenza Vaccine
80.4%
6% better than Nebraska average 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
This home paid 109% more in fines than the state average.
Nebraska average:
$33K
Number of Fines
3
This home received 107% more fines than the state average.
Nebraska average:
1.5
Payment Denials
0
This home had 100% fewer payment denials than the state average.
Nebraska average:
0.7
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Apr 3, 2025
$26K
Civil Money Penalty
Aug 1, 2024
$11K
Civil Money Penalty
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...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Nebraska Seniors
Get financial aid guidance
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Monument Rehabilitation and Care Center
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
