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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
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.
This home is ranked 85th out of 117 homes in Nebraska. 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.
| 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.
| 20m per day | ▼ 53% 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.
| 50m per day | ▲ 16% 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 38m per day | ▼ 5% 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 22m per day | ▼ 7% 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.
| 4m per day | ▲ 33% 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 | ▼ 72% State avg: 29m per day · National avg: 28m per day |
Lower than the Nebraska average: 70.3%Monument Rehabilitation and Care Center is administrated by Assistant Administrator Yadira Gurrola.
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.
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
| 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 |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on April 3, 2025, identified deficiencies related to over-medication of a resident, resulting in the facility’s license being placed on probation for 90 days starting May 2, 2025, with required corrective actions. Earlier inspections showed a pattern of regulatory challenges including probation periods in 2024 for failure to follow advance directives and admission restrictions, as well as multiple citations over several years involving resident care, medication management, abuse prevention, and documentation. Complaint investigations substantiated issues such as failure to prevent resident-to-resident abuse, inadequate fall interventions, and deficiencies in catheter and wound care, while many other complaints were found unsubstantiated. Enforcement actions included license probations, admission prohibitions, and civil money penalties primarily related to care and safety deficiencies, with fines noted but no license revocations reported. The facility’s inspection history shows ongoing challenges with resident care and compliance, with recent actions indicating continued regulatory oversight and required improvements.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNebraska average 4.3
Last Health inspection on Aug 2025
Nebraska average 18.2
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).
900% worse than Nebraska averageNebraska average: 0.2
100% worse than Nebraska averageNebraska average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
28% worse than Nebraska average
9% better than Nebraska average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
73 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| 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 |
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)
109% higher than Nebraska averageNebraska average: $33K
107% more fines than Nebraska averageNebraska average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Nebraska averageNebraska average: 0.7
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.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 3, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 1, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.2
16% worse than Nebraska averageNebraska average: 11.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.1
In line with Nebraska averageNebraska average: 23.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
27.4%
32% worse than Nebraska averageNebraska average: 20.8%
Percent of long-stay residents whose ability to move independently worsened
19.6%
11% better than Nebraska averageNebraska average: 22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.2%
6% better than Nebraska averageNebraska average: 26.9%
Percent of long-stay residents experiencing one or more falls with major injury
4.0%
12% better than Nebraska averageNebraska average: 4.5%
Percent of long-stay high risk residents with pressure ulcers
6.7%
55% worse than Nebraska averageNebraska average: 4.3%
Percent of long-stay residents with a urinary tract infection
0.7%
77% better than Nebraska averageNebraska average: 3.1%
Percent of long-stay residents who lose too much weight
8.2%
50% worse than Nebraska averageNebraska average: 5.4%
Percent of long-stay residents who have depressive symptoms
9.9%
123% worse than Nebraska averageNebraska average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
27.4%
38% worse than Nebraska averageNebraska average: 19.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
7% better than Nebraska averageNebraska average: 93.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
In line with Nebraska averageNebraska average: 96.1%
Number of hospitalizations per 1,000 long-stay resident days.
2.91
62% worse than Nebraska averageNebraska average: 1.80
Number of outpatient emergency department visits per 1,000 long-stay resident days.
4.05
108% worse than Nebraska averageNebraska average: 1.95
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
23% better than Nebraska averageNebraska average: 80.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
68% better than Nebraska averageNebraska average: 2.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
80.4%
6% better than Nebraska averageNebraska average: 75.9%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.0%
20% worse than Nebraska averageNebraska average: 20.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.0%
38% worse than Nebraska averageNebraska average: 11.6%
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
25% worse than Nebraska averageNebraska average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
43.3%
19% worse than Nebraska averageNebraska average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
35.9%
29% worse than Nebraska averageNebraska average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
45% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
23% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
80Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Monument Rehabilitation and Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #33 / 120Payroll — State benchmarkedThis home is ranked 33rd out of 120 homes in Nebraska. Shows total annual staff payroll benchmarked to the Nebraska average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
Add your location
Monument Rehabilitation and Care Center is located in SCOTTSBLUFF, Nebraska.
Here are the financial assistance programs available to residents in Nebraska.
The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
| Tabitha Nursing and Rehabilitation 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.
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.
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. | Lincoln (Witherbee) | 208 | 131.0% | +86% | 5.76 | -20% | +29% | $13.0k | 18 | 4.5 | - | 131 | A+ | 59 | Tabitha, Inc. | $71.9M | $39.2M | 54.5% | 285057 | ||||
| Mother Hull Home |
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.
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. | Kearney | 58 | 75.1% | +7% | 6.05 | -46% | +36% | $22.0k | 14 | 4.7 | - | 41 | - | 87 | Sieg Brauer | $5.2M | $3.7M | 72.1% | 285254 | ||||
| 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.
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. | Columbus (40Th Avenue) | 145 | 41.7% | -41% | 3.78 | -37% | -15% | $0 | 20 | 3.3 | - | 74 | A+ | 57 | Columbus Operations LLC | $11.3M | $6.1M | 54% | 285092 | ||||
| Monument Rehabilitation and Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Scottsbluff | 160 | 52.2% | -26% | 3.74 | -1% | -16% | $42.6k | 48 | 6.0 | 3 | 84 | - | 80 | Scottsbluff Operations LLC | $12.5M | $5.1M | 40.8% | 285095 | ||||
| Astoria Senior Living Omaha | - |
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.
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. | Omaha (Central Omaha) | 157 | - | - | - | - | - | - | - | - | - | - | - | - | - | - | 38 | #N/A | $11.9M | $6.1M | 51.7% | 285274 |
The legal owner and operator of Monument Rehabilitation and Care Center is Scottsbluff Operations Llc.
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.
Monument Rehabilitation and Care Center's occupancy is 54%.
Assistant Administrator Yadira Gurrola is the administrator of Monument Rehabilitation and Care Center.
Monument Rehabilitation and Care Center has 160 beds.
Monument Rehabilitation and Care Center is located at 111 West 36th Street.
(308) 635-2019 will put you in contact with the team at Monument Rehabilitation and Care Center.
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