Monument Healthcare and Nursing Center: Staffing, Turnover, and Inspection Record
Monument Healthcare and Nursing Center is a 160-bed for-profit nursing home in Scottsbluff, Nebraska, part of Lme Family Holdings. In the CMS August 2026 release it reported 2.64 nurse aide hours per resident per day, about the same as the Nebraska average of 2.64, and 63.0% nursing staff turnover (Nebraska average 48.7%).
Monument Healthcare and Nursing Center
111 West 36th StreetScottsbluff, NE 69361
Scott Bluff County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Monument Healthcare and Nursing Center, nurse aides logged 2.64 hours per resident per day, about the same as the Nebraska average. With about 84 residents a day, that works out to roughly 221 aide hours a day, or about 28 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Nebraska avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.64 | 2.64 | 2.32 |
| Licensed practical nurses | 0.96 | 0.67 | 0.86 |
| Registered nurses | 0.36 | 0.67 | 0.69 |
| All nursing staff | 3.95 | 3.98 | 3.86 |
| All nursing staff, weekends | 3.50 | 3.49 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
63.0% of nursing staff at Monument Healthcare and Nursing Center left over the year CMS measured, against a Nebraska average of 48.7% and a US average of 45.8%. Registered nurse turnover was 78.6%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 16, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Nebraska average 7.2). CMS lists 2 fines totaling $28,182 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 3, 2025 | Fine | $16,744 |
| Aug 1, 2024 | Fine | $11,438 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Monument Healthcare and Nursing Center holds 1 of 5 overall; the Nebraska average is 2.8.
About Monument Healthcare and Nursing Center
- Ownership: For profit - Limited Liability company
- Chain: Lme Family Holdings, 15 homes
- Legal name: Scottsbluff Operations LLC
- Medicare and Medicaid certified since: Mar 12, 1990
- Councils: resident council
- Area: rural
Nursing homes near Monument Healthcare and Nursing Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Northfield Retirement Communities Care Center Scottsbluff · many days without an RN | 1.1 | 66 | 2.63 | 3.88 | 65.8% | 1 | None |
| Heritage Estates Gering | 4.4 | 102 | 3.02 | 4.44 | 51.5% | 4 | None |
| Mitchell Care Center Mitchell | 8.2 | 50 | 2.45 | 3.81 | 47.5% | 3 | None |
| Chimney Rock Villa Bayard | 19.3 | 49 | 2.46 | 3.47 | 50.0% | 1 | $110,988 |
| Goshen Healthcare Community Torrington | 30.6 | 103 | 1.96 | 3.05 | 45.8% | 3 | $29,617 |
| Cascades at Skyview Bridgeport · SFF candidate · abuse citation | 32.4 | 48 | 2.57 | 4.08 | 75.5% | 1 | $141,424 |
| Hemingford Care Center Hemingford | 42.4 | 39 | 2.63 | 4.02 | 55.3% | 1 | None |
| Highland Park Care Center Alliance | 43.6 | 60 | 3.69 | 4.79 | 15.5% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.