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CMS CCN 285095 · For profit - Limited Liability company

Monument Healthcare and Nursing Center

111 West 36th Street, Scottsbluff, NE 69361

Overall CMS Rating

1/5

Staffing Rating

2/5
View on Medicare.gov

Near-average staffing

3.95 total HPRD vs. 3.89 national avg · 0.36 RN HPRD vs. 0.69 national avg

Staffing Hours Per Resident Per Day

3.95

Total HPRD

Nat avg 3.89

0.36

RN HPRD

Nat avg 0.69

N/A

LPN HPRD

Nat avg 0.94

2.64

CNA HPRD

Nat avg 2.27

Staffing Comparison

Bar = this facility. Markers = state avg (blue) and national avg (purple).

RN Hours/Day0.36 hr/day
State 0.68National 0.69
LPN Hours/DayN/A
State 0.82National 0.94
CNA Hours/Day2.64 hr/day
State 2.28National 2.27
Total Nursing Hours/Day3.95 hr/day
State 3.78National 3.89

Weekend Staffing

Weekend RN hours often drop 10–20% — a key quality indicator.

Weekend RN HPRD

N/A

National avg 0.48

Weekend Drop vs. Weekday

N/A

Staff Turnover

Annual staff turnover — below 30% is excellent; above 70% indicates instability.

Total Nursing Turnover

63%

National avg 52%

RN Turnover

79%

Total Turnover63%

Purple marker = national average (52%). Lower is better.

CMS Star Ratings

Overall Rating

Much below average

1/5

Health Inspection

Much below average

1/5

Staffing

Below average

2/5

Quality Measures

Much below average

1/5

Facility Information

Ownership
For profit - Limited Liability company
Certified Beds
160
State
Nebraska
ZIP
69361
Last Inspection
CMS CCN
285095

Penalty & Inspection History

2 CMS fines totaling $28,182

Review full inspection reports on Medicare.gov Care Compare.

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Frequently Asked Questions

What are the staffing levels at Monument Healthcare and Nursing Center?
Monument Healthcare and Nursing Center reports 3.95 total nursing hours per resident per day (HPRD), including 0.36 RN hours, N/A LPN hours, and 2.64 CNA hours. The U.S. national average is 3.89 total HPRD (0.69 RN, 0.94 LPN, 2.27 CNA).
What is the CMS rating for Monument Healthcare and Nursing Center?
Monument Healthcare and Nursing Center holds a CMS overall rating of 1 out of 5 stars. The staffing-specific rating is 2 stars, health inspection rating is 1 stars, and quality measure rating is 1 stars. CMS ratings are updated quarterly.
How does Monument Healthcare and Nursing Center compare to other Nebraska nursing homes?
The Nebraska average is 3.78 total HPRD and 0.68 RN HPRD. Monument Healthcare and Nursing Center's total HPRD of 3.95 is near the state average.
What is the staff turnover rate at Monument Healthcare and Nursing Center?
Monument Healthcare and Nursing Center reports 63% total nursing staff turnover annually (79% RN turnover). The national average is approximately 52%. This is near the national average.

Data: CMS Payroll-Based Journal (PBJ) via CMS Care Compare. Revalidated every 24 h. Not a substitute for professional medical advice.

Monument Healthcare and Nursing Center Staffing Ratios — Scottsbluff, Nebraska Nursing Home (2026) | AllyKin