Monument Rehabilitation And Care Center has received an F grade based on CMS data, with a score of 4/100 — placing it among the lowest-rated nursing facilities in Nebraska. Families considering this Scottsbluff facility should carefully review its inspection history and quality metrics.
Staffing at Monument Rehabilitation And Care Center is near the national average, with 3.78 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 48 deficiencies at Monument Rehabilitation And Care Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: dispose of garbage and refuse properly..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.78 | 3.8 | Average |
| Registered Nurses (RN) | 0.33 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.83 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.63 | 2.4 | Average |
| Weekend Total Nursing | 3.58 | 3.8 | Average |
| Weekend RN Hours | 0.14 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0814 Severity FDispose of garbage and refuse properly.Aug 15, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Aug 15, 2025 · Nutrition and Dietary Deficiencies
- Tag 0628 Severity DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Aug 15, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Aug 15, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0801 Severity DEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a quAug 15, 2025 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 8.6% | 4.5% | Worse |
| Falls with major injury | 3.7% | 3.0% | Worse |
| On antipsychotic medication | 27.5% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 26.8% | 14.0% | Worse |
| Excessive weight loss | 8.6% | 7.5% | Worse |
| New/worsened incontinence | 24.9% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $59,382
How This Grade Was Calculated
This facility's grade of F is based on a score of 4 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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