Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Monument Healthcare and Nursing Center

Scottsbluff, NE · 160 certified beds · Last Life Safety survey August 16, 2025

CMS Certification Number 285095 · first certified March 1990

Ownership

Operated by LME FAMILY HOLDINGS · For profit - Limited Liability company

  • Ownership changed April 16, 2019 (change of ownership)to MONUMENT REHABILITATION AND CARE CENTER from SCOTTSBLUFF CARE AND REHABILITATION CENTER LLC
11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within NE

11 citations — more than 33% of the 180 certified nursing homes in NE. Compared within NE rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: August 2026 to October 2026. This facility’s last Life Safety survey was August 2025. Facilities in NE are typically surveyed 12–14 months after the last one (median 13), measured over 271 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in NE, and nationally. Surveyors differ markedly between states, so the NE figure is the meaningful one.

This facility11NE median15National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in NE15
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0752024-0832025-08
Citations at each Life Safety survey
Survey dateCitations
July 13, 20233
August 1, 20245
August 16, 20253

Most-cited tags

Most-cited tags at this facility
K-03532K-09212K-03451K-09201K-02111K-03241K-07611K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-08-01
K-0921Ensure that testing and maintenance of electrical equipment is performed.22024-08-01
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-08-01
K-0920Ensure proper usage of power strips and extension cords.12025-08-16
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12025-08-16
K-0324Provide properly protected cooking facilities.12024-08-01
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-07-13
K-0712Have simulated fire drills held at unexpected times.12024-08-01

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies2
Egress Deficiencies1
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

August 16, 2025 — 3 citations

Citations issued on August 16, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (September 5, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 5, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 5, 2025)

August 1, 2024 — 5 citations

Citations issued on August 1, 2024
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 29, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 29, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 29, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 29, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 29, 2024)

July 13, 2023 — 3 citations

Citations issued on July 13, 2023
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 25, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 25, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (August 25, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.