Home›Nebraska›Scott Bluff County›Monument Rehabilitation and Care Center
D
Poor

Monument Rehabilitation and Care Center

111 West 36th Street · Scottsbluff, NE 69361

3086352019 · For profit - Limited Liability company

160 beds81.9 residents118 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Monument Rehabilitation and Care Center receives an overall staffing grade of D (Poor). With 3.7857 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3258 HPRD, below the recommended 0.75. It is 0.11 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 7.14% compared to weekdays. The facility has low agency staff usage (0.25% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

⚠️Had 3 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.3258 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Low agency staff usage (0.25%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 7.14% drop-off
Total Nurse HPRD
3.7857hrs/resident/day▼ 0.11
CMS benchmark: 3.48
RN HPRD
0.3258hrs/resident/day▼ 0.36
Recommended: 0.75
Weekend Drop-off
7.14%
3.8637 weekday → 3.5879 weekend
Agency Staff
0.25%
0% of RN hours from contractors
Days with Zero RN
3days this quarter
4+ days = auto 1-star
CNA HPRD
1.5212hrs/resident/day
Direct care aides
LPN HPRD
0.8284hrs/resident/day
Licensed practical nurses
Consistency
0.3097std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Scott Bluff County Average-0.34 HPRD
4.13
03.79 HPRD
vs. Nebraska State Average-0.35 HPRD
4.14
03.79 HPRD
vs. National Average-0.11 HPRD
3.90
03.79 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Monument Rehabilitation and Care Center ★
Scottsbluff · This facility
—
D
3.78570.3258★☆☆☆☆
Northfield Retirement Communities Care Center
Scottsbluff
1.1 mi
B
4.4080.601★☆☆☆☆
Heritage Estates
Gering
4.4 mi
A
4.57470.9094★★★★★
Mitchell Care Center
Mitchell
8.2 mi
C
3.73320.4878★★★☆☆
Chimney Rock Villa
Bayard
19.3 mi
C
3.23820.819★☆☆☆☆
Skyview Care and Rehab at Bridgeport
Bridgeport
32.3 mi
A
4.64690.8863★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
48
Total Deficiencies
$68,398
Fines Assessed
Aug 16, 2025Health
10 deficiencies cited
▼
Jul 9, 2025Health
1 deficiency cited
▼
Apr 3, 2025Health
6 deficiencies cited· Includes actual harm
▼
Dec 16, 2024Health
2 deficiencies cited
▼
Aug 1, 2024Health
15 deficiencies cited· Includes actual harm
▼
Nov 15, 2023Health
1 deficiency cited
▼
Jul 13, 2023Health
9 deficiencies cited
▼
Mar 28, 2023Health
4 deficiencies cited· Includes actual harm
▼

Penalty History

Apr 3, 2025Fine
$25,760
Aug 1, 2024Fine
$11,438
Mar 28, 2023Fine
$31,200
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.