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Nursing homesNebraska › Monument Healthcare and Nursing Center

Monument Healthcare and Nursing Center

111 West 36Th Street, Scottsbluff, NE 69361 · 3086352019 · 160 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★☆☆☆ 2/5
Quality measures★☆☆☆☆ 1/5

Ownership group

Per CMS filings, this facility is affiliated with Lme Family Holdings, a group operating 15 facilities in 4 states. Group record: average rating 2.0/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $816,886 in federal fines. This facility rates below its group average (2.0/5).

See all 15 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.95 (Nebraska median: 3.95). RN hours: 0.36. Weekend total: 3.50. Nursing staff turnover: 63%.

Inspection deficiencies

All-time on record: 44 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2025-08-16Dispose of garbage and refuse properly. FHealthcorrected 2025-09-10
2025-08-16Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2025-09-10
2025-08-16Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. DHealthcorrected 2025-09-10
2025-08-16Ensure each resident receives an accurate assessment. DHealthcorrected 2025-09-10
2025-08-16Provide safe, appropriate pain management for a resident who requires such services. Dcomplaintcorrected 2025-09-10
2025-08-16Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. DHealthcorrected 2025-09-10
2025-08-16Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. DHealthcorrected 2025-09-10
2025-08-16Provide and implement an infection prevention and control program. DHealthcorrected 2025-09-10
2025-08-16Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. DHealthcorrected 2025-09-10
2025-08-16Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. CHealthcorrected 2025-09-10
2025-07-09Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2025-07-25
2025-04-03Ensure each resident’s drug regimen must be free from unnecessary drugs. Gcomplaintcorrected 2025-04-28
2025-04-03Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2025-04-28
2025-04-03Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Dcomplaintcorrected 2025-04-28
2025-04-03Ensure services provided by the nursing facility meet professional standards of quality. Dcomplaintcorrected 2025-04-28
2025-04-03Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2025-04-28
2025-04-03Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Dcomplaintcorrected 2025-04-28
2024-12-16Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2025-01-10
2024-12-16Provide and implement an infection prevention and control program. Dcomplaintcorrected 2025-01-10
2024-08-01Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. JHealthcorrected 2024-08-29
2024-08-01Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2024-08-29
2024-08-01Provide and implement an infection prevention and control program. FHealthcorrected 2024-08-29
2024-08-01Honor 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. EHealthcorrected 2024-08-29
2024-08-01Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted EHealthcorrected 2024-08-29
2024-08-01Provide appropriate treatment and care according to orders, resident’s preferences and goals. EHealthcorrected 2024-08-29
2024-08-01Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Ecomplaintcorrected 2024-08-29
2024-08-01Ensure medication error rates are not 5 percent or greater. Ecomplaintcorrected 2024-08-29
2024-08-01Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Dcomplaintcorrected 2024-08-29
2024-08-01Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2024-08-29
2024-08-01Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. DHealthcorrected 2024-08-29
2024-08-01Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. DHealthcorrected 2024-08-29
2024-08-01Ensure that residents are free from significant medication errors. Dcomplaintcorrected 2024-08-29
2024-08-01Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. DHealthcorrected 2024-08-29
2024-08-01Not hire anyone with a finding of abuse, neglect, exploitation, or theft. CHealthcorrected 2024-08-29
2023-11-15Respond appropriately to all alleged violations. Dcomplaintcorrected 2023-12-27
2023-07-13Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Fcomplaintcorrected 2023-08-25
2023-07-13Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. DHealthcorrected 2023-08-25
2023-07-13Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. DHealthcorrected 2023-08-25
2023-07-13Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Dcomplaintcorrected 2023-08-25
2023-07-13Assess the resident when there is a significant change in condition DHealthcorrected 2023-08-25

Federal penalties

DateTypeAmount
2025-04-03Fine$16,744
2024-08-01Fine$11,438

Ownership & control records (CMS filings)

NameRoleType%Since
YDGK LLC5% Or Greater Direct Ownership InterestOrganization10%since 01/01/2025
FRIEDMAN, STEVEN5% Or Greater Direct Ownership InterestIndividual21%since 07/01/2022
HALPERT, EPHRAIM5% Or Greater Direct Ownership InterestIndividual19%since 04/05/2020
ABBAS JAM TRUST5% Or Greater Indirect Ownership InterestOrganizationNO PERCENTAGE PROVIDEDsince 01/01/2025
MGJR EQUITY LLC5% Or Greater Indirect Ownership InterestOrganization7%since 07/01/2022
GETZ, MORDECHAI5% Or Greater Indirect Ownership InterestIndividual7%since 07/01/2022
FRIEDMAN, STEVENOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/01/2022
HALPERT, EPHRAIMOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/05/2020
MOSEL, LINDSEYOperational/Managerial ControlIndividualNOT APPLICABLEsince 11/16/2019
ZANDER, CHARLENEOperational/Managerial ControlIndividualNOT APPLICABLEsince 11/08/2024

Compare nearby (Scott Bluff County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 285095. Corrections: data@carerecords.org.