01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-16 | 11 | 2025-08-16 | 3 |
| Cycle 2 | 2024-08-01 | 24 | 2024-08-01 | 5 |
| Cycle 3 | 2023-07-13 | 10 | 2023-07-13 | 3 |
CMS CCN 2850952026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Monument Healthcare And Nursing Center
111 West 36Th Street · Scottsbluff, NE 69361 · Scott Bluff County
Certified beds160CMS provider file
Recent citation rows56current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
56 rows in the current release
2 rows carry G–L scope/severity codes; 1 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-09 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-06-15 · complaint2025-08-16 · HEALTHF0577Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-16 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-16 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-16 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-09-10 · complaint2025-08-16 · HEALTHF0801Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-16 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-16 · HEALTHF0814Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-16 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-16 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-16 · HEALTHF0882Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Correction field: Deficient, Provider has date of correction · 2025-09-102025-08-16 · FIREK0161Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-16 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-08-16 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-09-052025-07-09 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-07-25 · complaint2025-04-03 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-04-28 · complaint2025-04-03 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-04-28 · complaint2025-04-03 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-04-28 · complaint2025-04-03 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-04-28 · complaint2025-04-03 · HEALTHF0757Severity G · isolated actual harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-04-28 · complaint2025-04-03 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement 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.
Correction field: Deficient, Provider has date of correction · 2025-04-28 · complaint2024-12-16 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-01-10 · complaint2024-12-16 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-01-10 · complaint2024-08-01 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2024-08-29 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-04-03 | Fine | $16,744 | 0 |
| 2024-08-01 | Fine | $11,438 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- YDGK LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST10% · since 01/01/2025
- FRIEDMAN, STEVENIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST21% · since 07/01/2022
- HALPERT, EPHRAIMIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST19% · since 04/05/2020
- ABBAS JAM TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 01/01/2025
- MGJR EQUITY LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 07/01/2022
- GETZ, MORDECHAIIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 07/01/2022
- FRIEDMAN, STEVENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2022
- HALPERT, EPHRAIMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/05/2020
- MOSEL, LINDSEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/16/2019
- ZANDER, CHARLENEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/08/2024
- ABBAS JAM TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
- LME FAMILY HOLDINGS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
- MGJR EQUITY LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2022
- SCOTTSBLUFF MHC PROPCO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
- YDGK LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2025
- FRIEDMAN, STEVENIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/01/2022
- GETZ, MORDECHAIIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/01/2022
- HALPERT, EPHRAIMIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/05/2020
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.95per resident day
RN hours0.36per resident day
Weekend nurse hours3.50per resident day
Staff turnover63.0%CMS reported field
06 / LOCAL RECORDS
Open the Scottsbluff ledger →