Monument Rehabilitation and Care Center

Scottsbluff, NE · 160 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 17 deficiencies — 2.5x the state average
  • 2 citation(s) at the highest severity level — immediate risk to residents
  • 1 citation(s) where residents suffered actual harm
  • $68,398 in fines
  • RN hours significantly below state average
  • 61% total nursing staff turnover

Green Flags

No positive signals identified yet.

Quick Facts

★☆☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
17
2.5x state avg
Deficiencies
$68,398
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

August 15, 2025

10 deficiencyies
F0577 No Harm Scope/Severity: C

Resident Rights Deficiencies

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Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

F0628 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0801 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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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.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0814 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Dispose of garbage and refuse properly.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0882 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

F0697 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

July 8, 2025

1 deficiency
F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

April 2, 2025

6 deficiencyies
F0580 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F0658 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure services provided by the nursing facility meet professional standards of quality.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0757 Actual Harm Scope/Severity: G

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

F0758 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

December 15, 2024

2 deficiencyies
F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

July 31, 2024

1 deficiency
F0726 Potential Harm Scope/Severity: E

Nursing and Physician Services Deficiencies

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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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Staffing

0.34
RN hrs/res/day
0.85
LPN hrs/res/day
2.71
CNA hrs/res/day
3.70
Weekend hrs/res/day
61%
Total nurse turnover
64%
RN turnover

A nurse checks on each resident roughly every 6.2 hours on average.

Fines & Penalties

  • Fine Apr 2, 2025
    $25,760
  • Fine Jul 31, 2024
    $11,438
  • Fine Mar 27, 2023
    $31,200
Total $68,398

Ownership

For profit - Limited Liability company Chain: LME FAMILY HOLDINGS
  • LME FAMILY HOLDINGS LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2025

    17% Organization
  • YDGK LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 01/01/2025

    10% Organization
  • FRIEDMAN, STEVEN

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/01/2022

    21% Individual
  • HALPERT, EPHRAIM

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 04/05/2020

    19% Individual
  • ABBASS JAM TRUST

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2025

    NO PERCENTAGE PROVIDED Organization
  • MGJR EQUITY LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 07/01/2022

    7% Organization
  • GETZ, MORDECHAI

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 07/01/2022

    7% Individual
  • KOHN, BRIAN

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 01/01/2025

    NO PERCENTAGE PROVIDED Individual
  • FRIEDMAN, STEVEN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/01/2022

    Individual
  • HALPERT, EPHRAIM

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/05/2020

    Individual
  • MOSEL, LINDSEY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/16/2019

    Individual
  • ZANDER, CHARLENE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/08/2024

    Individual

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