CCN 285095 · Scott Bluff County, Nebraska
Monument Healthcare and Nursing Center
111 West 36th Street, Scottsbluff, NE 69361
Monument Healthcare and Nursing Center is a 160-bed for-profit nursing home in Scottsbluff, Nebraska, first certified for Medicare or Medicaid in 1990. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 84.0 residents a day, about 53% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 160
- Average residents per day
- 84.0 (52.5% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Scottsbluff Operations LLC
- Certified since
- Mar 12, 1990
- Chain or affiliated group
- Lme Family Holdings (15 facilities, chain average 2.1 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Nebraska median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 51 at 1, 38 at 2, 27 at 3, 27 at 4, 35 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 1 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.95 | 3.94 | 3.68 |
| RN hours per resident per day | 0.36 | 0.62 | 0.58 |
| Weekend nurse hours per resident per day | 3.50 | ||
| Nursing staff turnover | 63.0% | 47.1% | 44.9% |
| Occupancy (residents / beds) | 52.5% | 75.3% | 85.7% |
| Fines reported by CMS | 2 totaling $28,182 | ||
| Health deficiencies, latest standard survey | 11 (Aug 16, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Monument Healthcare and Nursing Center does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Ydgk LLCOrganization | Direct Ownership Interest | 10% | 01/01/2025 |
| Friedman, StevenIndividual | Direct Ownership Interest | 21% | 07/01/2022 |
| Halpert, EphraimIndividual | Direct Ownership Interest | 19% | 04/05/2020 |
| Abbas Jam TrustOrganization | Indirect Ownership Interest | n/a | 01/01/2025 |
| Mgjr Equity LLCOrganization | Indirect Ownership Interest | 7% | 07/01/2022 |
| Getz, MordechaiIndividual | Indirect Ownership Interest | 7% | 07/01/2022 |
| Friedman, StevenIndividual | Operational / Managerial Control | n/a | 07/01/2022 |
| Halpert, EphraimIndividual | Operational / Managerial Control | n/a | 04/05/2020 |
| Mosel, LindseyIndividual | Operational / Managerial Control | n/a | 11/16/2019 |
| Zander, CharleneIndividual | Operational / Managerial Control | n/a | 11/08/2024 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Apr 16, 2019 | Scottsbluff Operations LLC | Scottsbluff Care and Rehabilitation Center LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.