Monument Rehabilitation and Care Center in Scottsbluff, NE was fined $59,382 by CMS across 3 separate penalties following 48 deficiency citations identified during federal surveys.

Monument Rehabilitation and Care Center (Scottsbluff, NE) — $59,382 in CMS Fines

Outcome: Monument Rehabilitation and Care Center in Scottsbluff, NE was fined $59,382 by CMS across 3 separate penalties following 48 deficiency citations identified during federal surveys.

Deficiency areas cited:

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


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


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


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


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


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


• 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.


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