All citations for Monument Healthcare and Nursing Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Monument Healthcare and Nursing Center

Last standard health inspection on record

August 16, 2025

Showing 1 to 25 of 52 citations

  1. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  2. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of April 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 28, 2025).

  3. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Widespread (many residents). CMS level F.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of August 31, 2026. Found during a complaint inspection.

    No plan of correction on record.

  4. No harm, with potential for more than minimal harm

    Honor 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.

    Widespread (many residents). CMS level F.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 31, 2026. Found during a complaint inspection.

    No plan of correction on record.

  5. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of August 31, 2026. Found during a complaint inspection.

    No plan of correction on record.

  6. No harm, with potential for more than minimal harm

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level F.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of August 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

  7. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  8. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  9. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 13, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 25, 2023).

  10. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 31, 2026. Found during a complaint inspection.

    No plan of correction on record.

  11. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of August 31, 2026. Found during a complaint inspection.

    No plan of correction on record.

  12. No harm, with potential for more than minimal harm

    Have enough outside ventilation via a window or mechanical ventilation, or both.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0923, Environmental Deficiencies. Inspection of August 31, 2026. Found during a complaint inspection.

    No plan of correction on record.

  13. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of June 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 15, 2026).

  14. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of August 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

  15. No harm, with potential for more than minimal harm

    Honor 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  16. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Pattern (more than a few residents). CMS level E.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  17. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 1, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  18. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of August 1, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  19. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of August 1, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 29, 2024).

  20. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of August 31, 2026. Found during a complaint inspection.

    No plan of correction on record.

  21. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0628, Resident Rights Deficiencies. Inspection of August 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

  22. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of August 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

  23. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of August 16, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

  24. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of August 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

  25. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of August 16, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 10, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.