nursing home in La Grange, TX
Monument Hill Nursing and Rehabilitation Center
120 State Loop 92, La Grange, TX 78945 · (979) 968-3144
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Monument Hill Nursing and Rehabilitation Center at a glance
Monument Hill Nursing and Rehabilitation Center is a 104-bed government nursing home in La Grange, Texas (Fayette County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 2.6 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (September 11, 2025) found 6 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $8,281.
Nursing staff turnover is 54.5% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 104
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Wellsential Health
- Medicare-certified since
- September 11, 1987
- Resident/family council
- Resident
- County
- Fayette County
- CMS Certification Number
- 455715
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.57 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.59 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.35 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.28 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 54.5% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 20% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 50 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,281 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 104 | 113 | 107 | |
| Average residents per day | 61 | 76 | 86 | |
| Occupancy | 58.8% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.2% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.8% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 7.9% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 19.1% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 6.5% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.3% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.5% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 12.8% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 94.8% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 90% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 89.4% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 22 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 9, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected July 13, 2026 |
| January 28, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected February 20, 2026 |
| September 11, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 6, 2025 |
| September 11, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 6, 2025 |
| September 11, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected December 6, 2025 |
| September 11, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected September 17, 2025 |
| September 11, 2025 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | E Potential harm, pattern | Corrected September 17, 2025 |
| September 11, 2025 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected September 17, 2025 |
| September 11, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 17, 2025 |
| July 2, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected April 11, 2025 |
| July 31, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected February 28, 2025 |
| July 31, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 31, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 31, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 31, 2024 Standard | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Tag F0810 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 31, 2024 Standard | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Tag F0808 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 31, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 31, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 31, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 31, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 31, 2024 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0801 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 31, 2024 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | B No harm, pattern | Corrected August 8, 2024 |
| June 8, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected April 10, 2024 |
| June 8, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected April 10, 2024 |
| June 8, 2023 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected June 12, 2023 |
| June 8, 2023 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 12, 2023 |
| June 8, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 12, 2023 |
| June 8, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 12, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,281 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 2, 2025 | Fine | $8,281 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 120 STATE LOOP 92 LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2018 |
| CHUDLEIGH, JAMES Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| CSV RHEA MANAGEMENT HOLDCO, LLC Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| DEKOWSKI, DONOVAN Individual | adp of the snf | NOT APPLICABLE | 10/01/2018 |
| DWD TX HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| LUCAS, DENISE Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| REG BRIDGE OPCO LLC Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| REGENCY IHS CLINICAL CONSULTING, LLC Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| REGENCY IHS OF LA GRANGE LLC Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| REGENCY IHS REHAB LLC Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| REGENCY INTEGRATED HEALTH SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| REGENCY TEXAS HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| REG HG OPCO LLC Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| REG OPERATOR HOLDCO LLC Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| SIPTAK, TRINA Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| VASQUEZ, RAYMUNDO Individual | adp of the snf | NOT APPLICABLE | 10/01/2020 |
| WINNIE-STOWELL HOSPITAL DISTRICT Organization | adp of the snf | NOT APPLICABLE | 05/13/2025 |
| MURRELL, EDWARD Individual | corporate officer | NOT APPLICABLE | 11/22/2016 |
| ROLLO, JEFFERY Individual | corporate officer | NOT APPLICABLE | 02/01/2021 |
| STRAMECKI, ANTHONY Individual | corporate officer | NOT APPLICABLE | 11/01/2016 |
| VRATIS, KACEY Individual | corporate officer | NOT APPLICABLE | 01/01/2020 |
| WAY, GEORGE Individual | corporate officer | NOT APPLICABLE | 02/01/2018 |
| LUCAS, DENISE Individual | direct ownership interest | NOT APPLICABLE | 01/01/2025 |
| REGENCY IHS OF LA GRANGE LLC Organization | direct ownership interest | NOT APPLICABLE | 10/01/2018 |
| SIPTAK, TRINA Individual | direct ownership interest | NOT APPLICABLE | 01/01/2025 |
| VASQUEZ, RAYMUNDO Individual | direct ownership interest | NOT APPLICABLE | 10/01/2020 |
| BAIRD, DANIEL Individual | indirect ownership interest | NOT APPLICABLE | 04/13/2021 |
| CLAPP, BARBARA Individual | indirect ownership interest | NOT APPLICABLE | 06/01/2021 |
| CORTESE, DAREN Individual | indirect ownership interest | NOT APPLICABLE | 08/10/2021 |
| CSV RHEA MANAGEMENT HOLDCO, LLC Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| DEKOWSKI, DONOVAN Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| DWD TX HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| GIBSON, PATRICIA Individual | indirect ownership interest | NOT APPLICABLE | 08/01/2021 |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| MANDELBAUM, ELLIOT Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| REG BRIDGE OPCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| REGENCY INTEGRATED HEALTH SERVICES LLC Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| REGENCY TEXAS HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| REG HG OPCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
Showing 40 of 59 records.
Other nursing homes near Monument Hill Nursing and Rehabilitation Center
- ★★★★★3Average
Schulenburg Regency Nursing Center
111 College St, Schulenburg, TX 78956 · 14.1 mi
For-profit · 146 beds
★★★★★3AverageParkview Manor Nursing and Rehabilitation
206 N Smith St, Weimar, TX 78962 · 14.1 mi
For-profit · 94 beds · Part of Creative Solutions in Healthcare
- Abuse citation
★★★★★1Much below averageParadigm at the Oak
507 West Ave, Schulenburg, TX 78956 · 14.3 mi
For-profit · 90 beds · Part of Paradigm Healthcare
- Abuse citation
★★★★★1Much below averageTowers Nursing Home
372 Hill Road, Smithville, TX 78957 · 17.5 mi
Non-profit · 120 beds · Part of Wellsential Health
★★★★★4Above averageFlatonia Healthcare Center
624 N Converse St, Flatonia, TX 78941 · 19.3 mi
For-profit · 70 beds · Part of Nexion Health
- Abuse citation
★★★★★1Much below average
Frequently asked questions
What is Monument Hill Nursing and Rehabilitation Center's rating?
Monument Hill Nursing and Rehabilitation Center has 4 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Monument Hill Nursing and Rehabilitation Center receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Monument Hill Nursing and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Monument Hill Nursing and Rehabilitation Center?
It is government - hospital district and part of Wellsential Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Monument Hill Nursing and Rehabilitation Center and how do I contact it?
Monument Hill Nursing and Rehabilitation Center is at 120 State Loop 92, La Grange, TX 78945. Phone: (979) 968-3144.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.