Elder Care Record

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Nursing homes in Fayette County, Texas

Fayette County, Texas, has 5 Medicare-certified nursing homes with 508 certified beds.

40% of them are rated 1 or 2 stars overall, a smaller share than the state (48%). Inspectors recorded 133 health deficiencies over three cycles, 26.2 per 100 beds against 24.4 statewide.

Fines in the period covered total $136K across 8 fines.

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.

MeasureFayette CountyTexasUS
Facilities5117714690
Rated 1–2 stars overall40%48%41%
Median overall rating333
Citations per 100 beds (3 cycles)26.224.426.8
Median nurse hours per resident day3.23.33.7
Fines listed$136K$54M$457M

Facilities

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Monument Rehabilitation and Nursing CenterLa Grange1044422120.2$8K28 Jan 2026
Schulenburg Regency Nursing CenterSchulenburg1464421611.0$9K11 Mar 2026
Avir At La GrangeLa Grange983312121.4—27 May 2026
Flatonia Healthcare Centerabuse iconFlatonia701241521.4$15K4 Dec 2025
Paradigm At the Oakabuse iconSchulenburg901116066.7$104K28 May 2026

Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.

Most-cited tags in the county

TagRequirementCitations
F0880Provide and implement an infection prevention and control program.11
F0584Honor 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.11
F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.10
F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.6
F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.6

Ownership

TypeFacilities
For profit3
Government2

Chains present: Nexion Health (1), Wellsential Health (1), Paradigm Healthcare (1).

Questions and answers

How many nursing homes are in Fayette County, Texas?

5 Medicare-certified nursing homes with 508 certified beds.

Which nursing homes in Fayette County have the highest CMS ratings?

Monument Rehabilitation and Nursing Center (4 stars), Schulenburg Regency Nursing Center (4 stars), Avir At La Grange (3 stars)

How do Fayette County nursing homes compare with Texas?

40% are rated 1–2 stars overall against 48% statewide; citations run at 26.2 per 100 beds against 24.4 statewide.