Texas › Fayette County › La Grange
Monument Rehabilitation and Nursing Center
120 State Loop 92, La Grange, TX 78945
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Monument Rehabilitation and Nursing Center, in La Grange, Texas, is certified for 104 beds under government, hospital district ownership and belongs to the Wellsential Health chain.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 2 and quality measures 4.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (5, 11, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 20.2 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 2.6 hours per resident per day (0.6 RN), below the Texas median of 3.3; nursing staff turnover is 54.5%.
Compared with county, state and nation
| Measure | This facility | Fayette Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 21 | 25 | 28.7 |
| Citations per 100 beds | 20.2 | 21.4 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.6 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.6 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 54.5% | 43.6% | 52.1% | 45.8% |
| Fines listed | $8,281 | $8,827 | $16,801 | — |
County and state figures are medians across facilities (5 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Sep 2025, 31 Jul 2024.
Severity mix: J ×1 D ×11 E ×8 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 28 Jan 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 20 Feb 2026 |
| 11 Sep 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 17 Sep 2025 |
| 11 Sep 2025 | F0887 | 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. | E | Standard survey | 17 Sep 2025 |
| 11 Sep 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 17 Sep 2025 |
| 11 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Sep 2025 |
| 2 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 11 Apr 2025 |
| 31 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 8 Aug 2024 |
| 31 Jul 2024 | F0808 | 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. | E | Standard survey | 8 Aug 2024 |
| 31 Jul 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | E | Standard survey | 8 Aug 2024 |
| 31 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Aug 2024 |
| 31 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 8 Aug 2024 |
| 31 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 8 Aug 2024 |
| 31 Jul 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 8 Aug 2024 |
| 31 Jul 2024 | F0584 | 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. | D | Standard survey | 8 Aug 2024 |
| 31 Jul 2024 | F0801 | 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. | D | Standard survey | 8 Aug 2024 |
| 31 Jul 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | Standard survey | 8 Aug 2024 |
| 31 Jul 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 8 Aug 2024 |
| 8 Jun 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 12 Jun 2023 |
| 8 Jun 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 12 Jun 2023 |
| 8 Jun 2023 | F0761 | 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. | D | Standard survey | 12 Jun 2023 |
| 8 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 Jul 2025 | Fine | $8,281 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 54.5%, RNs 20.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.1% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.9% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Winnie-Stowell Hospital District. Chain: Wellsential Health (67 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Regency Ihs of La Grange LLC | Direct ownership interest | NOT APPLICABLE | 10/01/2018 |
| Csv Rhea Management Holdco, LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| Dwd Tx Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| Reg Bridge Opco LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| Reg Hg Opco LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| Reg Operator Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| Regency Integrated Health Services LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| Regency Texas Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2018 |
| 120 State Loop 92 LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Csv Rhea Management Holdco, LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Dwd Tx Holdings LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Reg Bridge Opco LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Reg Hg Opco LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Reg Operator Holdco LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Regency Ihs Clinical Consulting, LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Regency Ihs of La Grange LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Regency Ihs Rehab LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Regency Integrated Health Services LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Regency Texas Holdings LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| Winnie-Stowell Hospital District | Operational/managerial control | NOT APPLICABLE | 10/01/2018 |
| 120 State Loop 92 LLC | Adp of the snf | NOT APPLICABLE | 10/01/2018 |
| Csv Rhea Management Holdco, LLC | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
| Dwd Tx Holdings LLC | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
| Jack and Nancy Dwyer Workforce Development Center Inc | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
| Reg Bridge Opco LLC | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
| Reg Hg Opco LLC | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
| Reg Operator Holdco LLC | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
| Regency Ihs Clinical Consulting, LLC | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
| Regency Ihs of La Grange LLC | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
| Regency Ihs Rehab LLC | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
| Regency Integrated Health Services LLC | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
| Regency Texas Holdings LLC | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
| Winnie-Stowell Hospital District | Adp of the snf | NOT APPLICABLE | 05/13/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Fayette County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Schulenburg Regency Nursing Center | Schulenburg | 146 | 4 | 4 | 2 | 16 | 11.0 | $9K | 11 Mar 2026 |
| Avir At La Grange | La Grange | 98 | 3 | 3 | 1 | 21 | 21.4 | — | 27 May 2026 |
| Flatonia Healthcare Centerabuse icon | Flatonia | 70 | 1 | 2 | 4 | 15 | 21.4 | $15K | 4 Dec 2025 |
| Paradigm At the Oakabuse icon | Schulenburg | 90 | 1 | 1 | 1 | 60 | 66.7 | $104K | 28 May 2026 |
All 5 facilities in Fayette County
Questions and answers
How many deficiencies has Monument Rehabilitation and Nursing Center been cited for?
21 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Monument Rehabilitation and Nursing Center been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Monument Rehabilitation and Nursing Center compare?
Reported total nurse staffing is 2.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Monument Rehabilitation and Nursing Center?
It is part of the Wellsential Health chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Regency Ihs of La Grange LLC, Csv Rhea Management Holdco, LLC and Dwd Tx Holdings LLC. Individual owners and managers are not listed on this site.
When was Monument Rehabilitation and Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 28 Jan 2026; the most recent standard health survey was 11 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.