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HomeTexasMonument Rehabilitation and Nursing Center

Monument Rehabilitation and Nursing Center

120 State Loop 92, La Grange, TX 789459799683144WebsiteGoogle Maps
4.7on Google(27 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
1/5
Quality
4/5
Beds
104
certified
1 fine(s) totaling $8,281

How Monument Rehabilitation and Nursing Center Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
3/5
TX average
2.8/5
Close to state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Staff turnover
54.5%
TX average
55.3%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
11
deficiency citations
Inspected Jul 31, 2024
Most recent cycle
6
deficiency citations
Inspected Sep 11, 2025
The most recent cycle recorded 5 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Fayette County 65+
6,399
26.1% of county
County Population
24,564
Fayette County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Monument Rehabilitation and Nursing Center is a 2-star Medicare and Medicaid certified nursing home in La Grange, Texas with 104 certified beds. It has been operating since 1987. Its overall CMS rating is 2 out of 5.

Beds
104
Avg Residents/Day
61.1
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 11, 1987
Sprinklers
Yes
Council
Resident
County
Fayette
Last Inspection
Sep 11, 2025
Deficiencies (Cycle 1)
6
Weighted Score
54.0
Infection Citations
0

Deficiency Citations (21)

F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Jan 28, 2026Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0887Potential for Harm

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.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0640Potential for Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 11, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Jul 2, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0808Potential for Harm

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.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0810Potential for Harm

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0550Potential for Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0584Potential for 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.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0801Potential for 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.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0577Minimal Harm

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

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Jun 8, 2023Corrected: NoCycle: 3
F0757Potential for Harm

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

Survey: Jun 8, 2023Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Jun 8, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 8, 2023Corrected: NoCycle: 3
Total Fines
$8,281
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJul 2, 2025
$8,281

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide0.00 hrs
National avg: 2.32 hrs
LPN0.00 hrs
National avg: 0.86 hrs
RN0.00 hrs
National avg: 0.69 hrs
Total Nursing0.00 hrs
National avg: 3.86 hrs
Weekend Total0.00 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
54.5%
RN Turnover
20.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (59)

NameRoleTypeOwnership %Since
REGENCY IHS OF LA GRANGE LLCDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2018
LUCAS, DENISEDIRECT OWNERSHIP INTERESTIndividualN/AJan 1, 2025
SIPTAK, TRINADIRECT OWNERSHIP INTERESTIndividualN/AJan 1, 2025
VASQUEZ, RAYMUNDODIRECT OWNERSHIP INTERESTIndividualN/AOct 1, 2020
CSV RHEA MANAGEMENT HOLDCO, LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2018
DWD TX HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2018
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2018
REG BRIDGE OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2018
REG HG OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2018
REG OPERATOR HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2018
REGENCY INTEGRATED HEALTH SERVICES LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2018
REGENCY TEXAS HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2018
BAIRD, DANIELINDIRECT OWNERSHIP INTERESTIndividualN/AApr 13, 2021
CLAPP, BARBARAINDIRECT OWNERSHIP INTERESTIndividualN/AJun 1, 2021
CORTESE, DARENINDIRECT OWNERSHIP INTERESTIndividualN/AAug 10, 2021
DEKOWSKI, DONOVANINDIRECT OWNERSHIP INTERESTIndividualN/AOct 1, 2018
GIBSON, PATRICIAINDIRECT OWNERSHIP INTERESTIndividualN/AAug 1, 2021
MANDELBAUM, ELLIOTINDIRECT OWNERSHIP INTERESTIndividualN/AOct 1, 2018
MURRELL, EDWARDCORPORATE OFFICERIndividualN/ANov 22, 2016
ROLLO, JEFFERYCORPORATE OFFICERIndividualN/AFeb 1, 2021
STRAMECKI, ANTHONYCORPORATE OFFICERIndividualN/ANov 1, 2016
VRATIS, KACEYCORPORATE OFFICERIndividualN/AJan 1, 2020
WAY, GEORGECORPORATE OFFICERIndividualN/AFeb 1, 2018
120 STATE LOOP 92 LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
CSV RHEA MANAGEMENT HOLDCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
DWD TX HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
REG BRIDGE OPCO LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
REG HG OPCO LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
REG OPERATOR HOLDCO LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
REGENCY IHS CLINICAL CONSULTING, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
REGENCY IHS OF LA GRANGE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
REGENCY IHS REHAB LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
REGENCY INTEGRATED HEALTH SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
REGENCY TEXAS HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
WINNIE-STOWELL HOSPITAL DISTRICTOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
CHUDLEIGH, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
DEKOWSKI, DONOVANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2018
LUCAS, DENISEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2018
SIPTAK, TRINAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2018
VASQUEZ, RAYMUNDOOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2020
120 STATE LOOP 92 LLCADP OF THE SNFOrganizationN/AOct 1, 2018
CSV RHEA MANAGEMENT HOLDCO, LLCADP OF THE SNFOrganizationN/AMay 13, 2025
DWD TX HOLDINGS LLCADP OF THE SNFOrganizationN/AMay 13, 2025
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCADP OF THE SNFOrganizationN/AMay 13, 2025
REG BRIDGE OPCO LLCADP OF THE SNFOrganizationN/AMay 13, 2025
REG HG OPCO LLCADP OF THE SNFOrganizationN/AMay 13, 2025
REG OPERATOR HOLDCO LLCADP OF THE SNFOrganizationN/AMay 13, 2025
REGENCY IHS CLINICAL CONSULTING, LLCADP OF THE SNFOrganizationN/AMay 13, 2025
REGENCY IHS OF LA GRANGE LLCADP OF THE SNFOrganizationN/AMay 13, 2025
REGENCY IHS REHAB LLCADP OF THE SNFOrganizationN/AMay 13, 2025
REGENCY INTEGRATED HEALTH SERVICES LLCADP OF THE SNFOrganizationN/AMay 13, 2025
REGENCY TEXAS HOLDINGS LLCADP OF THE SNFOrganizationN/AMay 13, 2025
WINNIE-STOWELL HOSPITAL DISTRICTADP OF THE SNFOrganizationN/AMay 13, 2025
CHUDLEIGH, JAMESADP OF THE SNFIndividualN/AJan 1, 2025
DEKOWSKI, DONOVANADP OF THE SNFIndividualN/AOct 1, 2018
LUCAS, DENISEADP OF THE SNFIndividualN/AJan 1, 2025
SIPTAK, TRINAADP OF THE SNFIndividualN/AJan 1, 2025
VASQUEZ, RAYMUNDOADP OF THE SNFIndividualN/AOct 1, 2020

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Monument Rehabilitation and Nursing Center and nearby alternatives.

All Texas facilities
Monument Rehabilitation and Nursing Center
La Grange, TXCurrent facility
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $8,281
Care Inn of La Grange
La Grange, TX1.5 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: None
Schulenburg Regency Nursing Center
Schulenburg, TX14.1 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: $8,827
Parkview Manor Nursing and Rehabilitation
Weimar, TX14.1 miAbuse flag
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $15,920
Paradigm at the Oak
Schulenburg, TX14.3 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $103,606
Towers Nursing Home
Smithville, TX17.5 mi
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: $15,239
Flatonia Healthcare Center
Flatonia, TX19.3 miAbuse flag
CMS
1/5
Health
2/5
Staffing
4/5
Recorded fines: $15,098
FacilityDistanceCMSHealthStaffingRecorded fines
Monument Rehabilitation and Nursing Center
La Grange, TX · Current facility
—2/53/51/5$8,281
Care Inn of La Grange
La Grange, TX
1.5 mi3/53/51/5None recorded
Schulenburg Regency Nursing Center
Schulenburg, TX
14.1 mi4/54/52/5$8,827
Parkview Manor Nursing and Rehabilitation
Weimar, TX
14.1 mi1/52/51/5$15,920
Paradigm at the Oak
Schulenburg, TX
14.3 mi1/51/51/5$103,606
Towers Nursing Home
Smithville, TX
17.5 mi4/54/51/5$15,239
Flatonia Healthcare Center
Flatonia, TX
19.3 mi1/52/54/5$15,098

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Monument Rehabilitation and Nursing Center?▾
Monument Rehabilitation and Nursing Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Monument Rehabilitation and Nursing Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Monument Rehabilitation and Nursing Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Monument Rehabilitation and Nursing Center had any health inspection violations?▾
Monument Rehabilitation and Nursing Center had 6 deficiency citations in its most recent health inspection (Sep 11, 2025). The current CMS dataset records 1 fine(s) totaling $8,281.
What are the staffing levels at Monument Rehabilitation and Nursing Center?▾
Monument Rehabilitation and Nursing Center provides 0.00 total nursing staff hours per resident per day, including 0.00 RN hours, 0.00 LPN hours, and 0.00 nurse aide hours. The total staff turnover rate is 54.5%.
How many beds does Monument Rehabilitation and Nursing Center have?▾
Monument Rehabilitation and Nursing Center has 104 certified beds with an average of 61.1 residents per day, resulting in approximately 59% occupancy. The facility is Government - Hospital district owned and is part of the Wellsential Health chain.
Are there other nursing homes near Monument Rehabilitation and Nursing Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 1 in La Grange. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Monument Rehabilitation and Nursing Center?▾
On Google Maps, Monument Rehabilitation and Nursing Center has a rating of 4.7 out of 5 based on 27 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Wellsential Health

This chain operates 68 facilities. View all →