Federal inspection record · CMS data as of October 1, 2026
Monument Hill Nursing And Rehabilitation Center
120 State Loop 92, La Grange, TX · (979) 968-3144
- Certified beds
- 104
- Residents per day
- 62
- Ownership
- Government
- Chain
- Wellsential Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 11, 1987
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Monument Hill Nursing And Rehabilitation Center carries 62 inspection points. That is fewer than 57% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Pharmacy Service5E
- E
Ensure that residents are free from significant medication errors.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure that residents are free from significant medication errors.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Infection Control5E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
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.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Rights5D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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.
- B
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Nutrition and Dietary4E
- E
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
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care2E
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Assessment and Care Planning1D
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspection history
2025-09-11
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
2024-07-31
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2023-06-08
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 41 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
2 h 41 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 71% of nursing staff and 80% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,281 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-02 | Fine | $8,281 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts worse | 3.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.9 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.1 pts worse | 95.3% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.3 pts worse | 89.7% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.3 pts worse | 7.5% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 1.2% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.2 pts better | 17.6% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1 pts better | 8.8% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.3 pts better | 5.6% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.2 pts worse | 16.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.2 pts better | 11.3% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.2% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.9 pts better | 89.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.8 pts better | 5.4% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.7 pts worse | 61.7% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.5 pts better | 24.0% | 25.5% | 23.4% |
·
Who owns and runs it
59 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 120 State Loop 92 LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| 120 State Loop 92 LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Baird, Daniel | Indirect Ownership Interest · Individual | 0% | 58 facilities |
| Chudleigh, James | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Chudleigh, James | Adp Of The SNF · Individual | 0% | 9 facilities |
| Clapp, Barbara | Indirect Ownership Interest · Individual | 0% | 69 facilities |
| Cortese, Daren | Indirect Ownership Interest · Individual | 0% | 58 facilities |
| Csv Rhea Management Holdco, LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Csv Rhea Management Holdco, LLC | Operational/Managerial Control · Organization | 0% | 63 facilities |
| Csv Rhea Management Holdco, LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Dekowski, Donovan | Indirect Ownership Interest · Individual | 0% | 69 facilities |
| Dekowski, Donovan | Operational/Managerial Control · Individual | 0% | 69 facilities |
| Dekowski, Donovan | Adp Of The SNF · Individual | 0% | 69 facilities |
| Dwd Tx Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Dwd Tx Holdings LLC | Operational/Managerial Control · Organization | 0% | 63 facilities |
| Dwd Tx Holdings LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Gibson, Patricia | Indirect Ownership Interest · Individual | 0% | 57 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Indirect Ownership Interest · Organization | 0% | 68 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Operational/Managerial Control · Organization | 0% | 68 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Adp Of The SNF · Organization | 0% | 68 facilities |
| Lucas, Denise | Direct Ownership Interest · Individual | 0% | 2 facilities |
| Lucas, Denise | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Lucas, Denise | Adp Of The SNF · Individual | 0% | 2 facilities |
| Mandelbaum, Elliot | Indirect Ownership Interest · Individual | 0% | 61 facilities |
| Murrell, Edward | Corporate Officer · Individual | 0% | 77 facilities |
| Reg Bridge Opco LLC | Indirect Ownership Interest · Organization | 0% | 19 facilities |
| Reg Bridge Opco LLC | Operational/Managerial Control · Organization | 0% | 19 facilities |
| Reg Bridge Opco LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Reg Hg Opco LLC | Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Reg Hg Opco LLC | Operational/Managerial Control · Organization | 0% | 39 facilities |
| Reg Hg Opco LLC | Adp Of The SNF · Organization | 0% | 39 facilities |
| Reg Operator Holdco LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Reg Operator Holdco LLC | Operational/Managerial Control · Organization | 0% | 63 facilities |
| Reg Operator Holdco LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Regency Ihs Clinical Consulting, LLC | Operational/Managerial Control · Organization | 0% | 70 facilities |
| Regency Ihs Clinical Consulting, LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Ihs Of La Grange LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Regency Ihs Of La Grange LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Regency Ihs Of La Grange LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Regency Ihs Rehab LLC | Operational/Managerial Control · Organization | 0% | 68 facilities |
| Regency Ihs Rehab LLC | Adp Of The SNF · Organization | 0% | 68 facilities |
| Regency Integrated Health Services LLC | Indirect Ownership Interest · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Operational/Managerial Control · Organization | 0% | 70 facilities |
| Regency Integrated Health Services LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Texas Holdings LLC | Indirect Ownership Interest · Organization | 0% | 63 facilities |
| Regency Texas Holdings LLC | Operational/Managerial Control · Organization | 0% | 63 facilities |
| Regency Texas Holdings LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Rollo, Jeffery | Corporate Officer · Individual | 0% | 36 facilities |
| Siptak, Trina | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Siptak, Trina | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Siptak, Trina | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stramecki, Anthony | Corporate Officer · Individual | 0% | 36 facilities |
| Vasquez, Raymundo | Direct Ownership Interest · Individual | 0% | 1 facilities |
| Vasquez, Raymundo | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vasquez, Raymundo | Adp Of The SNF · Individual | 0% | 1 facilities |
| Vratis, Kacey | Corporate Officer · Individual | 0% | 33 facilities |
| Way, George | Corporate Officer · Individual | 0% | 36 facilities |
| Winnie-Stowell Hospital District | Operational/Managerial Control · Organization | 0% | 18 facilities |
| Winnie-Stowell Hospital District | Adp Of The SNF · Organization | 0% | 18 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Egress1D
- D
Have properly located and lighted "Exit" signs.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
Avir at La Grange
La Grange, TX
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 5 min
- Fines
- $0
-
Schulenburg Regency Nursing Center
Schulenburg, TX
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 41 min
- Fines
- $8,827
-
Parkview Manor Nursing and Rehabilitation
Weimar, TX · Creative Solutions In Healthcare · Abuse icon
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 3 h 23 min
- Fines
- $10,348