Monument Rehabilitation And Nursing Center
120 State Loop 92, La Grange, TX 78945 · Fayette County
Government · 104 certified beds · 59% occupancy · (979) 968-3144
Monument Rehabilitation And Nursing Center reviews: what the government record shows
The U.S. government (CMS) rates Monument Rehabilitation And Nursing Center 4 out of 5 stars overall, above average. Its nurse staffing is 22% below the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 4 of 5 stars
- Nurse staffing
- 2.57 hrs/resident/day (-22% vs TX median)
- Antipsychotic drug use
- 7.9% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 6.2% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $8,281
- Inspection findings
- 21 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓Earns 4 of 5 stars overall from CMS.
Concerns
- !Nurse staffing of 2.57 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
- !Serious-fall rate of 6.2% is well above the Texas median of 3%.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
- ·What is your fall-prevention program, and how is it staffed overnight?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Monument Rehabilitation And Nursing Center
Is Monument Rehabilitation And Nursing Center a good nursing home?
Monument Rehabilitation And Nursing Center in La Grange, Texas holds a 4 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Monument Rehabilitation And Nursing Center staffed?
Monument Rehabilitation And Nursing Center reports 2.57 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Monument Rehabilitation And Nursing Center been fined or flagged for abuse?
Monument Rehabilitation And Nursing Center has paid approximately $8,281 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
2.57 nurse hours per resident per day. 22% below the Texas median of 3.27.
Nursing staff turnover: 54.5% · RN turnover: 20%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0760 · Jan 28, 2026ComplaintCorrected Feb 20, 2026
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Potential for harmTag F0883 · Sep 11, 2025Corrected Sep 17, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
- Potential for harmTag F0887 · Sep 11, 2025Corrected Sep 17, 2025
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
- Potential for harmTag F0640 · Sep 11, 2025Corrected Sep 17, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0880 · Sep 11, 2025Corrected Sep 17, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Immediate jeopardyTag F0689 · Jul 2, 2025ComplaintCorrected Apr 11, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0677 · Jul 31, 2024Corrected Aug 8, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0808 · Jul 31, 2024Corrected Aug 8, 2024
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
- Potential for harmTag F0810 · Jul 31, 2024Corrected Aug 8, 2024
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0812 · Jul 31, 2024Corrected Aug 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Showing the 10 most recent and serious of 21 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at least double the Texas median. Ask the staff directly about their fall-prevention program: how they assess risk, how often they check on residents, and whether staffing at night is enough to respond quickly.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the Wellsential Health chain, which operates 67 facilities, with a chain-average CMS rating of 2.7 stars.