Government - Hospital district ·
104 certified beds ·
Medicare and Medicaid
· Part of Wellsential Health (67 facilities)
2
Overall CMS Rating
★★☆☆☆
Monument Rehabilitation And Nursing Center is a Medicare-certified nursing home in La Grange, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 2.85 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Sep 11, 2025 cited 6 deficiencies.
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CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★☆☆☆ 2/5
Health Inspections
★★★☆☆ 3/5
Staffing
★☆☆☆☆ 1/5
Quality Measures
★★★★☆ 4/5
Long-Stay QM
★★★★☆ 4/5
Short-Stay QM
★★★☆☆ 3/5
How Monument Rehabilitation And Nursing Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
Texas avg
National avg
Total nurse staffing (hrs/resident/day)
2.85
3.40
3.89
below avg
RN staffing (hrs/resident/day)
0.40
0.44
0.68
below avg
Aide staffing (hrs/resident/day)
1.56
2.01
2.34
below avg
Nursing staff turnover
50.0%
51.5%
46.4%
below avg
Deficiencies cited, last inspection
6.0
9.1
9.5
below avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
2.85
Total Nurse Hrs/Resident/Day
0.40
RN Hrs/Resident/Day
0.88
LPN Hrs/Resident/Day
1.56
Aide Hrs/Resident/Day
2.48
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
50.0%
Registered Nurses—
Administrator Changes0 in last year
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Sep 11, 2025
Most Recent Inspection Date
6
Total Deficiencies Found
52
Health Inspection Score
0
Number of Fines
What inspectors found at Monument Rehabilitation And Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Potential for harm
Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies · Jan 28, 2026
Potential 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.Infection Control Deficiencies · Sep 11, 2025
Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection Control Deficiencies · Sep 11, 2025
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Sep 11, 2025
Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Resident Assessment and Care Planning Deficiencies · Sep 11, 2025
Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies · Jul 2, 2025
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Jul 31, 2024
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Jul 31, 2024
Potential for harm
Provide special eating equipment and utensils for residents who need them and appropriate assistance.Nutrition and Dietary Deficiencies · Jul 31, 2024
Potential 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.Nutrition and Dietary Deficiencies · Jul 31, 2024
Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies · Jul 31, 2024
Potential 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.Nutrition and Dietary Deficiencies · Jul 31, 2024
About This Facility
Address
120 State Loop 92 La Grange, TX 78945
CMS Certification #
455715
Ownership
Government - Hospital district
Certified Beds
104
Avg Residents/Day
56.7
Provider Type
Medicare and Medicaid
First Certified
1987-09-11
Chain
Wellsential Health (67 facilities)
Setting
Rural
Part of Wellsential Health
67
Facilities Nationwide
Wellsential Health operates 67 nursing facilities across the United States.
CMS gives Monument Rehabilitation And Nursing Center an overall rating of 2 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Monument Rehabilitation And Nursing Center reports 2.85 total nurse hours per resident per day, compared with the Texas average of 3.40.
Its most recent CMS inspection cited 6 deficiencies.
Monument Rehabilitation And Nursing Center is certified for 104 beds.
Admissions at Monument Rehabilitation And Nursing Center
For admissions, availability and rehab questions, call (979) 968-3144. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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