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Monument Rehabilitation and Nursing Center

All states › Texas › La Grange › Monument Rehabilitation and Nursing Center

120 State Loop 92 La Grange, TX 78945 · Fayette County

(979) 968-3144

All 2 nursing homes in La Grange, TX (2 take Medicaid)

Accepts Medicare Accepts Medicaid 104 certified beds Government

CMS certification number 455715 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Monument Rehabilitation and Nursing Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Monument Rehabilitation and Nursing Center as of October 2026.

CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 25 citations in the last three years. CMS imposed 1 penalty, including $8,281 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 4 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 2.69 hours per resident per day at Monument Rehabilitation and Nursing Center, below the Texas median of 3.30 (US median: 3.72). About 0.40 of those hours are from registered nurses. On weekends it falls to 2.30 hours, 14% below its all-week average. 70.8% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.

Nursing care per resident per day 2.69 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.40 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.30 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 70.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 80% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds104
Residents per day 62 About 59% of beds filled, on average
OwnershipGovernment - Hospital district
Payment acceptedMedicare and Medicaid
Certified sinceSeptember 1987
Part of a chainWellsential Health
Legal business nameWINNIE-STOWELL HOSPITAL DISTRICT

Paying for care at Monument Rehabilitation and Nursing Center: Medicare and Medicaid

Monument Rehabilitation and Nursing Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on September 11, 2025 and found 4 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 25 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 25 citations at Monument Rehabilitation and Nursing Center across 7 inspection dates, 7 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 2, 2025 (complaint inspection). The most common areas cited were infection control (5) and pharmacy service (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, July 2, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.

August 6, 2026 · 3 citations · includes complaint inspection

EEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Aug 17, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Aug 17, 2026)

DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0676 · Complaint inspection · Deficient, Provider has date of correction (Aug 17, 2026)

July 9, 2026 · 1 citation · includes complaint inspection

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Jul 13, 2026)

January 28, 2026 · 1 citation · includes complaint inspection

EEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Feb 20, 2026)

September 11, 2025 · 4 citations

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

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Sep 17, 2025)

EEducate 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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (Sep 17, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Sep 17, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Sep 17, 2025)

July 2, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Apr 11, 2025)

July 31, 2024 · 11 citations · includes complaint inspection

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Aug 8, 2024)

EEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0808 · Deficient, Provider has date of correction (Aug 8, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0810 · Deficient, Provider has date of correction (Aug 8, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 8, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 8, 2024)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Aug 8, 2024)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Aug 8, 2024)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Aug 8, 2024)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Aug 8, 2024)

DEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0801 · Deficient, Provider has date of correction (Aug 8, 2024)

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

Potential for minimal harm · Resident Rights Deficiencies · Tag F0577 · Deficient, Provider has date of correction (Aug 8, 2024)

June 8, 2023 · 4 citations

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Jun 12, 2023)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Jun 12, 2023)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jun 12, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 12, 2023)

Questions to ask on a tour of Monument Rehabilitation and Nursing Center

  1. Inspectors cited the home at the immediate-jeopardy level on July 2, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 6, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 70.8% a year. How many of the staff come from agencies?
  5. Several administrators left in the past year. What has changed for residents since then?
  6. The home averages about 59% of its beds filled. Are any units closed?
  7. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  8. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $8,281 in fines.

DateTypeAmount or length
Jul 2, 2025 Fine $8,281

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 3/5 1/5 4/5
August 2026 4/5 4/5 2/5 4/5
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Location

Hospitals near Monument Rehabilitation and Nursing Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 17.6 mi
    Ascension Seton Smithville Smithville
    Emergency room
    Median ER visit 1h 43m for patients treated and sent home
  • 23.9 mi
    Columbus Community Hospital Columbus
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 3h 0m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Avir at La Grange La Grange · 1.5 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 98 beds · Medicaid
Schulenburg Regency Nursing Center Schulenburg · 14.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 146 beds · Medicaid
Parkview Manor Nursing and Rehabilitation Weimar · 14.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 94 beds · Medicaid
Paradigm at the Oak Schulenburg · 14.3 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 90 beds · Medicaid
Towers Nursing Home Smithville · 17.5 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 120 beds · Medicaid

More nursing homes near Monument Rehabilitation and Nursing Center ›   All nursing homes in La Grange ›

Compare Monument Rehabilitation and Nursing Center with the 3 closest homes side by side ›

Other Wellsential Health nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 67 Wellsential Health nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/la-grange/monument-rehabilitation-and-nursing-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.