Monument Rehabilitation and Nursing Center

120 State Loop 92, La Grange, TX 78945 · CCN 455715 · 104 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections3 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2025-07-02 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

1.87

state median 2.67

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.41

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

55%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $8,281 in fines.

Date	Type	Amount
2025-07-02	Fine	$8,281

Ownership

Ownership type: Government - Hospital district. Part of the WELLSENTIAL HEALTH chain.

Other facilities under the same ownership, with their CMS overall ratings:

Laredo West Nursing and Rehabilitation Center (Laredo, TX) — CMS overall1 of 5
Windsor Nursing and Rehabilitation Center of Morga (Corpus Christi, TX) — CMS overall2 of 5
Heritage Park Rehabilitation and Skilled Nursing C (Austin, TX) — CMS overall2 of 5
Windsor Nursing and Rehabilitation Center of Mcall (Mcallen, TX) — CMS overall3 of 5
Longview Hill Nursing and Rehabilitation Center (Longview, TX) — CMS overall1 of 5
SPINDLETOP HILL NURSING & REHAB CENTER (BEAUMONT, TX) — CMS overall1 of 5
Town and Country Nursing and Rehabilitation Center (Boerne, TX) — CMS overall1 of 5
Pearsall Nursing and Rehabilitation Center (Pearsall, TX) — CMS overall4 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 19 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-01-28	F0760	Pharmacy Service Deficiencies	E	not recorded
2025-09-11	F0640	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-09-11	F0880	Infection Control Deficiencies	D	not recorded
2025-09-11	F0883	Infection Control Deficiencies	E	not recorded
2025-09-11	F0887	Infection Control Deficiencies	E	not recorded
2025-07-02	F0689	Quality of Life and Care Deficiencies	J	not recorded
2024-07-31	F0550	Resident Rights Deficiencies	D	not recorded
2024-07-31	F0558	Resident Rights Deficiencies	D	not recorded
2024-07-31	F0577	Resident Rights Deficiencies	B	not recorded
2024-07-31	F0584	Resident Rights Deficiencies	D	not recorded
2024-07-31	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-07-31	F0677	Quality of Life and Care Deficiencies	E	not recorded
2024-07-31	F0801	Nutrition and Dietary Deficiencies	D	not recorded
2024-07-31	F0808	Nutrition and Dietary Deficiencies	E	not recorded
2024-07-31	F0810	Nutrition and Dietary Deficiencies	E	not recorded
2024-07-31	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-07-31	F0880	Infection Control Deficiencies	E	not recorded
2023-06-08	F0552	Resident Rights Deficiencies	D	not recorded
2023-06-08	F0757	Pharmacy Service Deficiencies	D	not recorded
2023-06-08	F0761	Pharmacy Service Deficiencies	D	not recorded
2023-06-08	F0880	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Monument Rehabilitation and Nursing Center, La Grange” at medicare.gov/care-compare.