Nursing HomeInspections

Monument Hill Nursing and Rehabilitation Center

Nursing home in La Grange, TX

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
120 State Loop 92, La Grange, TX 78945
Phone
(979) 968-3144
Listed under
Government-owned
Medicare CCN
455715
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
104
Average residents per day
62
Ownership
Government, hospital district
Legal business name
Winnie-Stowell Hospital District
Chain
Wellsential Health (67 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 11, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455715. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Sep 11, 2025. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 8, 2023 to Aug 6, 2026): 7 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 6, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 6, 2026Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 6, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 9, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 28, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Sep 11, 2025Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 11, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Sep 11, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		E
Potential for more than minimal harm, pattern
Sep 11, 2025Educate 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…
Infection Control		E
Potential for more than minimal harm, pattern
Jul 2, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Jul 31, 2024Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights		B
Potential for minimal harm, pattern
Jul 31, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,281 in the last three years.

Jul 2, 2025Fine: $8,281

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.69 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
1.44 hours
Total nurse staffing on weekends
2.30 hours
Nursing staff turnover (yearly)
71%
RN turnover (yearly)
80%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in La Grange

Avir at La Grange457 N. Main Street · La Grange, TX 78945 · (979) 968-5865 · Government-owned21 health citations in 3 inspection cycles · last standard inspection Mar 5, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)

All 2 in La Grange →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error