Nursing Homes · La Grange, TX
Nursing Homes · Medicare certified
Monument Hill Nursing and Rehabilitation Center
120 State Loop 92 · La Grange, TX 78945 · 104 certified beds
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About Monument Hill Nursing and Rehabilitation Center
Monument Hill Nursing and Rehabilitation Center is a nursing home in La Grange, Texas. Its capacity is 104 beds, above the Fayette County median of 98 for nursing homes. It is run by a nonprofit operator and is part of Wellsential Health. It is Medicare certified. Its public inspection record shows 21 citations, the most recent on January 28, 2026. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 2.69 hours per resident per day. It is one of 2 nursing homes listed in La Grange. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
1.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (21)
Records from June 2023 to January 2026.
January 28, 2026
Tag F0760Ensure that residents are free from significant medication errors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 20, 2026.
September 11, 2025
Tag F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
September 11, 2025
Tag F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
September 11, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
September 11, 2025
Tag F0887Educate 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.
July 2, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected April 11, 2025.
July 31, 2024
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 8, 2024.
July 31, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 8, 2024.
July 31, 2024
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 8, 2024.
July 31, 2024
Tag F0808Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 8, 2024.
July 31, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 8, 2024.
July 31, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 8, 2024.
July 31, 2024
Tag F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 8, 2024.
July 31, 2024
Tag F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected August 8, 2024.
July 31, 2024
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 8, 2024.
July 31, 2024
Tag F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 8, 2024.
July 31, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 8, 2024.
June 8, 2023
Tag F0552Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 12, 2023.
June 8, 2023
Tag F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 12, 2023.
June 8, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 12, 2023.
Penalties (1)
Total fines: $8,281
July 2, 2025 · Fine
CMS recorded a civil money penalty of $8,281 against this nursing home on July 2, 2025.
Staffing
2.69 nurse hours per resident per day in Q2 2026, down from 2.86 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Wellsential Health, a chain of 67 nursing homes.
Average CMS star ratings across the chain: 2.8 overall, 2.9 for health inspections, 1.6 for staffing, 4.3 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in La Grange.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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