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Monument Hill Nursing and Rehabilitation Center

120 State Loop 92, La Grange, TX 78945 · Fayette County · (979) 968-3144

104 certified beds, about 61 residents a day · Government - Hospital district · Medicare and Medicaid since 1987

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 455715 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 11, 2025, inspectors cited 4 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 22 health citations since June 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $8,281 in the last three years; the largest was $8,281, and the latest is dated July 2, 2025.

Nurses and nurse aides worked 2.57 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.

54.5% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Wellsential Health, an affiliated group of 67 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 22 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
9E
0F
Potential for minimal harm
0A
1B
0C
July 9, 2026Complaint inspection · 1 citation
  1. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 13, 2026
    Inspectors wroteBased on interview and record review, the facility failed to establish a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation; for all medication carts reviewed for controlled drug reconciliation. The facility failed to ensure they stored and labeled 34 tablets of 5-325 Norco for Resident #1 13 tablets of 5-325 for Resident #2 and 2 tablets of Oxycodone 5mg for Resident #3. This failure could place residents who receive medications at risk of not receiving the intended therapeutic effects of their prescribed medications.
January 28, 2026Complaint inspection · 1 citation
  1. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents remained free of any significant errors for 1 of 3 residents (Resident # 1) reviewed for medication error. The facility failed to ensure Resident #1 received the correct dosage of Primidone required for treating tremors. Resident #1 was given Primidone 50 mg oral tablet 1 tablet by mouth 2 times a day from 12/11/2025 until 01/07/2026. The order from the hospital discharge was written as Primidone 50 mg oral tablet 2 tablet by mouth 2 times a day. The failure could place residents at risk of complications such as increased tremors.
September 11, 2025Standard inspection · 4 citations
  1. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 17, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to ensure resident's medical records included documentation that indicated the resident, or their responsible party, received education of the benefits, and potential side effects, of the influenza or pneumococcal immunization, receipt of the influenza or pneumococcal immunization, or residents did not receive the influenza or pneumococcal immunization due to medical contraindication, or refusal, for 3 of 5 residents reviewed for immunizations. (Residents #14, #28 and #5) A) The facility failed to document in Resident #14's medical records for having had received education, whether by self or with responsible party, of the benefits, and potential side effects, of the pneumococcal immunization or having had not received the pneumococcal immunization due to medical contraindication or refusal. [...]
  2. E
    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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 17, 2025
    Inspectors wroteBased on interview and record reviews, the facility failed to implement their policy to ensure the residents, or their responsible party, received education of the benefits and risks, or potential side effects of Covid-19 immunizations, receipt of Covid-19 immunizations, or the residents did not receive the Covid-19 immunizations, due to medical contraindication, or refusal, for 3 of 5 residents who were reviewed for immunizations. (Residents #14, #28 and #5) The facility failed to document in Resident #14, #28 and #5's medical records for having had received education, whether by self or with their responsible party, of the benefits and risk, and potential side effects, of the Covid-19 immunization, receipt of the of the Covid-19 immunization, or having had not received the Covid-19 immunization due to medical contraindication or refusal. [...]
  3. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 17, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to transmit encoded, accurate, and complete MDS data to the CMS system for 1 of 3 discharged residents (Resident #29) reviewed for closed records. The facility failed to complete and transmit a discharge MDS assessment for Resident #29, who discharged on [DATE], within 14 days of the discharge date . This failure could place residents at risk of not having assessments completed and submitted in a timely manner as required.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 17, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 4 residents reviewed for during medication passMA B failed to wash her hands prior or during medication administration to Resident #21and Resident #43. These failures could place residents at risk for developing wounds, upper respiratory infections and risk for healthcare associated cross-contamination and infections.
July 2, 2025Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to provide adequate supervision for 1 of 5 residents reviewed for accidents and supervision. (Resident #1) The facility failed to ensure Resident #1 received adequate supervision to prevent elopement. On 04/08/2025, Resident #1 eloped from the facility through a side door and was later found by a neighbor in a grassy area approximately 219 feet away from the facility. This failure placed the resident at risk for serious harm. The non-compliance was identified as past non-compliance. The immediate jeopardy began on 04/08/2025 and ended on 04/14/2025. The facility had corrected the noncompliance prior to the start of the survey. The facility had implemented corrective actions and returned to compliance before the investigation began. [...]
July 31, 2024Standard inspection, Complaint inspection · 11 citations
  1. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure residents unable to conduct activities of daily living (ADLs) received the necessary services to maintain good grooming and personal hygiene for four of eight residents (Resident # 8, Resident #18, Resident #34, and Resident #50). 1. The facility failed to ensure Resident #18 and Resident #50's facial hair was removed. 2. The facility failed to ensure Resident # 8, and Resident # 34's nails were cleaned and did not have any rough edges. These failures could place residents at risk for poor hygiene, dignity issues, and decreased quality of life.
  2. E
    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.
    F808 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide the physician prescribed therapeutic diet to 11 of 13 residents (Resident # 3, Resident # 9, Resident # 10, Resident # 12, Resident # 13, Resident # 22, Resident # 23, Resident # 25, Resident # 36, Resident # 156, and Resident # 207) reviewed for therapeutic diets, in that: Resident # 3, Resident # 9, Resident # 10, Resident # 12, Resident # 13, Resident # 22, Resident # 23, Resident # 25, Resident # 36, Resident # 156, and Resident # 207did not receive a mechanical soft diet as ordered. This failure could place residents at risk for choking and causing further health issues.
  3. E
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide special eating equipment and utensils for residents who need them and appropriate assistance to ensure that the resident can use the assistive device when consuming meals and snacks for 1 resident (Resident # 2) of 8 residents reviewed for assistive devices. The facility failed to provide Residents# 2's physician ordered handled cup with lid for lunch. This failure put resident at risk for decreased fluid intake, dehydration, and decreased quality of life.
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for sanitation. 1. The facility failed to ensure all items were labeled and dated. 2. The facility failed to ensure all items were covered and stored properly. 3. The facility failed to ensure sanitation practices were occurring in kitchen. 4. The facility failed to ensure temperature logs were being completed. These failures placed residents at risk of foodborne illness.
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observations, interviews, and record review, the facility failed to maintain an infection control prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 4 of 8 (Resident #2, Resident #11, Resident #19 and Resident #44) residents reviewed for infection control practices. 1. Business Office Manager failed to don PPE according to the facility protocol prior to entering COVID isolation. 2. The CNAs serving food trays failed to ensure Resident #44 was served his meal under safe sanitary conditions. 3. Activity Director observed assisting Resident # 11 in dining room with meal set up touching ready to eat food items with ungloved hands and without performing hand hygiene in between residents. 4. [...]
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents had the right to be treated with respect and dignity for one (Resident # 11) of eight residents reviewed for dignity. Resident # 11 waited 14 minutes staring at her meal tray before a staff member set down to assist with feeding Resident # 11. This failure placed residents at risk of not being treated with dignity.
  7. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure the residents received services in the facility with reasonable accommodation of each resident's needs for 2 (Resident # 9 and Resident #47) out of 8 residents reviewed for call lights. The facility failed to ensure Resident #9 and Resident #47's call light was within reach. This failure could affect all residents who needed assistance with activities of daily living and could result in needs not being met.
  8. D
    Honor 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observations and interviews the facility failed to provide a safe, clean, comfortable, and homelike environment; including housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for one (Resident #1) of 8 residents reviewed for homelike environment. The facility failed to ensure two bedside tables were cleaned daily for three days observed during annual survey. This failure placed residents at risk for infections, injuries, and demoralization.
  9. D
    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.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to have sufficient staff with the appropriate competencies, and skills set to carry out the functions of the food and nutrition service for one cook (Cook G) of three dietary cooks reviewed for qualified dietary staff in that: Cook G had not received onboarding training with the appropriate competencies and skills to carry out the functions of the food and nutrition services department. This failure could place residents at risk of not having their nutritional needs met and place them at risk of food borne illness.
  10. B
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to place the most recent survey readily accessible to residents in a place most frequented by residents for 9 of 9 residents reviewed for resident group meeting. The facility failed to have the survey manual readily accessible for residents to view the surveys. This failure could place residents at risk of not being able to fully exercise their rights to be informed of the facility's survey citation history.
  11. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure the residents were free from abuse, neglect, misappropriation of resident property, and exploitation for one (1) of five (5) residents reviewed for abuse. The facility failed to protect Resident #1 from abuse when staff yelled at her when asking for assistance via call light. The noncompliance was identified as Past Noncompliance 07/30/24. The noncompliance began on 07/22/24 and ended on 07/29/24. The facility had corrected the noncompliance before the survey began. These failures placed residents at risk of experiencing and enduring abuse by facility staff causing decreased quality of life. Findings Included: Review of the Face Sheet for Resident #1 reflected she was admitted on [DATE] with diagnosis of: [...]
June 8, 2023Standard inspection · 4 citations
  1. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents has the right to be informed of, and participate in, their treatment for one (Resident #17) of four residents reviewed for resident rights. -The facility failed to ensure Resident #17'ss wishes to discontinue use of Estradiol (estrogen). This failure could place residents at risk of not being part of the decision-making process for their care.
  2. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2023
    Inspectors wroteBased on interview and record review the facility failed to ensure each resident's drug regimen was free from unnecessary drugs for 1 of 6 residents (Resident#17) reviewed for unnecessary drugs. The facility failed to ensure Estradiol (a female hormone that regulates many functions in the body, such as reproduction, mood, and bone health) was appropriate for Resident #17. Estradiol was prescribed for one documented incident of sexualized behavior which is an off-label use. This failure could place residents receiving medications at risk of a possible inappropriate drug use or adverse drug reaction. hospitalization.
  3. D
    Ensure 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2023
    Inspectors wroteBased on observation, interviews and record review the facility failed to ensure all drugs and biologicals were stored securely for three (Nurse Cart 2B Hall, Med Aide Cart 1A Hall, Nurse cart 2A Hall) of four medication carts reviewed for storage of medications. Nurse Cart 2B Hall, Med Aide Cart 1A Hall and Nurse cart 2A Hall had punctured protective seals on the back of multiple narcotic medication blister pill cards. This failure could place all residents at risk of not receiving the therapeutic benefit of medications, adverse reactions to medications and drug diversion.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 12, 2023
    Inspectors wroteBased on observation, interview, and record review the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one of 8 residents reviewed for infection control (Resident #30). The facility failed to ensure the needle used on Resident #30, remained sterile during the procedure for intramuscular injection of the antibiotic Ceftriaxone. This failure could place residents at risk of infection, decline in health and hospitalization.

Fire safety inspections

6 fire safety citations on file: 3 on September 11, 2025, 1 on July 31, 2024, 2 on June 8, 2023.

Every fire safety citation6 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 11, 2025 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · September 11, 2025 · Corrected (the home has a date of correction)
  3. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · September 11, 2025 · Corrected (the home has a date of correction)
  4. D
    Have properly located and lighted "Exit" signs.
    K 293 · July 31, 2024 · Corrected (the home has a date of correction)
  5. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 8, 2023 · Corrected (the home has a date of correction)
  6. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 8, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 2, 2025Fine $8,281

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)2.573.393.86
Registered nurses0.590.430.69
All nursing staff on weekends2.282.983.42
Nurse aides1.35
Licensed practical nurses0.62
Nursing staff turnover (share who left in a year)54.5%55.3%45.8%
Registered nurse turnover20.0%54.6%42.9%
Administrators who left1

CMS expects 3.91 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.68 on weekdays and 2.28 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.83 in April to June 2025 to 2.57 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.570.592.682.28 0.0%0 of 9061
Oct to Dec 20252.860.543.012.49 0.0%1 of 9258
Jul to Sep 20252.850.402.992.48 0.0%6 of 9257
Apr to Jun 20252.830.322.962.51 0.0%2 of 9158
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Trains nurse aides: this home runs a state-approved CNA program (state list: HHSC Approved NATCEP Providers, as of October 6, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See Monument Hill Nurse Aide Training on CareerFunded, our sister site for career training.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Monument Hill Nursing and Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
19.115.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.23.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.514.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.83.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.99.615.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.325.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.712.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
4.22.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.42.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Monument Hill Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (37.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

37.5% this home

No different from the national rate

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 46 eligible stays.

Potentially preventable readmissions

12.0% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 52 eligible stays.

Infections that led to a hospital stay

8.0% this home

No different from the national rate

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 37 eligible stays.

Self-care and mobility at discharge

70.3% this home

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 37 residents counted.

Falls with major injury

4.3% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 47 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 47 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 16 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: WINNIE-STOWELL HOSPITAL DISTRICT. CMS links this home to Wellsential Health, a group of 67 nursing homes averaging 2.7 stars overall.

NameRoleTypeShareSince
Regency IHS of La Grange LLCDirect ownership interestOrganization10/01/2018
Lucas, DeniseDirect ownership interestIndividual01/01/2025
Siptak, TrinaDirect ownership interestIndividual01/01/2025
Vasquez, RaymundoDirect ownership interestIndividual10/01/2020
Csv Rhea Management Holdco, LLCIndirect ownership interestOrganization10/01/2018
Dwd Tx Holdings LLCIndirect ownership interestOrganization10/01/2018
Jack and Nancy Dwyer Workforce Development Center IncIndirect ownership interestOrganization10/01/2018
Reg Bridge Opco LLCIndirect ownership interestOrganization10/01/2018
Reg Hg Opco LLCIndirect ownership interestOrganization10/01/2018
Reg Operator Holdco LLCIndirect ownership interestOrganization10/01/2018
Regency Integrated Health Services LLCIndirect ownership interestOrganization10/01/2018
Regency Texas Holdings LLCIndirect ownership interestOrganization10/01/2018
Baird, DanielIndirect ownership interestIndividual04/13/2021
Clapp, BarbaraIndirect ownership interestIndividual06/01/2021
Cortese, DarenIndirect ownership interestIndividual08/10/2021
Dekowski, DonovanIndirect ownership interestIndividual10/01/2018
Gibson, PatriciaIndirect ownership interestIndividual08/01/2021
Mandelbaum, ElliotIndirect ownership interestIndividual10/01/2018
Murrell, EdwardCorporate officerIndividual11/22/2016
Rollo, JefferyCorporate officerIndividual02/01/2021
Stramecki, AnthonyCorporate officerIndividual11/01/2016
Vratis, KaceyCorporate officerIndividual01/01/2020
Way, GeorgeCorporate officerIndividual02/01/2018
120 State Loop 92 LLCOperational/managerial controlOrganization10/01/2018
Csv Rhea Management Holdco, LLCOperational/managerial controlOrganization10/01/2018
Dwd Tx Holdings LLCOperational/managerial controlOrganization10/01/2018
Jack and Nancy Dwyer Workforce Development Center IncOperational/managerial controlOrganization10/01/2018
Reg Bridge Opco LLCOperational/managerial controlOrganization10/01/2018
Reg Hg Opco LLCOperational/managerial controlOrganization10/01/2018
Reg Operator Holdco LLCOperational/managerial controlOrganization10/01/2018
Regency IHS Clinical Consulting, LLCOperational/managerial controlOrganization10/01/2018
Regency IHS of La Grange LLCOperational/managerial controlOrganization10/01/2018
Regency IHS Rehab LLCOperational/managerial controlOrganization10/01/2018
Regency Integrated Health Services LLCOperational/managerial controlOrganization10/01/2018
Regency Texas Holdings LLCOperational/managerial controlOrganization10/01/2018
Winnie-Stowell Hospital DistrictOperational/managerial controlOrganization10/01/2018
Chudleigh, JamesOperational/managerial controlIndividual01/01/2025
Dekowski, DonovanOperational/managerial controlIndividual10/01/2018
Lucas, DeniseOperational/managerial controlIndividual10/01/2018
Siptak, TrinaOperational/managerial controlIndividual10/01/2018
Vasquez, RaymundoOperational/managerial controlIndividual10/01/2020
120 State Loop 92 LLCAdp of the SNFOrganization10/01/2018
Csv Rhea Management Holdco, LLCAdp of the SNFOrganization05/13/2025
Dwd Tx Holdings LLCAdp of the SNFOrganization05/13/2025
Jack and Nancy Dwyer Workforce Development Center IncAdp of the SNFOrganization05/13/2025
Reg Bridge Opco LLCAdp of the SNFOrganization05/13/2025
Reg Hg Opco LLCAdp of the SNFOrganization05/13/2025
Reg Operator Holdco LLCAdp of the SNFOrganization05/13/2025
Regency IHS Clinical Consulting, LLCAdp of the SNFOrganization05/13/2025
Regency IHS of La Grange LLCAdp of the SNFOrganization05/13/2025
Regency IHS Rehab LLCAdp of the SNFOrganization05/13/2025
Regency Integrated Health Services LLCAdp of the SNFOrganization05/13/2025
Regency Texas Holdings LLCAdp of the SNFOrganization05/13/2025
Winnie-Stowell Hospital DistrictAdp of the SNFOrganization05/13/2025
Chudleigh, JamesAdp of the SNFIndividual01/01/2025
Dekowski, DonovanAdp of the SNFIndividual10/01/2018
Lucas, DeniseAdp of the SNFIndividual01/01/2025
Siptak, TrinaAdp of the SNFIndividual01/01/2025
Vasquez, RaymundoAdp of the SNFIndividual10/01/2020

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on September 11, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on July 31, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on July 9, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on July 31, 2024: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.28 hours per resident per day, below the Texas average of 2.98.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Monument Hill Nursing and Rehabilitation Center's Medicare star rating?
CMS rates Monument Hill Nursing and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Monument Hill Nursing and Rehabilitation Center get at its last inspection?
4 health deficiencies at the standard inspection on September 11, 2025. The Texas average is 9.4.
Has Monument Hill Nursing and Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $8,281 in the last three years.
Does Monument Hill Nursing and Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Monument Hill Nursing and Rehabilitation Center?
CMS lists 59 owners and managers, and links the home to Wellsential Health. Legal business name: WINNIE-STOWELL HOSPITAL DISTRICT.

Sources

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