C75

Monument Rehabilitation and Nursing Center

Grade C 75/100 composite score

Government - Hospital district

CMS Star Ratings

Overall
3/5
Health Insp.
4/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

104

Ownership

Government - Hospital district

Total Fines

None

Last Survey

N/A

120 State Loop 92, La Grange, TX 78945
9799683144

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.44h
LPN
0.96h
CNA
1.70h
Total
3.10h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

WINNIE-STOWELL HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Aug 2014

100%

120 STATE LOOP 92 LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

CSV RHEA MANAGEMENT HOLDCO, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

DWD TX HOLDINGS LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

REG BRIDGE OPCO LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

REG HG OPCO LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

REG OPERATOR HOLDCO LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

REGENCY IHS CLINICAL CONSULTING, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

REGENCY IHS OF LA GRANGE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

REGENCY IHS REHAB LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

REGENCY INTEGRATED HEALTH SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

REGENCY TEXAS HOLDINGS LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

WINNIE-STOWELL HOSPITAL DISTRICT

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

CHUDLEIGH, JAMES

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

DEKOWSKI, DONOVAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

LUCAS, DENISE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

SIPTAK, TRINA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

VASQUEZ, RAYMUNDO

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2020

MURRELL, EDWARD

IndividualCORPORATE OFFICERSince Nov 2016

ROLLO, JEFFERY

IndividualCORPORATE OFFICERSince Feb 2021

STRAMECKI, ANTHONY

IndividualCORPORATE OFFICERSince Nov 2016

VRATIS, KACEY

IndividualCORPORATE OFFICERSince Jan 2020

WAY, GEORGE

IndividualCORPORATE OFFICERSince Feb 2018

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (21)

September 11, 2025Health4 deficiencies
0640DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 17, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Sep 17, 2025
0883EMinimal harm, Pattern

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

Infection Control Deficiencies

Corrected Sep 17, 2025
0887EMinimal harm, Pattern

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.

Infection Control Deficiencies

Corrected Sep 17, 2025
July 2, 2025Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 11, 2025
July 31, 2024Health11 deficiencies
0600DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 8, 2024
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Aug 8, 2024
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Aug 8, 2024
0577BNo harm, Pattern

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

Resident Rights Deficiencies

Corrected Aug 8, 2024
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Aug 8, 2024
0677EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Aug 8, 2024
0801DMinimal harm, Isolated

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.

Nutrition and Dietary Deficiencies

Corrected Aug 8, 2024
0808EMinimal harm, Pattern

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.

Nutrition and Dietary Deficiencies

Corrected Aug 8, 2024
0810EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Aug 8, 2024
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Aug 8, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 8, 2024
June 8, 2023Health4 deficiencies
0552DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jun 12, 2023
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jun 12, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jun 12, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 12, 2023
March 13, 2023Health1 deficiency
0677EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Mar 14, 2023

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Frequently Asked Questions

What is the CareGrader rating for Monument Rehabilitation and Nursing Center?

Monument Rehabilitation and Nursing Center in La Grange, Texas has a CareGrader grade of C (Average), with a composite score of 74.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Monument Rehabilitation and Nursing Center?

Monument Rehabilitation and Nursing Center has an overall CMS star rating of 3 out of 5, a health inspection rating of 4/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Monument Rehabilitation and Nursing Center have?

Monument Rehabilitation and Nursing Center has 21 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does Monument Rehabilitation and Nursing Center have?

Monument Rehabilitation and Nursing Center has 104 certified beds with approximately 56 current residents (54% occupancy). The facility is located at 120 State Loop 92, La Grange, Texas 78945. It is a government - hospital district facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.