Monument Hill Nursing and Rehabilitation Center
120 State Loop 92, La Grange, TX 78945
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Follow this homeMonument Hill Nursing and Rehabilitation Center is a nursing home in La Grange, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionSeptember 11, 2025 (1 year ago)
- Health citations since June 8, 202325 (Texas average 28)
- Fines in the past three years1, $8,281 in total
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Name
CMS lists a new name for this home. It was Monument Rehabilitation and Nursing Center.
Health inspection on August 6, 2026
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on August 17, 2026.
CMS has cited this home for F0760 2 times since 2026.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on August 17, 2026.
Citation F0676. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS lists it as corrected on August 17, 2026.
Health inspection on July 9, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on July 13, 2026.
CMS update of May 27, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of March 25, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Health inspection on January 28, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on February 20, 2026.
CMS update of December 15, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Health inspection on September 11, 2025
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0883. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on September 17, 2025.
Citation F0887. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on September 17, 2025.
Citation F0640. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS lists it as corrected on September 17, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 17, 2025.
CMS has cited this home for F0880 3 times since 2023.
Fire safety inspection on September 11, 2025
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 6, 2025.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on December 6, 2025.
Citation K0374. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install smoke barrier doors that can resist smoke for at least 20 minutes.
CMS lists it as corrected on December 6, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Health inspection on July 2, 2025
1 citationCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $8,281 on July 2, 2025.
Show the 1 citation
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on April 11, 2025.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 26, 2025
Staffing
Total nurse staffing reported to CMS went from 3.1 to 2.7 hours per resident per day.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on July 31, 2024
11 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 11 citations
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on August 8, 2024.
Citation F0808. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on August 8, 2024.
Citation F0810. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
CMS lists it as corrected on August 8, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 8, 2024.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 8, 2024.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on August 8, 2024.
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on August 8, 2024.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 8, 2024.
Citation F0600. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on August 8, 2024.
Citation F0801. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on August 8, 2024.
Citation F0577. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CMS lists it as corrected on August 8, 2024.
Fire safety inspection on July 31, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0293. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on February 28, 2025.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Ownership
CMS lists this home under a new chain.
Health inspection on June 8, 2023
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on June 12, 2023.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on June 12, 2023.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 12, 2023.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 12, 2023.
Fire safety inspection on June 8, 2023
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0521. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on April 10, 2024.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on April 10, 2024.
CMS star ratings
- 2 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (979) 968-3144
- Last standard health inspection
- September 11, 2025 (1 year ago)
- Certified beds
- 104
- Residents per day, on average
- 61.5
- Ownership type
- Government - Hospital district
- Legal business name
- Winnie-Stowell Hospital District
- Chain
- Wellsential Health
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (25 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- REGENCY IHS OF LA GRANGE LLCDirect ownership interest · not applicable · since 10/01/2018
- LUCAS, DENISEDirect ownership interest · not applicable · since 01/01/2025
- SIPTAK, TRINADirect ownership interest · not applicable · since 01/01/2025
- VASQUEZ, RAYMUNDODirect ownership interest · not applicable · since 10/01/2020
- CSV RHEA MANAGEMENT HOLDCO, LLCIndirect ownership interest · not applicable · since 10/01/2018
Show 31 more
- DWD TX HOLDINGS LLCIndirect ownership interest · not applicable · since 10/01/2018
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCIndirect ownership interest · not applicable · since 10/01/2018
- REG BRIDGE OPCO LLCIndirect ownership interest · not applicable · since 10/01/2018
- REG HG OPCO LLCIndirect ownership interest · not applicable · since 10/01/2018
- REG OPERATOR HOLDCO LLCIndirect ownership interest · not applicable · since 10/01/2018
- REGENCY INTEGRATED HEALTH SERVICES LLCIndirect ownership interest · not applicable · since 10/01/2018
- REGENCY TEXAS HOLDINGS LLCIndirect ownership interest · not applicable · since 10/01/2018
- BAIRD, DANIELIndirect ownership interest · not applicable · since 04/13/2021
- CLAPP, BARBARAIndirect ownership interest · not applicable · since 06/01/2021
- CORTESE, DARENIndirect ownership interest · not applicable · since 08/10/2021
- DEKOWSKI, DONOVANIndirect ownership interest · not applicable · since 10/01/2018
- GIBSON, PATRICIAIndirect ownership interest · not applicable · since 08/01/2021
- MANDELBAUM, ELLIOTIndirect ownership interest · not applicable · since 10/01/2018
- 120 STATE LOOP 92 LLCOperational/managerial control · not applicable · since 10/01/2018
- CSV RHEA MANAGEMENT HOLDCO, LLCOperational/managerial control · not applicable · since 10/01/2018
- DWD TX HOLDINGS LLCOperational/managerial control · not applicable · since 10/01/2018
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOperational/managerial control · not applicable · since 10/01/2018
- REG BRIDGE OPCO LLCOperational/managerial control · not applicable · since 10/01/2018
- REG HG OPCO LLCOperational/managerial control · not applicable · since 10/01/2018
- REG OPERATOR HOLDCO LLCOperational/managerial control · not applicable · since 10/01/2018
- REGENCY IHS CLINICAL CONSULTING, LLCOperational/managerial control · not applicable · since 10/01/2018
- REGENCY IHS OF LA GRANGE LLCOperational/managerial control · not applicable · since 10/01/2018
- REGENCY IHS REHAB LLCOperational/managerial control · not applicable · since 10/01/2018
- REGENCY INTEGRATED HEALTH SERVICES LLCOperational/managerial control · not applicable · since 10/01/2018
- REGENCY TEXAS HOLDINGS LLCOperational/managerial control · not applicable · since 10/01/2018
- WINNIE-STOWELL HOSPITAL DISTRICTOperational/managerial control · not applicable · since 10/01/2018
- CHUDLEIGH, JAMESOperational/managerial control · not applicable · since 01/01/2025
- DEKOWSKI, DONOVANOperational/managerial control · not applicable · since 10/01/2018
- LUCAS, DENISEOperational/managerial control · not applicable · since 10/01/2018
- SIPTAK, TRINAOperational/managerial control · not applicable · since 10/01/2018
- VASQUEZ, RAYMUNDOOperational/managerial control · not applicable · since 10/01/2020
Questions
When was Monument Hill Nursing and Rehabilitation Center last inspected?
CMS lists September 11, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Monument Hill Nursing and Rehabilitation Center have?
CMS lists 25 health citations since June 8, 2023. CMS also calls these deficiencies.
Has Monument Hill Nursing and Rehabilitation Center been fined?
CMS lists 1 fine in the past three years, $8,281 in total.
What is the CMS star rating of Monument Hill Nursing and Rehabilitation Center?
Its CMS overall star rating is 2 of 5.
Is Monument Hill Nursing and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.