Nursing home report
Registered name: Monument Rehabilitation and Nursing Center
La Grange, TX · Medicare-certified · 104 beds
Monument Hill Nursing and Rehabilitation Center in La Grange, TX has an overall rating of 2 out of 5 stars. The facility has a 1-star staffing rating, 3-star health inspection rating, 4-star quality measures rating, and recent federal penalty with $8,281 in fines over the last 24 months.
Health inspections
Staffing
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to ensure residents were free from significant medication errors. Cited January 2026 — limited pattern, potential for harm.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited September 2025 — limited pattern, potential for harm.
F-Tag 883 — 42 CFR §483.80 — S/S: E
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited September 2025 — limited pattern, potential for harm.
F-Tag 887 — 42 CFR §483.80 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2024 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Health inspection found 1 health deficiency.
Health inspection found 4 health deficiencies.
A federal fine of $8,281 was recorded.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $8,281 in total fines.
Federal fine
Jul 2, 2025
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
