Nursing home report
Registered name: MONUMENT HILL NURSING AND REHABILITATION CENTER
La Grange, TX · Medicare-certified · 104 beds
Monument Hill Nursing and Rehabilitation Center has an overall 4-star rating, with 4 stars for health inspections and quality measures but a weaker 2-star staffing rating. Reported nurse staffing is 2.57 hours per resident day versus the federal benchmark of 4.1, and it has had $8,281 in fines in the last 24 months including a recent federal penalty.
Health inspections
Staffing
2.566 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.566.
Hours per resident per day.
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 home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited July 2026 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
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
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
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.
