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Nursing home report

Monument Rehabilitation and Nursing Center

La Grange, TX · Medicare-certified · 104 beds

Needs attention
Government-runChain member
2 of 5 overall

Monument Rehabilitation and Nursing Center has an overall rating of 2 out of 5 stars, with a 1-star staffing rating and a 3-star health inspection rating. It also has a recent federal penalty and $8,281 in fines over the last 24 months, while its quality measures rating is 4 stars.

Facility ratings

Health inspections

Staffing

Quality measures

Last inspection: January 28, 2026Penalties, last 24 months: $8,281recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.

Staffing detail

Total staff turnover: 49%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

2.9%8.8%Worsening

Residents with a fall causing major injury

5.9%9.3%Worsening

Residents with pressure ulcers (bedsores)

2.3%5.1%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

2.5%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

19%16.7%Improving

Residents whose ability to walk got worse

7.7%

Long-stay residents on antianxiety or sleep medication

16.7%18.2%Worsening

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

16.9%14.4%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%87%Worsening

Short-stay residents given the seasonal flu vaccine

90%

Short-stay residents given the pneumonia vaccine

100%86.8%Worsening

What the inspectors found

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

Recent history

  1. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $8,281 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $8,281 in total fines.

  • Federal fine

    Jul 2, 2025

    $8,281

Operator & ownership

Ownership
Government - Hospital district
Chain
Part of WELLSENTIAL HEALTH · 68 homes · 2.6 stars avg
Occupancy
58 residents on an average day (56% of 104 beds)
Resident voice
Resident council
Medicare history
Certified for 38 years

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.