Monument Rehabilitation And Nursing Center
Nursing Home · 120 State Loop 92, La Grange, TX 78945 · 9799683144
B
graded on 75% of our rubric
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 3.0 / 5 | high |
| Staffing | 2.7 / 5 | med |
| Clinical outcomes | 3.8 / 5 | high |
| Enforcement | 4.7 / 5 | high |
| Financial stability | 4.3 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 104 |
| Ownership | Government - Hospital District |
| Operator | Winnie-Stowell Hospital District |
| Chain size | 68 facilities |
| Certified since | 1987-09-11 |
| CMS overall star | 2 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$ of 5 · ~$264/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 1 immediate jeopardy · 0 actual harm · 19 potential for harm · 1 minor
- Federal fines: $8,281 · payment denials: 0 · penalty actions: 1
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-28 | Ensure that residents are free from significant medication errors. (Pharmacy Service Deficiencies, tag 0760) | E | corrected 2026-02-20 |
| 2025-09-11 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (Resident Assessment and Care Planning Deficiencies, tag 0640) | D | corrected 2025-09-17 |
| 2025-09-11 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | D | corrected 2025-09-17 |
| 2025-09-11 | Develop and implement policies and procedures for flu and pneumonia vaccinations. (Infection Control Deficiencies, tag 0883) | E | corrected 2025-09-17 |
| 2025-09-11 | 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, tag 0887) | E | corrected 2025-09-17 |
| 2025-07-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | J · immediate jeopardy | corrected 2025-04-11 |
| 2024-07-31 | 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, tag 0600) | D | corrected 2024-08-08 |
| 2024-07-31 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Resident Rights Deficiencies, tag 0550) | D | corrected 2024-08-08 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Annual nursing-staff turnover: 48.6% (US median 45.3% · lower is better)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 5.8% | 5.9 → 3.8 → 4 → 9.3 | worse than 87% of US homes · TX median 3% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 23.2% | 19 → 19.5 → 38.5 → 16.7 | worse than 84% of US homes · TX median 14.8% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 2.9% | 2.3 → 2.2 → 2.1 → 5.1 | better than 72% of US homes · TX median 3.4% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 7.7% | not reported | better than 76% of US homes · TX median 13% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 6% | 2.9 → 9.4 → 2.9 → 8.8 | better than 83% of US homes · TX median 8.1% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0% | 0 → 0 → · → 0 | better than 100% of US homes · TX median 0.7% |
What this costs
- This facility's reported avg daily charge: $264/day · $$ (price tier 2 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 53% Medicaid · 9% Medicare · 38% other/private · 50% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Compare nearby
- B- Schulenburg Regency Nursing Center · Schulenburg
- B- Care Inn Of La Grange · La Grange
- C Flatonia Healthcare Center · Flatonia
- D Paradigm At The Oak · Schulenburg
Full interactive report card → CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Fayette County nursing homes coverage. Spot an error? Tell us.