Monument Rehabilitation and Nursing Center
Monument Rehabilitation and Nursing Center is a 104-bed nursing home in La Grange, Texas. CMS has certified it for Medicare and Medicaid since 1987-09-11. It averages 61.1 residents a day.
What harm was found in the violations cited at Monument Rehabilitation and Nursing Center?
CMS lists 21 health-inspection deficiencies for Monument Rehabilitation and Nursing Center since 2023-06-08, 17 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-01-28.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-01-28 | F0760 | Ensure that residents are free from significant medication errors. | E |
| 2025-09-11 | F0883, F0887 | Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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. | E |
| 2025-09-11 | F0640, F0880 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Provide and implement an infection prevention and control program. | D |
| 2025-07-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-07-31 | F0677, F0808, F0810, F0812, F0880 | Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2024-07-31 | F0550, F0558, F0584, F0801, F0600 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / 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. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-07-31 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B |
| 2023-06-08 | F0552, F0757, F0761, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Provide and implement an infection prevention and control program. | D |
Why was Monument Rehabilitation and Nursing Center fined?
| Date | Type | Amount |
|---|---|---|
| 2025-07-02 | Fine | $8,281 |
How is Monument Rehabilitation and Nursing Center staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.56603 | 3.38539 |
| Total nursing staff turnover (%) | 54.5 | 55.3 |
| Average number of residents per day | 61.1 | 75.8 |
Who owns Monument Rehabilitation and Nursing Center, and what chain is it in?
Monument Rehabilitation and Nursing Center is registered with CMS as Government - Hospital district, operates under the legal business name WINNIE-STOWELL HOSPITAL DISTRICT and belongs to the WELLSENTIAL HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | REGENCY IHS OF LA GRANGE LLC, LUCAS, DENISE, SIPTAK, TRINA, VASQUEZ, RAYMUNDO | since 01/01/2025 |
| INDIRECT OWNERSHIP INTEREST | CSV RHEA MANAGEMENT HOLDCO, LLC, DWD TX HOLDINGS LLC, JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC, REG BRIDGE OPCO LLC, REG HG OPCO LLC, REG OPERATOR HOLDCO LLC, REGENCY INTEGRATED HEALTH SERVICES LLC, REGENCY TEXAS HOLDINGS LLC, BAIRD, DANIEL, CLAPP, BARBARA, CORTESE, DAREN, DEKOWSKI, DONOVAN, GIBSON, PATRICIA, MANDELBAUM, ELLIOT | since 04/13/2021 |
| CORPORATE OFFICER | MURRELL, EDWARD, ROLLO, JEFFERY, STRAMECKI, ANTHONY, VRATIS, KACEY, WAY, GEORGE | since 01/01/2020 |
| OPERATIONAL/MANAGERIAL CONTROL | 120 STATE LOOP 92 LLC, CSV RHEA MANAGEMENT HOLDCO, LLC, DWD TX HOLDINGS LLC, JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC, REG BRIDGE OPCO LLC, REG HG OPCO LLC, REG OPERATOR HOLDCO LLC, REGENCY IHS CLINICAL CONSULTING, LLC, REGENCY IHS OF LA GRANGE LLC, REGENCY IHS REHAB LLC, REGENCY INTEGRATED HEALTH SERVICES LLC, REGENCY TEXAS HOLDINGS LLC, WINNIE-STOWELL HOSPITAL DISTRICT, CHUDLEIGH, JAMES, DEKOWSKI, DONOVAN, LUCAS, DENISE, SIPTAK, TRINA, VASQUEZ, RAYMUNDO | since 01/01/2025 |
| ADP OF THE SNF | 120 STATE LOOP 92 LLC, CSV RHEA MANAGEMENT HOLDCO, LLC, DWD TX HOLDINGS LLC, JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC, REG BRIDGE OPCO LLC, REG HG OPCO LLC, REG OPERATOR HOLDCO LLC, REGENCY IHS CLINICAL CONSULTING, LLC, REGENCY IHS OF LA GRANGE LLC, REGENCY IHS REHAB LLC, REGENCY INTEGRATED HEALTH SERVICES LLC, REGENCY TEXAS HOLDINGS LLC, WINNIE-STOWELL HOSPITAL DISTRICT, CHUDLEIGH, JAMES, DEKOWSKI, DONOVAN, LUCAS, DENISE, SIPTAK, TRINA, VASQUEZ, RAYMUNDO | since 01/01/2025 |
Were you or a family member harmed at Monument Rehabilitation and Nursing Center?