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Nursing homeFAID #12165

Monument Hill Nursing and Rehabilitation Center

120 STATE LOOP 92, LA GRANGE, TX, 78945
(979) 968-3144
104 licensed beds

CMS rates Monument Hill Nursing and Rehabilitation Center 2 out of 5 overall. Federal inspectors issued 31 citations across 11 inspections in the last three years, with $8,281 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
104
CMS facility ID
455715
Care type
Nursing home
County
Fayette
Facility name
Monument Hill Nursing and Rehabilitation Center
Street address
120 STATE LOOP 92
City / state / ZIP
La Grange, TX 78945
Phone
(979) 968-3144

About this facility — Monument Hill Nursing and Rehabilitation Center

Monument Hill Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in La Grange, Texas. It is licensed for 104 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in La Grange and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Wellsential Health, a group of 67 facilities on this site.

Federal inspectors have cited Monument Hill Nursing and Rehabilitation Center 31 times across 11 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $8,281 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Wellsential Health
Ownership type
Government - Hospital district

Registered owners & officers

120 State Loop 92 Llc
Operational control · Additional disclosable party — since 2018
Baird, Daniel
Indirect owner — since 2021
Chudleigh, James
Operational control · Additional disclosable party — since 2025
Clapp, Barbara
Indirect owner — since 2021
Cortese, Daren
Indirect owner — since 2021
Csv Rhea Management Holdco, Llc
Indirect owner · Operational control · Additional disclosable party — since 2018
Dekowski, Donovan
Indirect owner · Operational control · Additional disclosable party — since 2018
Dwd Tx Holdings Llc
Indirect owner · Operational control · Additional disclosable party — since 2018
Gibson, Patricia
Indirect owner — since 2021
Jack and Nancy Dwyer Workforce Development Center Inc
Indirect owner · Operational control · Additional disclosable party — since 2018
Lucas, Denise
Direct owner · Operational control · Additional disclosable party — since 2018
Mandelbaum, Elliot
Indirect owner — since 2018
Murrell, Edward
Officer — since 2016
Reg Bridge Opco Llc
Indirect owner · Operational control · Additional disclosable party — since 2018
Reg Hg Opco Llc
Indirect owner · Operational control · Additional disclosable party — since 2018
Reg Operator Holdco Llc
Indirect owner · Operational control · Additional disclosable party — since 2018
Regency Ihs Clinical Consulting, Llc
Operational control · Additional disclosable party — since 2018
Regency Ihs of La Grange Llc
Direct owner · Operational control · Additional disclosable party — since 2018
Regency Ihs Rehab Llc
Operational control · Additional disclosable party — since 2018
Regency Integrated Health Services Llc
Indirect owner · Operational control · Additional disclosable party — since 2018
Regency Texas Holdings Llc
Indirect owner · Operational control · Additional disclosable party — since 2018
Rollo, Jeffery
Officer — since 2021
Siptak, Trina
Direct owner · Operational control · Additional disclosable party — since 2018
Stramecki, Anthony
Officer — since 2016
Vasquez, Raymundo
Direct owner · Operational control · Additional disclosable party — since 2020
Vratis, Kacey
Officer — since 2020
Way, George
Officer — since 2018
Winnie-stowell Hospital District
Operational control · Additional disclosable party — since 2018

Regulatory standing

Licensed / certified since
1987-09-11
CMS overall rating
2 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
$8,281 total
Last standard inspection
2025-09-11
Nurse staffing
2.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$236 per day (≈ $7,170/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
55% Medicaid · 8% Medicare · 37% private/other
Occupancy
48% (fiscal year 2023)
Vs. state median
15% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
104
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-06Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-08-17
F-0676
D · No harm foundFrom a complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2026-08-17
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-08-17
2026-07-09Health inspectionComplaint-triggered1 citation
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-07-13
8 earlier / fire-safety inspections (27 citations)
2026-01-28Health inspectionComplaint-triggered1 citation
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-02-20
2025-09-11Health inspection4 citations
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-09-17
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-17
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-09-17
F-0887
E · No harm found
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.
Corrected 2025-09-17
2025-07-02Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-11
2024-07-31Health inspectionComplaint-triggered11 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-08
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-08-08
F-0577
B · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-08-08
F-0584
D · No harm found
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.
Corrected 2024-08-08
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-08
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-08
F-0801
D · No harm foundFood safety
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.
Corrected 2024-08-08
F-0808
E · No harm foundFood safety
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.
Corrected 2024-08-08
F-0810
E · No harm foundFood safety
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-08-08
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-08
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-08
2023-06-08Health inspection4 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-06-12
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-06-12
F-0761
D · No harm found
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.
Corrected 2023-06-12
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-06-12
2025-09-11Fire-safety inspection3 citations
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-06
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-12-06
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-12-06
2024-07-31Fire-safety inspection1 citation
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-02-28
2023-06-08Fire-safety inspection2 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-10
K-0521
E · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-10

Federal penalties

2025-07-02Fine$8,281
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455715.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
31
More than 43% of nursing homes in the state
State median: 33
Federal fines, 3 years
$8,281
More than 36% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
2.7
Higher than 5% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
71%
Higher than 92% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 10 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased16.0%15.8%13.5%Near state average
Lose too much weight1.2%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.0%0.8%1.5%Better than state
Have depressive symptoms0.0%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury7.5%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine95.3%96.4%93.7%Near state average
Ability to walk independently worsened5.6%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication17.6%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine89.7%97.0%95.3%Near state average
With pressure ulcers2.2%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence11.3%12.5%18.3%Near state average
Received an antipsychotic medication8.8%9.8%15.4%Better than state
Hospitalizations per 1000 long-stay resident days3.232.051.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days1.911.971.69Near state average
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine89.6%88.7%82.3%Near state average
Newly received an antipsychotic medication0.0%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine61.7%85.4%80.1%Worse than state
Were rehospitalized after a nursing home admission24.0%25.5%23.4%Near state average
Had an outpatient emergency department visit5.4%12.2%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • F-0760 2 inspections. Ensure that residents are free from significant medication errors.

What its owners also hold

  • Regency Integrated Health Services Llc has an ownership stake on file at 70 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
  • Jack and Nancy Dwyer Workforce Development Center Inc has an ownership stake on file at 68 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
  • Regency Texas Holdings Llc has an ownership stake on file at 63 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
  • Reg Operator Holdco Llc has an ownership stake on file at 63 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Ascension Seton Smithville, about 18 miles.
  • Columbus Community Hospital, about 24 miles. CMS rating 2 of 5.
  • Baylor Scott & White Hospital Brenham, about 34 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 31 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered