Monument Hill Nursing And Rehabilitation Center
120 STATE LOOP 92, La Grange, TX, 78945
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Wellsential Health
- Certified beds
- 104 · avg 57 residents/day
- Total nursing staff turnover
- 50% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 143095
- Service type
- Medicare/medicaid
- Licensed capacity
- 104 beds
- Bed type breakdown
- 23 Medicare-only · 81 Medicaid/Medicare
- Current license effective
- August 31, 2024
- Current license expires
- August 31, 2027
- Initial license date
- September 11, 1987
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of La Grange Llc
- Administrator
- Marshelda Dozier
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (28 on record)
- Csv Rhea Management Holdco, Llc
Adp of The Snf · since 2025
- Dwd tx Holdings Llc
Adp of The Snf · since 2025
- Jack And Nancy Dwyer Workforce Development Center Inc
Adp of The Snf · since 2025
- Reg Bridge Opco Llc
Adp of The Snf · since 2025
- Reg hg Opco Llc
Adp of The Snf · since 2025
- Reg Operator Holdco Llc
Adp of The Snf · since 2025
+ 22 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 22)
- E0760·Jan 28, 2026Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0887·Sep 11, 2025
Infection Control Deficiencies
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.
- E0883·Sep 11, 2025
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D0880·Sep 11, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0640·Sep 11, 2025
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- J0689·Jul 2, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0880·Jul 31, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Jul 31, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Sep 11, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Monument Hill Nursing And Rehabilitation Center is a 104-bed nursing home in La Grange, Texas, licensed to a hospital district and managed by Regency IHS of La Grange LLC. CMS rates it 2 stars overall. Staffing is rated 1 star — the lowest tier — while quality-of-care outcomes rate 4 stars. About 57 of 104 beds are currently occupied.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest tier, shared by roughly 38% of Texas nursing homes. Each resident receives about 171 minutes of nursing care per day, approximately 70 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — they are sicker or less mobile on average — which means those 171 minutes stretch thinner than the raw number suggests. RN coverage is 24 minutes per resident per day, compared to 37 minutes at a 4-star-staffing facility in Texas.
The facility is running at roughly 55% of its licensed beds — about 57 residents against a capacity of 104. That figure sits alongside a 1-star staffing rating and thin staffing hours, which makes it a combination worth examining directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
How staffing is scheduled day-to-day
With 171 nursing minutes per resident per day — 70 minutes below the Texas 4-star threshold — ask how many nurses and aides are on the floor during a typical day shift and overnight.
Why occupancy is at 55 percent
The facility is operating at roughly half its licensed capacity; ask whether admissions are paused, beds are delicensed, or something else is limiting census.
Staffing levels given resident needs
CMS data shows residents here require more hands-on care than average; ask how many residents are assigned to each aide and whether that ratio changes on weekends.
Management company's role in daily care
The facility is licensed to a hospital district but managed by Regency IHS of La Grange LLC; ask which entity sets staffing budgets and how concerns are escalated.
Resident Council activity
A Resident Council is listed but no Family Council; ask how often the Resident Council meets and how families are kept informed of outcomes or concerns raised.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.