Monument Rehabilitation And Nursing Center
120 State Loop 92, La Grange, TX, 78945
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Wellsential Health
- Certified beds
- 104 · avg 58 residents/day
- Total nursing staff turnover
- 48.6% — lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,281 total
Medicare certification
- CMS Certification Number
- 455715
- Certified beds
- 104 beds · avg 58 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Winnie-Stowell Hospital District
- Chain affiliation
- Wellsential Health
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 68 facilities. Chain-wide average overall rating 2.6 / 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 May 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 21)
- 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.
Federal penalties
By year
- 20251 fine · $8,281
Most recent events
- Jul 2, 2025Fine · $8,281
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Monument Rehabilitation And Nursing Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.