Care Inn of La Grange

457 N Main St · La Grange, TX · 78945 · 9799685865

98 certified beds Government - Hospital district Chain: Summit Ltc

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

RN staffing in the bottom 10% nationally

0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.84 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

72% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 53
Serious harm & abuse 20% 100
Staffing 20% 37
Federal penalties 15% 100
Trend 10% 42
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.843.48 min · 4.1 strong
RN hours / resident-day0.270.55–0.75
Weekend hours / resident-day2.39≈ weekday level
Nursing turnover / year72%median 45%
Fines (3-yr window)none

Inspection citations (20 in the current record)

  • Potential for harm · E March 5, 2026

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected March 10, 2026 · Resident Rights

  • Potential for harm · E March 5, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 10, 2026 · Quality of Life and Care

  • Potential for harm · F March 5, 2026

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected March 10, 2026 · Nursing and Physician Services

  • Potential for harm · D March 5, 2026

    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 March 10, 2026 · Pharmacy Service

  • Potential for harm · E March 5, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 10, 2026 · Infection Control

  • Potential for harm · E March 5, 2026

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected March 10, 2026 · Environmental

  • No harm found · C March 5, 2026

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected March 10, 2026 · Environmental

  • Potential for harm · D January 13, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected January 15, 2026 · Resident Rights

  • Potential for harm · D January 13, 2026 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 15, 2026 · Quality of Life and Care

  • Potential for harm · D January 13, 2026 · found via complaint

    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 January 15, 2026 · Pharmacy Service

  • Potential for harm · D December 12, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected January 15, 2025 · Resident Rights

  • Potential for harm · D December 12, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected January 15, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E December 12, 2024

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected January 15, 2025 · Quality of Life and Care

  • Potential for harm · D December 12, 2024

    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 January 15, 2025 · Pharmacy Service

  • Potential for harm · F December 12, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 15, 2025 · Nutrition and Dietary

  • Potential for harm · D December 12, 2024

    Provide and implement an infection prevention and control program.

    Corrected January 15, 2025 · Infection Control

  • No harm found · C December 12, 2024

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected January 15, 2025 · Environmental

  • Potential for harm · E October 12, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected November 17, 2023 · Resident Rights

  • Potential for harm · E October 12, 2023

    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 November 17, 2023 · Resident Rights

  • No harm found · C October 12, 2023

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected November 17, 2023 · Environmental

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675277 · certified since February 14, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.