Monument Rehabilitation and Nursing Center
120 State Loop 92 · La Grange, TX · 78945 · 9799683144
104 certified beds Government - Hospital district Chain: Wellsential Health
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 1 · $8,281 |
Inspection citations (21 in the current record)
-
Potential for harm · E January 28, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 20, 2026 · Pharmacy Service
-
Potential for harm · D September 11, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected September 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D September 11, 2025
Provide and implement an infection prevention and control program.
Corrected September 17, 2025 · Infection Control
-
Potential for harm · E September 11, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 17, 2025 · Infection Control
-
Potential for harm · E September 11, 2025
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 September 17, 2025 · Infection Control
-
Immediate jeopardy · J July 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 11, 2025 · Quality of Life and Care
-
Potential for harm · D July 31, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 8, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 31, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 8, 2024 · Resident Rights
-
Potential for harm · D July 31, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected August 8, 2024 · Resident Rights
-
Potential for harm · D July 31, 2024
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 August 8, 2024 · Resident Rights
-
Potential for harm · E July 31, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 8, 2024 · Quality of Life and Care
-
Potential for harm · D July 31, 2024
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 August 8, 2024 · Nutrition and Dietary
-
Potential for harm · E July 31, 2024
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 August 8, 2024 · Nutrition and Dietary
-
Potential for harm · E July 31, 2024
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected August 8, 2024 · Nutrition and Dietary
-
Potential for harm · E July 31, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 8, 2024 · Nutrition and Dietary
-
Potential for harm · E July 31, 2024
Provide and implement an infection prevention and control program.
Corrected August 8, 2024 · Infection Control
-
No harm found · B July 31, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected August 8, 2024 · Resident Rights
-
Potential for harm · D June 8, 2023
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected June 12, 2023 · Resident Rights
-
Potential for harm · D June 8, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 12, 2023 · Pharmacy Service
-
Potential for harm · D June 8, 2023
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 June 12, 2023 · Pharmacy Service
-
Potential for harm · D June 8, 2023
Provide and implement an infection prevention and control program.
Corrected June 12, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 2, 2025 | Fine | $8,281 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455715 · certified since September 11, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.