Monument Hill Nursing and Rehabilitation Center
A nursing home in La Grange, Texas 78945
120 State Loop 92, La Grange, Texas 78945. (979) 968-3144.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 9 health citations at the latest inspection cycle Texas average: 9.6
- 2.69 nurse hours per resident per day Texas average: 3.42
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
9 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Sep 11, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jul 2, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
21 citations in 6 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 21 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 7 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 6, 2026: complaint inspection3 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Ensure that residents are free from significant medication errors.
Jul 9, 2026: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 28, 2026: complaint inspection1 citation
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Ensure that residents are free from significant medication errors.
Sep 11, 2025: standard inspection4 citations
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Provide and implement an infection prevention and control program.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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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.
Jul 2, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 31, 2024: standard inspection10 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Reasonably accommodate the needs and preferences of each resident.
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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.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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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.
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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.
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Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.
Jul 31, 2024: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Sep 11, 1987.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as government, hospital district.
- 104 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $8,281 in all.
- No Medicare payment denials in the last three years.
- 7 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 2, 2025 | Fine | $8,281 |
Who does the caring?
2.69 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 2.69 | 3.42 |
| Of which registered nurses | 0.40 | 0.44 |
| At weekends | 2.30 | 2.99 |
| Nursing staff turnover | 70.8% | 50.8% |
| Registered nurse turnover | 80% | 49.8% |
| Administrators who left | 2 | Not given |
Who owns it?
- Winnie-Stowell Hospital District owns 100% directly since Aug 31, 2014; Regency IHS of La Grange LLC owns 100% directly since Oct 1, 2018.
- Csv Rhea Management Holdco, LLC and Reg Bridge Opco LLC and Regency IHS Rehab LLC and Regency Texas Holdings LLC and Jack and Nancy Dwyer Workforce Development Center Inc. and Reg Operator Holdco LLC and Winnie-Stowell Hospital District and Reg Hg Opco LLC and Dwd TX Holdings LLC and Regency Integrated Health Services LLC and 120 State Loop 92 LLC and Regency IHS of La Grange LLC and Regency IHS Clinical Consulting, LLC run it.
- 24 owners or officers are people: Denise Lucas (owns a share directly, 100%); Edward R Murrell (corporate officer, 100%); Patricia Gibson (owns a share through other companies, 100%); Barbara B Clapp (owns a share through other companies, 100%); Trina Siptak (owns a share directly, 100%); Anthony Stramecki (corporate officer, 100%); George Way (corporate officer, 100%); Jeffery Rollo (corporate officer, 100%); Daniel S Baird (owns a share through other companies, 100%); Kacey Vratis (corporate officer, 100%); Raymundo Vasquez (owns a share directly, 100%); Donovan R Dekowski (owns a share through other companies, 100%); Daren A Cortese (owns a share through other companies, 100%); Elliot J Mandelbaum (owns a share through other companies, 100%); Denise Lucas (runs it (operational or managerial control)); Denise Lucas (additional disclosable party (controls, leases property to, or provides services to the home)); Trina Siptak (runs it (operational or managerial control)); Trina Siptak (additional disclosable party (controls, leases property to, or provides services to the home)); James Chudleigh (runs it (operational or managerial control)); James Chudleigh (additional disclosable party (controls, leases property to, or provides services to the home)); Raymundo Vasquez (runs it (operational or managerial control)); Raymundo Vasquez (additional disclosable party (controls, leases property to, or provides services to the home)); Donovan R Dekowski (runs it (operational or managerial control)); Donovan R Dekowski (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Wellsential Health (67 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Csv Rhea Management Holdco, LLC | Owns a share through other companies | 100% | Oct 1, 2018 |
| Reg Bridge Opco LLC | Owns a share through other companies | 100% | Oct 1, 2018 |
| Regency Texas Holdings LLC | Owns a share through other companies | 100% | Oct 1, 2018 |
| Jack and Nancy Dwyer Workforce Development Center Inc. | Owns a share through other companies | 100% | Oct 1, 2018 |
| Reg Operator Holdco LLC | Owns a share through other companies | 100% | Oct 1, 2018 |
| Winnie-Stowell Hospital District | Owns 5% or more directly | 100% | Aug 31, 2014 |
| Reg Hg Opco LLC | Owns a share through other companies | 100% | Oct 1, 2018 |
| Dwd TX Holdings LLC | Owns a share through other companies | 100% | Oct 1, 2018 |
| Regency Integrated Health Services LLC | Owns a share through other companies | 100% | Oct 1, 2018 |
| Regency IHS of La Grange LLC | Owns a share directly | 100% | Oct 1, 2018 |
| Csv Rhea Management Holdco, LLC | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Csv Rhea Management Holdco, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 | |
| Reg Bridge Opco LLC | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Reg Bridge Opco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 | |
| Regency IHS Rehab LLC | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Regency IHS Rehab LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 | |
| Regency Texas Holdings LLC | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Regency Texas Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 | |
| Jack and Nancy Dwyer Workforce Development Center Inc. | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Jack and Nancy Dwyer Workforce Development Center Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 | |
| Reg Operator Holdco LLC | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Reg Operator Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 | |
| Winnie-Stowell Hospital District | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Winnie-Stowell Hospital District | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 | |
| Reg Hg Opco LLC | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Reg Hg Opco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 | |
| Dwd TX Holdings LLC | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Dwd TX Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 | |
| Regency Integrated Health Services LLC | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Regency Integrated Health Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 | |
| 120 State Loop 92 LLC | Runs it (operational or managerial control) | Oct 1, 2018 | |
| 120 State Loop 92 LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2018 | |
| Regency IHS of La Grange LLC | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Regency IHS of La Grange LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 | |
| Regency IHS Clinical Consulting, LLC | Runs it (operational or managerial control) | Oct 1, 2018 | |
| Regency IHS Clinical Consulting, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 27.2 miles, this one had the 6th most health citations at the latest inspection cycle (9; the middle value was 9).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Monument Hill Nursing and Rehabilitation Center This nursing home | 9 | |
| Avir at La Grange | 1.5 | 11 |
| Schulenburg Regency Nursing Center | 14.1 | 7 |
| Parkview Manor Nursing and Rehabilitation | 14.1 | 9 |
| Paradigm at the Oak | 14.3 | 22 |
| Towers Nursing Home | 17.5 | 8 |
| Flatonia Healthcare Center | 19.3 | 7 |
| Giddings Nursing and Rehabilitation | 21.5 | 23 |
| Avir at Giddings | 21.5 | 12 |
| Trucare Living Centers-Columbus | 23.0 | 8 |
| Columbus Oaks Healthcare Community | 23.4 | 13 |
| Shady Oak Nursing and Rehabilitation | 27.2 | 4 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.