Monument Rehabilitation and Nursing Center

Nursing Home · La Grange, TX

CMS overall rating 4/5 Government - Hospital district

CMS certification number455715

Contact & location

120 State Loop 92
La Grange, TX 78945
Fayette County
Phone
(979) 968-3144
ZIP code
78945 – all care providers

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Facility details

Certified beds
104
Residents per day
61.1 (59% occupied)
Ownership
Government - Hospital district
Legal name
Winnie-Stowell Hospital District
Chain
Wellsential Health (67 facilities, avg 2.7★)
Medicare certified since
September 11, 1987
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 2.6
Health inspections★★★★★ 4/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 4/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.57 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.59 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.62 (state 0.95 · U.S. 0.86)
Nurse aides
1.35 (state 2.00 · U.S. 2.32)
Weekend total
2.28 (state 2.98 · U.S. 3.42)
Nursing staff turnover
54.5 (state 55.3 · U.S. 45.8)%
RN turnover
20.0 (state 54.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
September 11, 2025
Health deficiencies (last cycle)
5.0 (state 9.3 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
21 health · 6 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-01-28 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-20
2025-09-11 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-17
2025-09-11 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.
F0887 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-17
2025-09-11 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-17
2025-09-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-17
2025-07-02 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-04-11
2024-07-31 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-07-31 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.
F0808 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-07-31 Provide special eating equipment and utensils for residents who need them and appropriate assistance.
F0810 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-07-31 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-07-31 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-07-31 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-07-31 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-07-31 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-07-31 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.
F0801 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2024-07-31 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2024-08-08
2024-07-31 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-08-08
2023-06-08 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-12
2023-06-08 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-12
2023-06-08 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-12
2023-06-08 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-06-12

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $8,281 in fines.

DateTypeAmount
2025-07-02Fine$8,281

Ownership & management

NameRoleSince
120 State Loop 92 LLC (organization)Administrator · NOT APPLICABLE
Chudleigh, James (individual)Administrator · NOT APPLICABLE
CSV Rhea Management Holdco, LLC (organization)Administrator · NOT APPLICABLE
Dekowski, Donovan (individual)Administrator · NOT APPLICABLE
DWD TX Holdings LLC (organization)Administrator · NOT APPLICABLE
Jack and Nancy Dwyer Workforce Development Center INC (organization)Administrator · NOT APPLICABLE
Lucas, Denise (individual)Administrator · NOT APPLICABLE
Reg Bridge Opco LLC (organization)Administrator · NOT APPLICABLE
Reg HG Opco LLC (organization)Administrator · NOT APPLICABLE
Reg Operator Holdco LLC (organization)Administrator · NOT APPLICABLE
Regency Ihs Clinical Consulting, LLC (organization)Administrator · NOT APPLICABLE
Regency Ihs of La Grange LLC (organization)Administrator · NOT APPLICABLE
Regency Ihs Rehab LLC (organization)Administrator · NOT APPLICABLE
Regency Integrated Health Services LLC (organization)Administrator · NOT APPLICABLE
Regency Texas Holdings LLC (organization)Administrator · NOT APPLICABLE
Siptak, Trina (individual)Administrator · NOT APPLICABLE
Vasquez, Raymundo (individual)Administrator · NOT APPLICABLE
Winnie-Stowell Hospital District (organization)Administrator · NOT APPLICABLE
Murrell, Edward (individual)Corporate Officer · NOT APPLICABLE
Rollo, Jeffery (individual)Corporate Officer · NOT APPLICABLE
Stramecki, Anthony (individual)Corporate Officer · NOT APPLICABLE
Vratis, Kacey (individual)Corporate Officer · NOT APPLICABLE
Way, George (individual)Corporate Officer · NOT APPLICABLE
Lucas, Denise (individual)Direct Ownership Interest · NOT APPLICABLE
Regency Ihs of La Grange LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Siptak, Trina (individual)Direct Ownership Interest · NOT APPLICABLE
Vasquez, Raymundo (individual)Direct Ownership Interest · NOT APPLICABLE
Baird, Daniel (individual)Indirect Ownership Interest · NOT APPLICABLE
Clapp, Barbara (individual)Indirect Ownership Interest · NOT APPLICABLE
Cortese, Daren (individual)Indirect Ownership Interest · NOT APPLICABLE
CSV Rhea Management Holdco, LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Dekowski, Donovan (individual)Indirect Ownership Interest · NOT APPLICABLE
DWD TX Holdings LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Gibson, Patricia (individual)Indirect Ownership Interest · NOT APPLICABLE
Jack and Nancy Dwyer Workforce Development Center INC (organization)Indirect Ownership Interest · NOT APPLICABLE
Mandelbaum, Elliot (individual)Indirect Ownership Interest · NOT APPLICABLE
Reg Bridge Opco LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Reg HG Opco LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Reg Operator Holdco LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Regency Integrated Health Services LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Regency Texas Holdings LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
120 State Loop 92 LLC (organization)Operational/managerial Control · NOT APPLICABLE
Chudleigh, James (individual)Operational/managerial Control · NOT APPLICABLE
CSV Rhea Management Holdco, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Dekowski, Donovan (individual)Operational/managerial Control · NOT APPLICABLE
DWD TX Holdings LLC (organization)Operational/managerial Control · NOT APPLICABLE
Jack and Nancy Dwyer Workforce Development Center INC (organization)Operational/managerial Control · NOT APPLICABLE
Lucas, Denise (individual)Operational/managerial Control · NOT APPLICABLE
Reg Bridge Opco LLC (organization)Operational/managerial Control · NOT APPLICABLE
Reg HG Opco LLC (organization)Operational/managerial Control · NOT APPLICABLE
Reg Operator Holdco LLC (organization)Operational/managerial Control · NOT APPLICABLE
Regency Ihs Clinical Consulting, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Regency Ihs of La Grange LLC (organization)Operational/managerial Control · NOT APPLICABLE
Regency Ihs Rehab LLC (organization)Operational/managerial Control · NOT APPLICABLE
Regency Integrated Health Services LLC (organization)Operational/managerial Control · NOT APPLICABLE
Regency Texas Holdings LLC (organization)Operational/managerial Control · NOT APPLICABLE
Siptak, Trina (individual)Operational/managerial Control · NOT APPLICABLE
Vasquez, Raymundo (individual)Operational/managerial Control · NOT APPLICABLE
Winnie-Stowell Hospital District (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Monument Rehabilitation and Nursing Center?

Monument Rehabilitation and Nursing Center has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Monument Rehabilitation and Nursing Center have?

It has 104 certified beds and cares for about 61 residents per day.

Has Monument Rehabilitation and Nursing Center been fined?

Yes. CMS lists 1 penalty totaling $8,281 in the last three years.

Who owns Monument Rehabilitation and Nursing Center?

It is part of Wellsential Health and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Monument Rehabilitation and Nursing Center?

(979) 968-3144. The facility is located at 120 State Loop 92, La Grange, TX 78945.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.