Monument Hill Nursing and Rehabilitation Center
120 State Loop 92, La Grange, TX 78945 · (979) 968-3144
Government - Hospital district · 104 certified beds
Monument Hill Nursing and Rehabilitation Center has a 4-star overall rating from Medicare, out of 5. Its last standard inspection, in September 2025, found 4 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $8,281 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 4 out of 5 stars · Above average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on September 11, 2025 found 4 citations. What an inspection citation means
- Develop and implement policies and procedures for flu and pneumonia vaccinations.September 11, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.September 11, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.September 11, 2025 · F0640 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.September 11, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 4 citations.
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 9, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.January 28, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 2, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 31, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $8,281July 2, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.57 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.59 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.62 | 0.95 | 0.86 |
| Nurse aides | 1.35 | 2.01 | 2.32 |
| Total nursing staff turnover | 54.5% | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 104 |
| Average residents per day | 61.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Avir at La Grange La Grange · ★★★★★ 3 out of 5 stars
- Flatonia Healthcare Center Flatonia · ★★★★★ 1 out of 5 stars
- Schulenburg Regency Nursing Center Schulenburg · ★★★★★ 3 out of 5 stars
- Paradigm at the Oak Schulenburg · ★★★★★ 1 out of 5 stars
Compare every nursing home in La Grange, TX · Nursing homes in Texas
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Data from Medicare (CMS), updated October 2026, from Monument Hill Nursing and Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.