Monument Rehabilitation and Nursing Center – La Grange, TX

CMS Verified | 2026-03-01

Monument Rehabilitation And Nursing Center

120 State Loop 92, La Grange, TX 78945
(979) 968-3144
104 beds
All La Grange facilities
2.0*
Overall
3.0*
Health Inspection
4.0*
Quality Care
1.0*
Staffing
68.52
Score /100
#8956
National Rank

#8956
of 14703 facilities
National
39.1% position
#659
of 1177 in TX
State Rank
#3
of 5 in Fayette
County Rank
#2
of 2 in La Grange
City Rank
#2
of 2 in ZIP 78945
ZIP Rank






About Monument Rehabilitation And Nursing CenterMonument Rehabilitation And Nursing Center is located at 120 State Loop 92, La Grange, TX, reachable at (979) 968-3144. This Government – Hospital district facility operates 104.0 certified beds and serves an average of 56 residents per day. It is part of the Wellsential Health network (67 facilities nationwide). Medicare and Medicaid services have been provided since 1987-09-11. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Monument Rehabilitation And Nursing Center

Address

120 State Loop 92, La Grange, TX 78945

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 104 Certified Beds
  • Ownership: Government – Hospital district
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: WELLSENTIAL HEALTH

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 11 fine(s) over 5 years
5-Year Trend
Improving over 5 years
68.52
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#8956 of 14703 nationally – #659 of 1177 in Texas

Who Is This Facility Best For?

Monument Rehabilitation And Nursing Center may be considered for families with limited options in La Grange, TX, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

3 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightMonument Rehabilitation And Nursing Center currently provides 2 hours 51 minutes of total nurse staffing per resident per day, including 24 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover stands at 50.0% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing2 hours 51 minutes
Nurse Aide Hours1 hour 34 minutes
Licensed Practical Nurse (LPN) Hours53 minutes
Registered Nurse (RN) Hours24 minutes
Physical Therapist Hours4 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 29 minutes
Weekend Registered Nurse (RN) Hours12 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 11 fine(s) over the 5-year period, totaling $111,473. 36 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 56.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#8,956
of 14,703
National
Bottom 39%
#659
TX State
Bottom 44% in TX
#3
of 5
️ Fayette County
#3 of 5
#2
of 2
️ La Grange
#2 of 2
#2
of 2
ZIP 78945
#2 of 2

Nationally, Monument Rehabilitation And Nursing Center ranks 8956th out of 14,703 facilities (composite score: 68.5/100), placing it in the below average nationwide. Within TX, it ranks 659th out of 1,177 nursing homes. In La Grange, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #13,596 nationally and RN hours rank #10,812 nationally (#474 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.89 #12,372 / 14,703 #876 / 1,177 ⚠️ Bottom 25%
2023 2.78 #12,992 / 14,703 #941 / 1,177 ⚠️ Bottom 25%
2024 2.83 #13,228 / 14,703 #910 / 1,177 ⚠️ Bottom 25%
2025 2.67 #13,867 / 14,703 #1,087 / 1,177 ⚠️ Bottom 10%
2026 2.85 #13,596 / 14,703 #1,005 / 1,177 ⚠️ Bottom 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.46 #9,662 / 14,703 #324 / 1,177 Below average
2023 0.44 #9,305 / 14,703 #253 / 1,177 Below average
2024 0.34 #11,732 / 14,703 #556 / 1,177 ⚠️ Bottom 25%
2025 0.29 #12,745 / 14,703 #773 / 1,177 ⚠️ Bottom 25%
2026 0.40 #10,812 / 14,703 #474 / 1,177 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Monument Rehabilitation And Nursing Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1987-09-11. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (979) 968-3144 or your local Medicaid office to verify current eligibility.

Monument Rehabilitation And Nursing Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (1★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 68.5/100, placing it #8956 of 14703 facilities nationally and #659 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Monument Rehabilitation And Nursing Center receives a reported average of 2 hours 51 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 24 minutes; Licensed Practical Nurse (LPN) — 53 minutes; Nurse Aide — 1 hour 34 minutes. On weekends, total nurse staffing is 2 hours 29 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 50.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 11 fine(s) over the 5-year period, totaling $111,473. 36 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 56.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Monument Rehabilitation And Nursing Center ranks 8956th out of 14,703 facilities (composite score: 68.5/100), placing it in the below average nationwide. Within TX, it ranks 659th out of 1,177 nursing homes. In La Grange, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #13,596 nationally and RN hours rank #10,812 nationally (#474 in TX). Our composite quality score of 68.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in La Grange, visit: https://nursinghomesnearme.org/texas/la-grange/

Contact and Location

ADR
Address

120 State Loop 92, La Grange, TX 78945
Get directions on Google Maps

TEL
LLC
Legal Name

WINNIE-STOWELL HOSPITAL DISTRICT

MAP
Browse by Location

All Texas ·
Fayette County ·
La Grange ·
ZIP 78945

Facility Details

Number of Certified Beds 104
Average Residents / Day 56 (55% occupancy)
Ownership Type Government – Hospital district
Provider Type Medicare and Medicaid
County Fayette County, TX
City La Grange, TX
ZIP Code 78945
Approved Since September 11, 1987
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 455715
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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