Monument Rehabilitation and Nursing Center

120 State Loop 92, La Grange, TX 78945

Phone: 9799683144

CMS ratings and facility information

Monument Rehabilitation and Nursing Center is a Medicare-certified nursing facility in La Grange, Fayette County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating4 of 5 stars
Health inspection rating4 of 5
Staffing rating2 of 5
Quality measures rating4 of 5
Certified beds104
OwnershipGovernment - Hospital district
CMS certification number455715

Staffing

Total nurse hours per resident day2.57
RN hours per resident day0.59
Nurse aide hours per resident day1.35
Total nursing staff turnover percent54.5
RN turnover percent20

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations4.19events_per_1000_resident_days20250101-20251231
Emergency-department visits2.38events_per_1000_resident_days20250101-20251231
Falls with major injury6.19percent2025Q2-2026Q1
Pressure ulcers2.79percent2025Q2-2026Q1
Urinary tract infections0percent2025Q2-2026Q1
Antipsychotic medication use7.86percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-09-110883Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2025-09-110887Educate 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.E
2025-09-110640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D
2025-09-110880Provide and implement an infection prevention and control program.D
2024-07-310677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2024-07-310808Ensure 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.E
2024-07-310810Provide special eating equipment and utensils for residents who need them and appropriate assistance.E
2024-07-310812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-07-310880Provide and implement an infection prevention and control program.E
2024-07-310550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2024-07-310558Reasonably accommodate the needs and preferences of each resident.D
2024-07-310584Honor 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.D
2024-07-310801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D
2024-07-310577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.B
2024-07-310600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D
2023-06-080552Ensure that residents are fully informed and understand their health status, care and treatments.D
2023-06-080757Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2023-06-080761Ensure 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.D
2023-06-080880Provide and implement an infection prevention and control program.D

Penalties

DateTypeAmount
2025-07-02Fine,281

Ownership records

NameTypeRole
REGENCY IHS OF LA GRANGE LLCOrganizationDIRECT OWNERSHIP INTEREST
LUCAS, DENISEIndividualDIRECT OWNERSHIP INTEREST
SIPTAK, TRINAIndividualDIRECT OWNERSHIP INTEREST
VASQUEZ, RAYMUNDOIndividualDIRECT OWNERSHIP INTEREST
CSV RHEA MANAGEMENT HOLDCO, LLCOrganizationINDIRECT OWNERSHIP INTEREST
DWD TX HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganizationINDIRECT OWNERSHIP INTEREST
REG BRIDGE OPCO LLCOrganizationINDIRECT OWNERSHIP INTEREST
REG HG OPCO LLCOrganizationINDIRECT OWNERSHIP INTEREST
REG OPERATOR HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTEREST
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationINDIRECT OWNERSHIP INTEREST
REGENCY TEXAS HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST
BAIRD, DANIELIndividualINDIRECT OWNERSHIP INTEREST
CLAPP, BARBARAIndividualINDIRECT OWNERSHIP INTEREST
CORTESE, DARENIndividualINDIRECT OWNERSHIP INTEREST
DEKOWSKI, DONOVANIndividualINDIRECT OWNERSHIP INTEREST
GIBSON, PATRICIAIndividualINDIRECT OWNERSHIP INTEREST
MANDELBAUM, ELLIOTIndividualINDIRECT OWNERSHIP INTEREST
MURRELL, EDWARDIndividualCORPORATE OFFICER
ROLLO, JEFFERYIndividualCORPORATE OFFICER
STRAMECKI, ANTHONYIndividualCORPORATE OFFICER
VRATIS, KACEYIndividualCORPORATE OFFICER
WAY, GEORGEIndividualCORPORATE OFFICER
120 STATE LOOP 92 LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
CSV RHEA MANAGEMENT HOLDCO, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
DWD TX HOLDINGS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganizationOPERATIONAL/MANAGERIAL CONTROL
REG BRIDGE OPCO LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
REG HG OPCO LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
REG OPERATOR HOLDCO LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
REGENCY IHS CLINICAL CONSULTING, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
REGENCY IHS OF LA GRANGE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
REGENCY IHS REHAB LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
REGENCY TEXAS HOLDINGS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
WINNIE-STOWELL HOSPITAL DISTRICTOrganizationOPERATIONAL/MANAGERIAL CONTROL
CHUDLEIGH, JAMESIndividualOPERATIONAL/MANAGERIAL CONTROL
DEKOWSKI, DONOVANIndividualOPERATIONAL/MANAGERIAL CONTROL
LUCAS, DENISEIndividualOPERATIONAL/MANAGERIAL CONTROL
SIPTAK, TRINAIndividualOPERATIONAL/MANAGERIAL CONTROL
VASQUEZ, RAYMUNDOIndividualOPERATIONAL/MANAGERIAL CONTROL
120 STATE LOOP 92 LLCOrganizationADP OF THE SNF
CSV RHEA MANAGEMENT HOLDCO, LLCOrganizationADP OF THE SNF
DWD TX HOLDINGS LLCOrganizationADP OF THE SNF
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOrganizationADP OF THE SNF
REG BRIDGE OPCO LLCOrganizationADP OF THE SNF
REG HG OPCO LLCOrganizationADP OF THE SNF
REG OPERATOR HOLDCO LLCOrganizationADP OF THE SNF
REGENCY IHS CLINICAL CONSULTING, LLCOrganizationADP OF THE SNF
REGENCY IHS OF LA GRANGE LLCOrganizationADP OF THE SNF
REGENCY IHS REHAB LLCOrganizationADP OF THE SNF
REGENCY INTEGRATED HEALTH SERVICES LLCOrganizationADP OF THE SNF
REGENCY TEXAS HOLDINGS LLCOrganizationADP OF THE SNF
WINNIE-STOWELL HOSPITAL DISTRICTOrganizationADP OF THE SNF
CHUDLEIGH, JAMESIndividualADP OF THE SNF
DEKOWSKI, DONOVANIndividualADP OF THE SNF
LUCAS, DENISEIndividualADP OF THE SNF
SIPTAK, TRINAIndividualADP OF THE SNF
VASQUEZ, RAYMUNDOIndividualADP OF THE SNF

Compare nursing homes in Fayette County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.