Monument Rehabilitation And Nursing Center
La Grange, Fayette County, Texas · CCN 455715 · Government (Hospital district) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Monument Rehabilitation And Nursing Center 4 of 5 overall as of August 2026. 104 certified beds, 61 residents a day on average. 21 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $8,281.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 4 of 5 |
Staffing
| Total nurse staffing | 2.56603 hours per resident per day |
|---|---|
| Registered nurses | 0.58862 hours per resident per day |
| Weekend total | 2.28465 hours per resident per day |
| Nursing staff turnover | 54.5% (registered nurses 20%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-28 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-20 |
| 2025-09-11 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Infection Control Deficiencies · tag F0887 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-17 |
| 2025-09-11 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-17 |
| 2025-09-11 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-17 |
| 2025-07-02 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-04-11 |
| 2024-07-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0808 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-31 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · tag F0810 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-31 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-31 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-31 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0801 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-31 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · tag F0577 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2023-06-08 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-12 |
| 2023-06-08 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-12 |
| 2023-06-08 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-12 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-07-02 | Fine | $8,281 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| 120 State Loop 92 LLC Organization | adp of the snf | — | 2018-10-01 |
| Csv Rhea Management Holdco, LLC Organization | adp of the snf | — | 2025-05-13 |
| Dwd Tx Holdings LLC Organization | adp of the snf | — | 2025-05-13 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | adp of the snf | — | 2025-05-13 |
| Reg Bridge Opco LLC Organization | adp of the snf | — | 2025-05-13 |
| Reg Hg Opco LLC Organization | adp of the snf | — | 2025-05-13 |
| Reg Operator Holdco LLC Organization | adp of the snf | — | 2025-05-13 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2025-05-13 |
| Regency Ihs Of La Grange LLC Organization | adp of the snf | — | 2025-05-13 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2025-05-13 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2025-05-13 |
| Regency Texas Holdings LLC Organization | adp of the snf | — | 2025-05-13 |
| Winnie-Stowell Hospital District Organization | adp of the snf | — | 2025-05-13 |
| Regency Ihs Of La Grange LLC Organization | direct ownership interest | — | 2018-10-01 |
| Csv Rhea Management Holdco, LLC Organization | indirect ownership interest | — | 2018-10-01 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2018-10-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2018-10-01 |
| Reg Bridge Opco LLC Organization | indirect ownership interest | — | 2018-10-01 |
| Reg Hg Opco LLC Organization | indirect ownership interest | — | 2018-10-01 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2018-10-01 |
| Regency Integrated Health Services LLC Organization | indirect ownership interest | — | 2018-10-01 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2018-10-01 |
| 120 State Loop 92 LLC Organization | operational/managerial control | — | 2018-10-01 |
| Csv Rhea Management Holdco, LLC Organization | operational/managerial control | — | 2018-10-01 |
| Dwd Tx Holdings LLC Organization | operational/managerial control | — | 2018-10-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | operational/managerial control | — | 2018-10-01 |
| Reg Bridge Opco LLC Organization | operational/managerial control | — | 2018-10-01 |
| Reg Hg Opco LLC Organization | operational/managerial control | — | 2018-10-01 |
| Reg Operator Holdco LLC Organization | operational/managerial control | — | 2018-10-01 |
| Regency Ihs Clinical Consulting, LLC Organization | operational/managerial control | — | 2018-10-01 |
| Regency Ihs Of La Grange LLC Organization | operational/managerial control | — | 2018-10-01 |
| Regency Ihs Rehab LLC Organization | operational/managerial control | — | 2018-10-01 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2018-10-01 |
| Regency Texas Holdings LLC Organization | operational/managerial control | — | 2018-10-01 |
| Winnie-Stowell Hospital District Organization | operational/managerial control | — | 2018-10-01 |
| Chudleigh, James Individual | adp of the snf | — | 2025-01-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2018-10-01 |
| Lucas, Denise Individual | adp of the snf | — | 2025-01-01 |
| Siptak, Trina Individual | adp of the snf | — | 2025-01-01 |
| Vasquez, Raymundo Individual | adp of the snf | — | 2020-10-01 |
| Murrell, Edward Individual | corporate officer | — | 2016-11-22 |
| Rollo, Jeffery Individual | corporate officer | — | 2021-02-01 |
| Stramecki, Anthony Individual | corporate officer | — | 2016-11-01 |
| Vratis, Kacey Individual | corporate officer | — | 2020-01-01 |
| Way, George Individual | corporate officer | — | 2018-02-01 |
| Lucas, Denise Individual | direct ownership interest | — | 2025-01-01 |
| Siptak, Trina Individual | direct ownership interest | — | 2025-01-01 |
| Vasquez, Raymundo Individual | direct ownership interest | — | 2020-10-01 |
| Baird, Daniel Individual | indirect ownership interest | — | 2021-04-13 |
| Clapp, Barbara Individual | indirect ownership interest | — | 2021-06-01 |
| Cortese, Daren Individual | indirect ownership interest | — | 2021-08-10 |
| Dekowski, Donovan Individual | indirect ownership interest | — | 2018-10-01 |
| Gibson, Patricia Individual | indirect ownership interest | — | 2021-08-01 |
| Mandelbaum, Elliot Individual | indirect ownership interest | — | 2018-10-01 |
| Chudleigh, James Individual | operational/managerial control | — | 2025-01-01 |
| Dekowski, Donovan Individual | operational/managerial control | — | 2018-10-01 |
| Lucas, Denise Individual | operational/managerial control | — | 2018-10-01 |
| Siptak, Trina Individual | operational/managerial control | — | 2018-10-01 |
| Vasquez, Raymundo Individual | operational/managerial control | — | 2020-10-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Monument Rehabilitation And Nursing Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Fayette County.