D

Monument Rehabilitation and Nursing Center

120 State Loop 92, La Grange, TX 78945
Score: 47 / 100

Monument Rehabilitation And Nursing Center faces challenges in its CMS ratings, earning a D grade with a score of 47/100. The facility ranks in the 52th percentile among Texas nursing homes, suggesting significant room for improvement.

With 2.85 total nurse hours per resident per day, Monument Rehabilitation And Nursing Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 22 deficiencies at Monument Rehabilitation And Nursing Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are free from significant medication errors..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.85 3.8 Below Average
Registered Nurses (RN) 0.40 0.7 Below Average
Licensed Practical Nurses (LPN) 0.88 0.7 Above Average
Certified Nursing Assistants (CNA) 1.56 2.4 Below Average
Weekend Total Nursing 2.48 3.8 Below Average
Weekend RN Hours 0.19 0.7 Below Average

🔍 Inspection & Deficiency History

22
Total Deficiencies
Jan 27, 2026
Most Recent Inspection
⚪ 1 Minor 🟠 20 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0760 Severity E
    Ensure that residents are free from significant medication errors.
    Jan 27, 2026 · Pharmacy Service Deficiencies
  • Tag 0883 Severity E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    Sep 10, 2025 · Infection Control Deficiencies
  • Tag 0887 Severity E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document
    Sep 10, 2025 · Infection Control Deficiencies
  • Tag 0640 Severity D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    Sep 10, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Sep 10, 2025 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.1% 4.5% Better
Falls with major injury 5.3% 3.0% Worse
On antipsychotic medication 3.1% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 22.9% 14.0% Worse
Excessive weight loss 1.3% 7.5% Better
New/worsened incontinence 16.5% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 47 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - Hospital district
Certified Beds
104
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 10, 2025
Deficiencies (Cycle 1)
6