Monument Rehabilitation and Nursing Center: Staffing, Turnover, and Inspection Record
Monument Rehabilitation and Nursing Center is a 104-bed government-run nursing home in La Grange, Texas, part of Wellsential Health. In the CMS August 2026 release it reported 1.35 nurse aide hours per resident per day, 32% below the Texas average of 2.00, and 54.5% nursing staff turnover (Texas average 55.3%).
Monument Rehabilitation and Nursing Center
120 State Loop 92La Grange, TX 78945
Fayette County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Monument Rehabilitation and Nursing Center, nurse aides logged 1.35 hours per resident per day, 32% below the Texas average. With about 61 residents a day, that works out to roughly 83 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.35 | 2.00 | 2.32 |
| Licensed practical nurses | 0.62 | 0.95 | 0.86 |
| Registered nurses | 0.59 | 0.43 | 0.69 |
| All nursing staff | 2.57 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.28 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
54.5% of nursing staff at Monument Rehabilitation and Nursing Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 20.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 11, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $8,281 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 2, 2025 | Fine | $8,281 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Monument Rehabilitation and Nursing Center holds 4 of 5 overall; the Texas average is 2.6.
About Monument Rehabilitation and Nursing Center
- Ownership: Government - Hospital district
- Chain: Wellsential Health, 67 homes
- Legal name: Winnie-Stowell Hospital District
- Medicare and Medicaid certified since: Sep 11, 1987
- Councils: resident council
- Area: rural
Nursing homes near Monument Rehabilitation and Nursing Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at La Grange La Grange · many days without an RN | 1.5 | 98 | 1.78 | 3.23 | 70.0% | 3 | None |
| Schulenburg Regency Nursing Center Schulenburg | 14.1 | 146 | 2.33 | 3.71 | 41.4% | 4 | $8,827 |
| Parkview Manor Nursing and Rehabilitation Weimar · abuse citation · many days without an RN | 14.1 | 94 | 1.86 | 3.19 | 92.9% | 1 | $10,348 |
| Paradigm at the Oak Schulenburg · abuse citation | 14.3 | 90 | 1.91 | 3.18 | 39.0% | 1 | $103,606 |
| Towers Nursing Home Smithville | 17.5 | 120 | 1.55 | 2.59 | 58.8% | 4 | $15,239 |
| Flatonia Healthcare Center Flatonia · abuse citation | 19.3 | 70 | 2.96 | 4.04 | 43.6% | 1 | $15,098 |
| Harmony Care at Giddings Giddings · SFF candidate · abuse citation | 21.5 | 84 | 2.91 | 3.99 | — | 1 | $193,468 |
| Avir at Giddings Giddings · many days without an RN | 21.5 | 102 | 1.96 | 3.00 | 30.3% | 1 | $39,701 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.