Texas·Fayette County·La Grange

Monument Hill Nursing And Rehabilitation Center in La Grange, Fayette County, Texas

La Grange, Fayette County, Texas 78945

Status Medicare and Medicaid certifiedMedicare CCN 455715
HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Location and contact

Address
120 State Loop 92
La Grange, TX 78945
Open map (OpenStreetMap)
Phone
(979) 968-3144
HHSC facility ID
005234
License number
143095

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
MeasureThis facilityTexas average (this site)
Total nurse staffing2.69 hours3.42 hours n=1,152
Registered nurse0.40 hours0.44 hours
LPN0.84 hours0.95 hours
Nurse aide1.44 hours2.03 hours
Weekend nurse staffing2.30 hours2.99 hours

0.73 hours below this site’s computed Texas average.

Total nursing staff turnover
70.8% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover
80%
Average residents per day
61.5
Certified beds (CMS)
104

Penalties in the CMS Provider Information file: 1 finetotaling $8,281; 1 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.

Fines and payment denials

Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.

CMS fines and payment denials
DateTypeFine amountPayment denial
July 2, 2025Fine · Fine ID 133912$8,281—

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
MeasureStayFour-quarter averageUsed in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased
Quarterly scores

Q1 38.5% · Q2 16.7% · Q3 2.5% · Q4 7.1% · Period 2025Q3-2026Q2 · Measure code 401

Long Stay16.0%Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406

Long Stay0.0%Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407

Long Stay0.0%Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury
Quarterly scores

Q1 4.0% · Q2 9.3% · Q3 7.5% · Q4 8.9% · Period 2025Q3-2026Q2 · Measure code 410

Long Stay7.5%Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened
Quarterly scores

Q1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 2.6% · Period 2025Q3-2026Q2 · Measure code 451

Long Stay5.6%Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers
Quarterly scores

Q1 2.1% · Q2 5.1% · Q3 1.7% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 479

Long Stay2.2%Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication
Quarterly scores

Q1 2.9% · Q2 8.8% · Q3 10.3% · Q4 12.2% · Period 2025Q3-2026Q2 · Measure code 481

Long Stay8.8%Yes, as published by CMS
Percentage of long-stay residents who lose too much weight
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 2.4% · Period 2025Q3-2026Q2 · Measure code 404

Long Stay1.2%No, as published by CMS
Percentage of long-stay residents who have depressive symptoms
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 408

Long Stay0.0%No, as published by CMS
Percentage of long-stay residents who were physically restrained
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409

Long Stay0.0%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 94.0% · Q2 87.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415

Long Stay95.3%No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Quarterly scores

Q1 17.9% · Q2 18.2% · Q3 15.0% · Q4 19.0% · Period 2025Q3-2026Q2 · Measure code 452

Long Stay17.6%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
Quarterly scores

Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454

Long Stay89.7%No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence
Quarterly scores

Q1 7.3% · Q2 14.4% · Q3 14.2% · Q4 9.3% · Period 2025Q3-2026Q2 · Measure code 480

Long Stay11.3%No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication
Quarterly scores

Q1 — (CMS footnote 9) · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 434

Short Stay0.0%Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 84.2% · Q2 86.8% · Q3 87.8% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 430

Short Stay89.6%No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
Quarterly scores

Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472

Short Stay61.7%No, as published by CMS

Inspection citations

25 health citations in the CMS file (7 from complaint surveys). Highest scope/severity letter in the file: J — Isolated, immediate jeopardy.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
SeverityIsolatedPatternWidespread
Potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harmGHI
Immediate jeopardyJKL
2026 — 5 citations

Tag 0760E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: August 6, 2026

CMS records a correction date (August 17, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0676D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 6, 2026

CMS records a correction date (August 17, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0609D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 6, 2026

CMS records a correction date (August 17, 2026)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0755E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: July 9, 2026

CMS records a correction date (July 13, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0760E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: January 28, 2026

CMS records a correction date (February 20, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 5 citations

Tag 0887E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: September 11, 2025

CMS records a correction date (September 17, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0883E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: September 11, 2025

CMS records a correction date (September 17, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 11, 2025

CMS records a correction date (September 17, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0640D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: September 11, 2025

CMS records a correction date (September 17, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: July 2, 2025

Past non-compliance, as recorded by CMS (April 11, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2024 — 11 citations

Tag 0880E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 31, 2024

CMS records a correction date (August 8, 2024)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 31, 2024

CMS records a correction date (August 8, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0810E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 31, 2024

CMS records a correction date (August 8, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0808E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 31, 2024

CMS records a correction date (August 8, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0801D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 31, 2024

CMS records a correction date (August 8, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0677E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 31, 2024

CMS records a correction date (August 8, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0600D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: July 31, 2024

CMS records a correction date (August 8, 2024)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0584D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 31, 2024

CMS records a correction date (August 8, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0577B

B — Pattern, potential for minimal harm

Standard survey

Survey date: July 31, 2024

CMS records a correction date (August 8, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0558D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 31, 2024

CMS records a correction date (August 8, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0550D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 31, 2024

CMS records a correction date (August 8, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2023 — 4 citations

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: June 8, 2023

CMS records a correction date (June 12, 2023)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0761D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: June 8, 2023

CMS records a correction date (June 12, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0757D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: June 8, 2023

CMS records a correction date (June 12, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0552D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: June 8, 2023

CMS records a correction date (June 12, 2023)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective
August 31, 2024
License expires
August 31, 2027
Initial license date
September 11, 1987
Facility licensed
Yes
Facility certified (HHSC)
Yes
Service type
MEDICARE/MEDICAID
Total licensed capacity
104 beds
Bed mix (HHSC)
Licensed only 0; Medicaid only 0; Medicare only 23; Medicare/Medicaid 81; ICF/IID 0
Alzheimer capacity
0
Administrator
Isaac Schley
Management company
Regency Ihs Of La Grange LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: Government - Hospital district · Affiliated / chain name in the file: WELLSENTIAL HEALTH (67 facilities in the chain, as listed)

CMS ownership records
NameRoleTypeShareAssociated
REGENCY IHS OF LA GRANGE LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2018
LUCAS, DENISEDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2025
SIPTAK, TRINADIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2025
VASQUEZ, RAYMUNDODIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 10/01/2020
CSV RHEA MANAGEMENT HOLDCO, LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2018
DWD TX HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2018
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2018
REG BRIDGE OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2018
REG HG OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2018
REG OPERATOR HOLDCO LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2018
REGENCY INTEGRATED HEALTH SERVICES LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2018
REGENCY TEXAS HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 10/01/2018
47 more CMS ownership records
Additional CMS ownership records
NameRoleTypeShareAssociated
BAIRD, DANIELINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 04/13/2021
CLAPP, BARBARAINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 06/01/2021
CORTESE, DARENINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/10/2021
DEKOWSKI, DONOVANINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 10/01/2018
GIBSON, PATRICIAINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 08/01/2021
MANDELBAUM, ELLIOTINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 10/01/2018
MURRELL, EDWARDCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/22/2016
ROLLO, JEFFERYCORPORATE OFFICERIndividualNOT APPLICABLEsince 02/01/2021
STRAMECKI, ANTHONYCORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2016
VRATIS, KACEYCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2020
WAY, GEORGECORPORATE OFFICERIndividualNOT APPLICABLEsince 02/01/2018
120 STATE LOOP 92 LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
CSV RHEA MANAGEMENT HOLDCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
DWD TX HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
REG BRIDGE OPCO LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
REG HG OPCO LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
REG OPERATOR HOLDCO LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
REGENCY IHS CLINICAL CONSULTING, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
REGENCY IHS OF LA GRANGE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
REGENCY IHS REHAB LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
REGENCY INTEGRATED HEALTH SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
REGENCY TEXAS HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
WINNIE-STOWELL HOSPITAL DISTRICTOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2018
CHUDLEIGH, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
DEKOWSKI, DONOVANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2018
LUCAS, DENISEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2018
SIPTAK, TRINAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2018
VASQUEZ, RAYMUNDOOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2020
120 STATE LOOP 92 LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 10/01/2018
CSV RHEA MANAGEMENT HOLDCO, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
DWD TX HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
REG BRIDGE OPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
REG HG OPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
REG OPERATOR HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
REGENCY IHS CLINICAL CONSULTING, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
REGENCY IHS OF LA GRANGE LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
REGENCY IHS REHAB LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
REGENCY INTEGRATED HEALTH SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
REGENCY TEXAS HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
WINNIE-STOWELL HOSPITAL DISTRICTADP OF THE SNFOrganizationNOT APPLICABLEsince 05/13/2025
CHUDLEIGH, JAMESADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
DEKOWSKI, DONOVANADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2018
LUCAS, DENISEADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
SIPTAK, TRINAADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
VASQUEZ, RAYMUNDOADP OF THE SNFIndividualNOT APPLICABLEsince 10/01/2020
HHSC owner fields
Owner (HHSC)
Winnie Stowell Hospital District
Type of entity (HHSC)
HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.