Monument Hill Nursing and Rehabilitation Center
Nursing Home Facility
120 State Loop 92, La Grange, TX 78945
Monument Hill Rehabilitation and Nursing Center is nestled next to the beautiful Monument Hill State Park in La Grange, Texas. The hometown professionals at Monument Hill Rehabilitation and Nursing Center are skilled in providing 24 hour licensed professional nursing care.
Operated by SkilledHealthCare, LLC, which runs 4 communities in our directory.
Monument Hill Nursing and Rehabilitation Center is licensed for 104 beds, about typical for the area, where senior care communities in La Grange average about 82 beds.
Federal reporting puts occupancy at about 59% of its licensed beds, so availability is more likely here than at busier communities nearby.
Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 2 stars for staffing against 4 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in September 2025 and recorded 5 deficiencies.
Residents receive about 2.6 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 55%.
The community is located in Fayette County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 21 problems at Monument Hill Nursing and Rehabilitation Center. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 3 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $8,281.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, a pattern
Infection Control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Could cause more than minimal harm, a pattern
Infection Control
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.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Monument Hill Nursing and Rehabilitation Center offers nursing home care and senior living.
Facility details
- Organization type for-profit limited liability corporation
- Beds / units 104
- Occupancy 59%
- Nursing hours per resident/day 2.6
- Annual staff turnover 55%
- Last health inspection September 2025
Resident & family reviews
No one has shared a review of Monument Hill Nursing and Rehabilitation Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.