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D
Poor

Monument Rehabilitation and Nursing Center

120 State Loop 92 · La Grange, TX 78945

9799683144 · Government - Hospital district

104 beds56.7 residents67 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
C
Below Standard
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Monument Rehabilitation and Nursing Center receives an overall staffing grade of D (Poor). With 2.8572 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4048 HPRD, below the recommended 0.75. It is 1.04 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.93% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Had 6 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.8572 HPRD — needs 0.62 more hours per resident per day.
⚠️RN staffing (0.4048 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
2.8572hrs/resident/day▼ 1.04
CMS benchmark: 3.48
RN HPRD
0.4048hrs/resident/day▼ 0.28
Recommended: 0.75
Weekend Drop-off
16.93%
3.0008 weekday → 2.4927 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
6days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.0954hrs/resident/day
Direct care aides
LPN HPRD
0.8844hrs/resident/day
Licensed practical nurses
Consistency
0.3591std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Fayette County Average-0.45 HPRD
3.31
02.86 HPRD
vs. Texas State Average-0.55 HPRD
3.40
02.86 HPRD
vs. National Average-1.04 HPRD
3.90
02.86 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Monument Rehabilitation and Nursing Center ★
La Grange · This facility
—
D
2.85720.4048★★★☆☆
SCHULENBURG REGENCY NURSING CENTER
SCHULENBURG
14.1 mi
F
3.53980.2257★★★★☆
Paradigm at Stevens
Yoakum
44.3 mi
D
3.55270.2562★★☆☆☆
Heritage Park Rehabilitation and Skilled Nursing C
Austin
57 mi
C
3.19750.4466★★☆☆☆
FORTRESS NURSING AND REHABILITATION
COLLEGE STATION
58.8 mi
D
3.09190.3577★★☆☆☆
Paradigm at the Creek
Wharton
59.6 mi
C
3.44950.4154★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
21
Total Deficiencies
$0
Fines Assessed
Sep 11, 2025Health
4 deficiencies cited
▼
Jul 2, 2025Health
1 deficiency cited· Includes actual harm
▼
Jul 31, 2024Health
11 deficiencies cited
▼
Jun 8, 2023Health
4 deficiencies cited
▼
Mar 13, 2023Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.