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Nursing HomeMedicaid Investigative

Monument Hill Nursing and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

120 State Loop 92, La Grange, TX 78945104 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 28 Google reviews

5
4
3
2
1

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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)

Below average in Texas · Below recommended RN staffing · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

This facility is an excellent choice for those prioritizing high-quality rehabilitation and a warm, family-like atmosphere. While the staff is widely praised for their compassion, you should monitor response times for call buttons during peak hours to ensure your loved one's immediate needs are met.

Google Reviews

Google Reviews

28 reviews analyzed
Families can expect a highly caring and professional staff, with many reviewers specifically praising the rehabilitation therapists and nursing team for their attentiveness. While the facility is frequently described as beautiful, clean, and welcoming, some concerns have been raised regarding slow response times to call buttons and occasional staffing shortages.

Quality Themes

Tap a score for details
Food5.0Staff9.0Clean9.0Activities5.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and professional nursing staff
  • Excellent rehabilitation and therapy services
  • Clean and beautiful facility with a courtyard
  • Strong communication with family members

Concerns

  • Slow response times to call buttons
  • Staffing shortages

Rating Trends

Tap a year to see what changed

2344.32022(12)4.32023(6)4.92024(26)4.62025(10)5.02026(1)

Distribution

5
23
4
1
3
2
2
0
1
1
10 reviews posted between Aug 27, 2024Aug 27, 2024 · 10 were 5-star

How They Respond to Reviews

100%response rate
Good

The owner provides personalized responses that frequently mention specific staff members or facility features mentioned in the reviews. For negative feedback, the owner uses a professional, non-defensive tone to acknowledge concerns and invite direct communication via email.

Questions for Your Tour

  • 1We've heard wonderful things about the compassion of your nursing team; how do you ensure that level of care remains consistent during busy shifts?
  • 2With the beautiful courtyard you have here, what kind of outdoor activities or social events are planned for residents?
  • 3How does the facility manage response times to call buttons to ensure residents feel supported at all times?
  • 4What specific protocols are in place to handle medical emergencies or sudden changes in a resident's health during the night?
  • 5We noticed how much care you take in responding to family feedback; how does the administration involve families in the care planning process?
  • 6Can you tell us more about the rehabilitation and therapy services available for residents working on their mobility?

Personalized based on this facility's data


Key Review Excerpts

The therapists have gone above and beyond while treating her. The staff are very caring and supportive.

Rehab patient's family · 2024★★★★

The facility itself is secure, clean and welcoming. The staff is professional, caring and accessible, making their residents feel truly cared for.

Experienced caregiver/Reviewer · 2025★★★★★

The whole rehabilitation experience was excellent and well organized! All of my needs were met in every way!

Rehab patient · 2024★★★★★
Source: 28 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

14

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Fayette
12.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.0%
Better than Avg
Here
6.0%
US
15.4%
TX
9.4%
Fayette
15.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.2%
Worse than Avg
Here
23.2%
US
14.4%
TX
16.1%
Fayette
13.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.4%
Better than Avg
Here
13.4%
US
19.4%
TX
14.2%
Fayette
22.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.9%
Better than Avg
Here
16.9%
US
19.5%
TX
18.4%
Fayette
25.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
15.3%
TX
14.9%
Fayette
15.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.3%
Better than Avg
Here
92.3%
US
81.8%
TX
89.2%
Fayette
83.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.0%
Better than Avg
Here
90.0%
US
79.7%
TX
88.0%
Fayette
81.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Fayette
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Near state avg (9.1)
3 complaint-triggered

Concerning patterns emerge with families filing complaints about serious issues including medication errors, safety hazards, and resident abuse. The facility shows recurring problems with infection control, medication management, and resident rights across multiple surveys from 2023-2025. Most troubling is an uncorrected medication error deficiency from January 2026, while other issues appear to have correction plans in place.

Jan 28, 2026Complaint
1
0760ModerateCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Sep 11, 2025Routine
7
0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0883ModerateCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887ModerateCorrected

Infection Control Deficiencies

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.

0374ModerateCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0640MinorCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 2, 2025Complaint
1
0689Severe

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jul 31, 2024Routine
11
0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0808ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0810ModerateCorrected

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0801MinorCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0293MinorCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0577MinorCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Jul 31, 2024Complaint
1
0600MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Jun 8, 2023Routine
6
0521ModerateCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0552MinorCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0757MinorCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0761MinorCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Federal Penalties

Fine

Jul 2, 2025

$8,281

Ownership & Operations

Who Operates This Facility

Owner / Operator

Winniestowell Hospital District

Organization Type

for profit

Management Company

REGENCY IHS OF LA GRANGE LLC

Administrator

MARSHELDA DOZIER

Chain Affiliation

Chain Name

Wellsential Health

Chain Size

68 facilities nationwide

Chain avg rating: 2.8/5 · Rank 53 of 67

Ownership & Management

Owners

Regency Ihs of La Grange LLC

Owner · Organization

Lucas, Denise

Owner

Siptak, Trina

Owner

Vasquez, Raymundo

Owner

Csv Rhea Management Holdco, LLC

Owner (parent company) · Organization

Dwd TX Holdings LLC

Owner (parent company) · Organization

Jack and Nancy Dwyer Workforce Development Center INC

Owner (parent company) · Organization

Reg Bridge Opco LLC

Owner (parent company) · Organization

Reg Hg Opco LLC

Owner (parent company) · Organization

Reg Operator Holdco LLC

Owner (parent company) · Organization

Regency Integrated Health Services LLC

Owner (parent company) · Organization

Regency Texas Holdings LLC

Owner (parent company) · Organization

Baird, Daniel

Owner (parent company)

Clapp, Barbara

Owner (parent company)

Cortese, Daren

Owner (parent company)

Dekowski, Donovan

Owner (parent company)

Gibson, Patricia

Owner (parent company)

Mandelbaum, Elliot

Owner (parent company)

Key personnel

Rollo, JefferyOfficer / DirectorStramecki, AnthonyOfficer / DirectorVratis, KaceyOfficer / DirectorWay, GeorgeOfficer / Director120 State Loop 92 LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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