Monument Hill Nursing And Rehabilitation Center

Penalties

• Jul 2, 2025 — Fine ($8,281)

Inspection findings

1. Jan 28, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Feb 20, 2026 · CMS health inspection

2. Sep 11, 2025 Health · 7 findings
   • Not serious Scope/severity D

     F0640 Resident Assessment and Care Planning Deficiencies

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

     Corrected Sep 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 17, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0883 Infection Control Deficiencies

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

     Corrected Sep 17, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0887 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.

     Corrected Sep 17, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Dec 6, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0374 Smoke Deficiencies

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

     Corrected Dec 6, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0712 Miscellaneous Deficiencies

     Have simulated fire drills held at unexpected times.

     Corrected Dec 6, 2025 · CMS fire safety

3. Jul 2, 2025 Health · 1 finding
   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Apr 11, 2025 · CMS health inspection

4. Jul 31, 2024 Health · 12 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

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

     Corrected Aug 8, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Aug 8, 2024 · CMS health inspection

   • Not serious Scope/severity B

     F0577 Resident Rights Deficiencies

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

     Corrected Aug 8, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0584 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.

     Corrected Aug 8, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0600 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.

     Corrected Aug 8, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

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

     Corrected Aug 8, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0801 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.

     Corrected Aug 8, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0808 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.

     Corrected Aug 8, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0810 Nutrition and Dietary Deficiencies

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

     Corrected Aug 8, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Aug 8, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 8, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected Feb 28, 2025 · CMS fire safety

5. Jun 8, 2023 Health · 6 findings
   • Not serious Scope/severity D

     F0552 Resident Rights Deficiencies

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

     Corrected Jun 12, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0757 Pharmacy Service Deficiencies

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

     Corrected Jun 12, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0761 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.

     Corrected Jun 12, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 12, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

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

     Corrected Apr 10, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0521 Services Deficiencies

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

     Corrected Apr 10, 2024 · CMS fire safety

Owners and managers (as published by CMS)

• BAIRD, DANIEL — indirect ownership interest, NOT APPLICABLE, since 04/13/2021
• CHUDLEIGH, JAMES — adp of the snf, NOT APPLICABLE, since 01/01/2025
• CHUDLEIGH, JAMES — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• CLAPP, BARBARA — indirect ownership interest, NOT APPLICABLE, since 06/01/2021
• CORTESE, DAREN — indirect ownership interest, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 10/01/2018
• DEKOWSKI, DONOVAN — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• DEKOWSKI, DONOVAN — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• GIBSON, PATRICIA — indirect ownership interest, NOT APPLICABLE, since 08/01/2021
• LUCAS, DENISE — direct ownership interest, NOT APPLICABLE, since 01/01/2025
• LUCAS, DENISE — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• LUCAS, DENISE — adp of the snf, NOT APPLICABLE, since 01/01/2025
• MANDELBAUM, ELLIOT — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• MURRELL, EDWARD — corporate officer, NOT APPLICABLE, since 11/22/2016
• ROLLO, JEFFERY — corporate officer, NOT APPLICABLE, since 02/01/2021
• SIPTAK, TRINA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• SIPTAK, TRINA — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• SIPTAK, TRINA — direct ownership interest, NOT APPLICABLE, since 01/01/2025
• STRAMECKI, ANTHONY — corporate officer, NOT APPLICABLE, since 11/01/2016
• VASQUEZ, RAYMUNDO — operational/managerial control, NOT APPLICABLE, since 10/01/2020
• VASQUEZ, RAYMUNDO — adp of the snf, NOT APPLICABLE, since 10/01/2020
• VASQUEZ, RAYMUNDO — direct ownership interest, NOT APPLICABLE, since 10/01/2020
• VRATIS, KACEY — corporate officer, NOT APPLICABLE, since 01/01/2020
• WAY, GEORGE — corporate officer, NOT APPLICABLE, since 02/01/2018
• 120 STATE LOOP 92 LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• 120 STATE LOOP 92 LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• CSV RHEA MANAGEMENT HOLDCO, LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• CSV RHEA MANAGEMENT HOLDCO, LLC — adp of the snf, NOT APPLICABLE, since 05/13/2025
• CSV RHEA MANAGEMENT HOLDCO, LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• DWD TX HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 05/13/2025
• DWD TX HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• DWD TX HOLDINGS LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — adp of the snf, NOT APPLICABLE, since 05/13/2025
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• REG BRIDGE OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• REG BRIDGE OPCO LLC — adp of the snf, NOT APPLICABLE, since 05/13/2025
• REG BRIDGE OPCO LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REG HG OPCO LLC — adp of the snf, NOT APPLICABLE, since 05/13/2025
• REG HG OPCO LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REG HG OPCO LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• REG OPERATOR HOLDCO LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REG OPERATOR HOLDCO LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• REG OPERATOR HOLDCO LLC — adp of the snf, NOT APPLICABLE, since 05/13/2025
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 05/13/2025
• REGENCY IHS CLINICAL CONSULTING, LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS OF LA GRANGE LLC — adp of the snf, NOT APPLICABLE, since 05/13/2025
• REGENCY IHS OF LA GRANGE LLC — direct ownership interest, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS OF LA GRANGE LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 05/13/2025
• REGENCY IHS REHAB LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REGENCY INTEGRATED HEALTH SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 05/13/2025
• REGENCY INTEGRATED HEALTH SERVICES LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• REGENCY TEXAS HOLDINGS LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2018
• REGENCY TEXAS HOLDINGS LLC — indirect ownership interest, NOT APPLICABLE, since 10/01/2018
• REGENCY TEXAS HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 05/13/2025
• WINNIE-STOWELL HOSPITAL DISTRICT — adp of the snf, NOT APPLICABLE, since 05/13/2025
• WINNIE-STOWELL HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 10/01/2018